Helping You Achieve Lasting Recovery

We Accept
Tricare Insurance


If you have found yourself on this page, that most likely means you or a loved one are struggling with an addiction. Substance use disorder is difficult, but the road to recovery has already been started because you are on this page. No step, no matter how small, should be overlooked; congratulations. However, insurance can be difficult to figure out. That is why we at AKUA want you to be the most up to date you can be on your policies. Along with this, we have an insurance team who are always available for your inquiries. Below you can find a general breakdown of Tricare’s coverage for substance use disorder treatment.

Tricare Insurance

Tricare, formerly known as the Civilian Health and Medical Program of the Uniformed Services, is the supplemental health care program for active and retired military service members and their families. Tricare is a program of the United States Department of Defense Military Health System and includes coverage for individuals of the U.S. Air Force, Army, Navy, Marine Corps, Coast Guard, Commission Core, U.S. Public Health Service, and Commission Core of the National Oceanic and Atmospheric Association.

Tricare Insurance For Addiction, Substance Abuse & Mental Health Treatment

Tricare supports those who are looking to recover from a drug or alcohol addiction. Tricare works with an individual’s needs to find nearby treatment services. Tricare insurance policies have different options for Detox, Inpatient and Outpatient rehab, as well as other mental health services to help on your path to recovery. Depending on your individual Tricare insurance plan, your inpatient and outpatient rehab coverage will vary.


Tricare may cover the following services:

Inpatient services
• Detoxification
• Intensive outpatient programs
• Intervention programs
• Medication-assisted treatment
• Family therapeutic services
• Partial hospitalization programs
• Residential treatment

Tricare Healthcare Addiction Resources

Tricare supports those who are looking to recover from a drug or alcohol addiction. Tricare works with an individual’s needs to find nearby treatment services. Tricare insurance policies have different options for inpatient and outpatient rehab, as well as other mental health services to help on your path to recovery. Depending on your individual Tricare insurance plan, your inpatient and outpatient rehab coverage will vary.

Addiction Resources-Akua
Insurance Policy Coverage For Substance Abuse

Tricare Policy Coverage For Substance Abuse

If your Tricare insurance policy covers substance abuse treatment, it will also include mental health services. Many clients have co-occurring disorders, mental health and substance addiction issues, called a dual diagnosis. With our dual diagnosis treatment program, both issues can be supported together.

Tricare Coverage for Mental Health Treatment

Mental illness affects millions of Americans and is common among those with substance abuse issues. Insurance providers are legally required to cover mental health services. In many cases, mental health problems can co-occur with substance use, so it is important to address mental health concerns if you are seeking care for substance misuse and addiction.

mental health

Many different factors determine what treatment and rehab services are covered by TRICARE, including individual plan details, where the individual that is seeking treatment lives, legal requirements, and the type of treatment being sought. To check your coverage options for a specific treatment center, click the button to contact a treatment provider today.

Tricare Offers 8 Different Plans

TRICARE Prime is a plan that provides coverage in specific geographical areas that are considered ‘prime’ locations in the United States.
TRICARE Prime Remote is a plan that provides coverage in more remote locations of the U.S., as well as some areas overseas.
TRICARE Standard and Extra is a plan that requires a paid fee but doesn’t require enrollment for members to receive service.
TRICARE Standard Overseas is a plan that provides comprehensive coverage for people overseas.
TRICARE for Life is a Medicare coverage option to provide additional help for people who have Medicare Part A and B.
TRICARE Reserve Select is a premium-based plan that provides coverage for qualified reserve service members and family members.
TRICARE Retired Reserve is a premium-based plan that provides coverage for retired service members under the age of 60 and their families.
TRICARE Young Adult is a plan that provides coverage for young adult children who do not qualify for other TRICARE coverage.
Specific coverage will depend on the nature of an individual’s service and qualifications.

Tricare Coverage For Inpatient Treatment, Service And Costs

Tricare covers residential treatment if a number of conditions are met, including: the patient has a formal substance use disorder diagnosis, the patient has withdrawal symptoms severe enough to require physician assistance, and the patient struggles to function in everyday life.

