Drug and Alcohol Rehab with TRICARE Insurance

TRICARE covers active and retired members and family members of:

• US Air Force
• Army
• Navy 
• Marine Corps
• Coast Guard
• National Guard, Reserves
• U.S. Public Health Service
• Commission Core
• Commission Core of the National Oceanic and Atmospheric Association.

All TRICARE plans offer treatment options for substance abuse and addiction, as well as alcohol use disorder and alcoholism.

Types of Tricare Plans

TRICARE offers many options with multiple high-quality insurance plans, all of which meet the quality standards required by the Affordable Care Act of 2010. The following are some of the most common TRICARE programs available, each with a particular service population, requirements, and other features. Specific coverage depends on the nature of an individual’s service and qualifications.

Tricare Prime

TRICARE Prime is a plan that includes active duty service members but may also include family members that are eligible. Active duty service members must choose TRICARE Prime. Family members may also choose TRICARE Select®.

Tricare Select

TRICARE Select replaced TRICARE Standard and Extra in 2018.  It is a self-managed PPO (preferred provider organization) plan available in the United States. If you are on active duty, you cannot use TRICARE Select. 

It uses a preferred provider network available to all non-active duty beneficiaries and includes: 

• Active duty family members
• Retired service members
• Survivors
• Qualified former spouses
• As well as Medal of Honor recipients and their families.

Tricare for Life

TRICARE for Life is a Medicare coverage wraparound option for members with Medicare Part A and B. If you have Medicare A and B, you are automatically enrolled. In the US and US territories, TRICARE pays after Medicare. In overseas areas, TRICARE is the primary payor.

Tricare Reserve Select

TRICARE Reserve Select is a premium-based plan for qualified reserve service members and their family members. 

To enroll in TRICARE Reserve Select a member cannot be:

• On active duty
• Covered under the Transitional Assistance Management Program
• Eligible for the Federal Employees Health Benefits (FEHB) Program
• Enrolled in the Federal Employees Health Benefits (FEHB) Program.

Tricare Retired Reserve

TRICARE Retired Reserve is a health plan for retired Reserve members, their families, and survivors who qualify. TRICARE Retired Reserve is a premium-based plan.

 Members must be: 

• Under the age of 60 
• Not eligible for the Federal Employees Health Benefits (FEHB) Program.
• Not enrolled in the Federal Employees Health Benefits (FEHB) Program.

Tricare Young Adult

TRICARE Young Adult provides coverage for adult children of service members who do not qualify for other TRICARE coverage, are unmarried, and at least 21 but no older than 26.

Does TRICARE Cover Drug Rehab?

Yes, TRICARE covers drug rehab, including detox, partial hospitalization, and inpatient residential treatment. Those seeking recovery services may have drug and alcohol detoxification and rehab services covered by their individual TRICARE plan. If a TRICARE member receives care to manage the symptoms of withdrawal from alcohol or drugs, that treatment is covered under the plan’s detox category.

Does TRICARE Cover Alcohol Rehab?

TRICARE covers alcohol rehab and detox services. TRICARE covers inpatient rehab and outpatient alcohol rehab and detox treatment.

TRICARE Coverage for Drug and Alcohol Detox

TRICARE will cover the costs of drug and alcohol detox, residential treatment, and other drug and alcohol treatment options, as long as the following requirements are met:

• A patient must have a substance abuse diagnosis
• Is having trouble functioning in day-to-day living
• Has withdrawal symptoms of such severity they require a physician’s assistance

If these requirements are met, TRICARE will cover both emergency and non-emergency inpatient addiction treatment.

Emergency Treatment 

Emergency treatment for alcohol or substance abuse occurs in situations where a person is experiencing withdrawal or is likely to go through withdrawal. Many substances of abuse, as well as alcohol, have potentially dangerous symptoms that must have medical attention. TRICARE will cover the costs of detoxification, stabilization, and any medical complications.

Non-Emergency Treatment

If a person elects to get into treatment for substance abuse but they are not experiencing an emergency, TRICARE requires prior authorization before services will be provided. Detox and stabilization are usually covered, as is the treatment for co-occurring mental health conditions.

 TRICARE may cover the following services: 

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

Get Help For You or a Loved One Today

Knowing what services your TRICARE plan will or will not cover is an important aspect of figuring out the drug and alcohol treatment program that is right for you. To confirm your TRICARE benefits, call your service provider. They can give you accurate information about the type, level, and amount of drug treatment that your policy covers.

 At Agape Detox Center, we value all of our active duty service members, veterans, and their family members. Our goal is to ensure that every client receives professional drug and alcohol treatment services that address not only addiction but any co-occurring disorders such as PTSD, anxiety, and depression as well.

 Our compassionate team in Port St. Lucie will help guide you through the admissions process by checking your individual TRICARE coverage options. If you or someone you love is struggling with addiction and seeking help – call us today!