We Accept
Tricare Insurance
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We accept most TriCare
Insurance Plans
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We are In-Network for most
Tricare Insurance
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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 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.
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.
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 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.
