Substance Abuse Treatment Options For TRICARE Prime Recipients

Military members and their family members face substance abuse issues at a higher rate than the rest of the general population. If you’re looking for treatment centers that accept TRICARE plans, we’re here to help. As an out-of-pocket expense, substance abuse treatment is not cheap. The good news is that TRICARE coverage can help you pay for the cost of substance abuse treatment.

So, what is TRICARE, and what can you access with your TRICARE plan?

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What Is TRICARE?

First, let’s go over the basics. TRICARE is a healthcare program for military members and their families. TRICARE covers not just active duty members but also retired military personnel and their family members. There are various TRICARE coverage options to choose from.

Tricare Insurance

TRICARE plans include but aren’t limited to:

  • TRICARE Prime
  • TRICARE Prime Remote
  • TRICARE Prime Overseas
  • TRICARE Prime Remote Overseas
  • TRICARE Select
  • TRICARE Select Overseas
  • TRICARE For Life
  • TRICARE Reserve Select
  • TRICARE Retired Reserve
  • TRICARE Young Adult
  • US Family Health Plan

If you intend to use insurance for a drug and alcohol rehab, the center you admit to will need to know your insurance information, including your specific insurance plan. In this article, we will focus on how to find drug and alcohol rehabs that accept TRICARE Prime.

Drug And Alcohol Treatment Options Covered By TRICARE

The treatment process will differ from person to person. Thankfully, there’s a range of in-network options available for those with TRICARE Prime coverage. Here are some of the drug and alcohol treatment options you can get with TRICARE insurance.

Medical detox

Many people working to overcome drug and alcohol addiction attend medical detox prior to entering treatment. Medical detox allows you to move through withdrawal symptoms safely and in a supportive environment with healthcare professionals.

Emergency services

If you or a family member is struggling with addiction, hospitalization may be required in some cases. TRICARE insurance covers both emergency inpatient hospital services and emergency room visits.

If you have a substance use disorder, you may require an emergency hospital stay for:

  • Medical complications related to substance misuse
  • Stabilization from drug and alcohol use
  • Detoxification from drug and alcohol use
  • Psychiatric symptoms
  • Other emergencies

You’ll receive treatment at the nearest hospital available to provide care or admit you. If you need to be admitted but there is not a bed available at the first hospital you go to, you may be transferred to another hospital close by.

Inpatient programs and residential treatment centers

Inpatient programs - Tricare Coverage

Inpatient programs are the most intensive type of substance abuse treatment. Inpatient rehabs provide around-the-clock care and require that you eat, sleep, and bathe at your treatment facility. Many people who seek treatment for substance abuse attend an inpatient or residential treatment facility.

The average stay at an inpatient facility for addiction treatment is around 1-3 months. That said, the length of your stay may vary based on a range of different factors.

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Intensive outpatient programs

Intensive outpatient programs are another popular type of care for addiction treatment. Unlike inpatient or residential treatment, IOPs allow you to sleep at home rather than at a residential or inpatient treatment center. You may start out in an intensive outpatient program, or you may transfer to IOP after attending an inpatient or residential treatment center.

You may qualify for an outpatient treatment program if you:

  • Experience a substance use disorder or another mental health condition
  • Don’t need to be hospitalized full-time
  • Need to stabilize, prevent relapse, or reduce symptoms
  • Require a higher level of can than you’re currently receiving
  • Are transitioning from an inpatient, residential, partial hospitalization, or another outpatient program

Partial hospitalization programs

As far as intensity and time commitment go, partial hospitalization programs (PHPs) are one step above intensive outpatient treatment programs. A PHP may be ideal for you if you don’t require full-time hospitalization but need a higher level of care than an intensive outpatient program can provide.

Medication-assisted treatment

Medication-assisted treatment (MAT) helps reduce the severity of withdrawal symptoms and can aid individuals in preventing relapse. TRICARE insurance plans may cover MAT if you live with Opioid addiction. A common example of medication used for MAT is Suboxone, though other options are available, too.

Other forms of mental health care

Tricare Coverage - Mental health care

If you have TRICARE coverage, you can use your insurance plan to cover therapy and other mental health services, such as medication management. Many individuals with a substance use disorder benefit from outpatient therapy before, during, and after going through a treatment program for addiction. The same is true for support groups, alumni programs, and various forms of medication.

FAQs: Does Tricare Prime Cover Drug and Alcohol Rehab?

Does TRICARE Prime pay for rehab?

Yes. TRICARE Prime covers inpatient rehab for eligible members with a substance use disorder. TRICARE provides comprehensive coverage for a range of medical and mental healthcare needs. The key is to find in-network providers and/or treatment centers that take your TRICARE plan.

Does TRICARE cover outpatient rehab?

Yes. In addition to inpatient programs, TRICARE prime covers outpatient addiction treatment services for eligible members with a substance use disorder.

Does TRICARE cover inpatient mental health?

Yes. In addition to treatment for substance use disorders, TRICARE prime covers inpatient treatment for other mental health needs. For example, help with bipolar disorder, schizophrenia, eating disorders, post-traumatic stress disorder, or depression.

If you live with both a substance use disorder and another mental health condition, you may benefit from seeking treatment at a dual-diagnosis rehab center.

Does Rehab disqualify you from the military?

No. Contrary to popular belief, attending rehab alone doesn’t disqualify you from the military. However, there are some circumstances where drug and alcohol abuse can disqualify you from the military. Substance abuse services can help you overcome addiction so that you can pursue your life goals. If you live with an addiction, look into what your health benefits will cover.

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Find TRICARE Addiction Treatment Services Now

Whether you have TRICARE prime or another type of health insurance, Find Addiction Rehabs can help you find drug and alcohol rehab for yourself or a member of your family. Our hotline is free and available 24/7.

When you call Find Addiction Rehabs, we’ll help you:

  • Find in-network alcohol and drug treatment that meet your needs
  • Verify your insurance coverage for substance abuse treatment, regardless of the health care plan you have
  • Access other helpful resources for individuals and loved ones of those with substance use disorders

Recovery is possible. Contact Find Addiction Rehabs now for a confidential discussion of options and find your nationwide treatment with TRICARE Prime now!

* Disclaimer: Find Addiction Rehabs is not affiliated with or endorsed by TRICARE Insurance. Details about TRICARE Prime’s coverage are intended for informational purposes only. The specific details of your TRICARE Prime plan may vary and the specific treatment services you require may or may not be covered. Please call our representatives today for more definitive details on your plan and options.