If these requirements are met, Tricare will cover both emergency and non-emergency inpatient addiction treatment. Emergency treatment is when a person has a medical or psychiatric crisis and requires immediate medical attention.

Tricare will cover the costs of detoxification, stabilization, and any medical complications. Non-emergency treatment is when someone decides to seek treatment for substance abuse on his or her own. This requires prior authorization from Tricare before coverage will be provided. Coverage usually includes both detoxification and stabilization; depending on the plan, coverage may also include treatment for any additional co-occurring mental health conditions.

Tricare Coverage for Outpatient Treatment, Service And Costs

TRICARE will also cover outpatient treatment if an individual’s plan meets the specific qualification requirements. A person must be active in addiction but not in need of hospitalization or around-the-clock care. There are several types of outpatient treatment covered by TRICARE, including: standard outpatient programs, Intensive Outpatient Programs (IOP), and Partial Hospitalization Programs (PHP). These programs offer the same therapy resources as residential treatment, such as group therapy and individualized counseling, but are administered through multiple weekly treatment sessions to help patients maintain their careers and families during the treatment process.

Standard outpatient treatment is the least intensive form of outpatient care and only requires people to attend therapy once or twice a week at an office-based TRICARE approved center. IOPs are more intensive and consist of therapy that must be attended several days per week. PHPs are the most intensive outpatient program and requires daily treatment that lasts approximately 4 to 8 hours.

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Do Treatment Centers Need To Be In-Network?

TRICARE typically only offers full coverage for select providers approved by the insurance company. Participating in-network providers have a pricing agreement with TRICARE for billing addiction treatment services. Patients of in-network addiction treatment facilities are only responsible for a small portion of the cost as an out-of-pocket expense.

Patients enrolled in the TRICARE Select, Reserve Select, Retired Reserve, Young Adult Select, Family Health, and Prime Remote plans are permitted to use the out-of-network provider of their choice. However, if patients choose out-of-network care, they may have to file individual claims and pay a higher percentage of the service cost. In fact, out-of-network providers can charge up to 15% more than the allowable charge. In some cases, TRICARE clients then must cover the full cost of out-of-network services and then seek reimbursement from the insurance company after treatment has been completed.

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How Can I Pay the Costs Not Covered By My Tricare Plan?

Knowing what services your insurance plan will or will not cover is an important step of exploring your treatment options. Fortunately, for those covered by TRICARE, there are many options available. If you’re unsure of your current plan’s benefits, contact a treatment provider to learn more about recovery options.

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FAQ: Common Questions About Rehab

It’s important not to let costs of treatment deter you from getting help you need. Many alternative methods are available to help with addiction treatment expenses.

Akua Behavioral Health offers addiction treatment programs in a residential, community-based setting. Our clients stay in our home-like program, with 24-hour supervision to ensure their safety and comfort. Inpatient drug rehab gives clients the best chance at lasting recovery through highly-structured care for those struggling with drug, alcohol and/or their mental health.

Many clients stop experiencing withdrawal symptoms 3 to 7 days after starting our detox program. While the experience may vary due to various factors, Akua Behavioral Health is committed to providing our clients with safe and comfortable detox.

Akua Behavioral Health works with most major insurance plans to ensure quality addiction treatment is accessible for our clients.

Request a Call

Speak with your insurance provider to get more information. Aetna’s 24-hour phone line allows customers to connect with a member services professional who can provide the answers you need about your policy’s coverage.

Other Insurance Plans we Accept

AKUA works closely with most HMO, EPO and PPO insurance plans including AmeriHealth, Humana, Allcare Health, Highmark, UPMC Health Plan, and are In-Network with Anthem Blue Cross, Aetna, Cigna, HealthNet, Blue Cross/Blue Shield, Magellen, HMC Health Works, Tricare, Western Health Advantage, Prime, Multi Plan, Triwest, and more.

AKUA Payment Options

Our goal is to provide the best-in-class treatment at an affordable price. We take Insurance, Private, Self-Pay and offer partial Scholarships.
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