Know Your Coverage
TRICARE is an insurance program specifically for active duty service members and their family members. TRICARE is also available to members of the National Guard and Reserve, their family members, retired military personnel and their family, survivors, and certain others. TRICARE helps to connect the vast resources of the Military Health System (including military hospitals and clinics) with the broad network of civilian health care professionals, pharmacies, and institutions. Linking the tremendous network of providers from both military and civilian operations ensures one of the largest networks of in-network care possible for those connected to military service.
The office of service personnel helps determine your eligibility for TRICARE benefits. Typical examples of those who would generally be considered eligible for TRICARE include all of the above listed active and former military personnel as well as retired reserve members and families, children of active and retired service members, former spouses, Medal of Honor recipients, and their families, dependent parents and foreign force members and their families. The best way to determine eligibility for TRICARE benefits is to contact your personnel office.
Military affiliated with TRICARE insurance can get care in hundreds of locations around the world. The Military Health System, or MHS, is an integrated healthcare system. It is possible to find care linked to the Military Health System at a military hospital or clinics, a civilian hospital or clinic, a civilian provider, or other TRICARE-authorized non-network providers. There are several TRICARE authorized providers throughout the civilian network. However, it is important to mention that the authorized network depends on your region. Before choosing a provider, you must research your region to determine if they are considered in-network or non-network. While it is possible to seek care at a non-network TRICARE authorized provider, your level of coverage will vary depending on your specific TRICARE plan, and you may have higher out-of-pocket expenses.
TRICARE offers several plans with varying levels of care and coverage. The type of TRICARE plan you can choose depends on your current military affiliation. As with other insurance plans provided by non-military affiliated organizations, the cost of your TRICARE plan varies depending on the type of plan and the type of care you need. TRICARE offers prescription drug coverage, dental and vision coverage, including annual eye exams, in addition to traditional medical coverage.
The Pros of Intensive Outpatient
Veterans of military service and current active service personnel are at an increased risk for substance abuse and mental health struggles. There are many underlying reasons for this, including trauma, stressors, military culture, etc. It is not uncommon for servicemen and women to develop substance use disorders, post-traumatic stress disorder (PTSD), chronic pain conditions, and other mental or physical health challenges.
The Department of Veterans Affairs (VA) suggests up to 11% of veterans who visit a medical facility linked to the VA for the first time meet the diagnostic criteria for a substance use disorder. Data on drug and alcohol addiction for veterans suggest more than 80% of veterans abuse alcohol, and more than 25% abuse illegal drugs. Up to 7% of veterans struggle with polysubstance abuse, using both alcohol and illicit drugs. Veterans experience alcoholism at nearly twice the rate of civilians. Also, veterans are at a greater risk for co-occurring disorders or dual diagnosis conditions. Veterans with a substance use disorder are three to four times more likely to have post-traumatic stress disorder or depression.
Military affiliated with TriCare insurance can use their benefits for several types of addiction and mental health care. Depending on your plan and level of coverage, TRICARE may cover inpatient (residential) programs, intensive outpatient programs (IOPs), detox, medication-assisted treatments, opioid treatment programs, mental health services, and partial hospitalization programs (PHPs or day programs). TRICARE covers addiction treatment and mental health services that are medically necessary and proven to work. It is important to communicate with your treatment team to ensure all aspects of your planned course of treatment at Spirit Mountain Recovery fall under the definition of proven treatments.
Understand TRICARE
TriCare insurance coverage is available worldwide; however, plans are managed in three separate regions to make interactions with providers easier. There are two regions in the United States and a third that encompasses all regions outside the United States. Each region has its own regional contractor.
TriCare East or the east region includes Wisconsin, Illinois, Arkansas, Oklahoma, Texas, and all states to the east. The TriCare West or the western region consists of all states to the west of those listed above. The regional partners affiliated with each region help provide care and access to care for TriCare members in the area.
Welcome To Spirit Mountain Recovery
Understanding your TriCare addiction treatment options
Your drug and alcohol rehab coverage through TriCare will vary depending on your specific plan and its benefits. Like other insurance companies, each plan and level within that plan offer different levels and amounts of coverage.
TriCare provides coverage for most levels of care found in addiction treatment programs. It is important to note that some levels of care, such as inpatient residential treatment, may require prior authorization from your TriCare program administrator. It is also important to look at your policy exclusions to see if TriCare policies do not cover specific treatments or interventions. For example, many alternative therapies and some traditional therapy practices offered at TriCare-covered rehab facilities may be available at the facility but not covered by your plan. Choosing to use these treatments as part of your addiction treatment plan may result in a greater out-of-pocket cost to you.
To overcome addiction, each person who comes to Spirit Mountain Recovery has unique needs. Unfortunately, addiction is not an illness with a single, effective treatment. The therapeutic interventions that work well for one person may be entirely ineffective for someone else. The best length of treatment for you will vary based on your treatment needs and goals. It is crucial to consider what you need from treatment and work with your treatment team to determine the right duration of your program. TriCare policies provide coverage for all levels of care available at Spirit Mountain Recovery with varying deductibles and out-of-pocket expenses.
Unfortunately, there is no singular answer to how long TRICARE will pay for drug and alcohol rehab. The length of treatment they will cover will depend on your specific plan and the level of care within that plan. It may also vary depending on your region (east, west or international) and whether the program you choose is a TriCare authorized provider. Your regional TriCare representative can help you understand your coverage levels for your specific plan. It is essential to research your plan and your chosen rehab before beginning treatment to ensure each element of your care is covered by your policy. Also, one of our admissions team members can work with you and your First Health representative to help you better understand what levels of care and treatment services your insurance policy will cover at Spirit Mountain Recovery.
How We Can Help
If you or a loved one are ready to begin your treatment journey and would like to know how you can apply your TriCare insurance benefits to your comprehensive drug and alcohol addiction treatment program at Spirit Mountain Recovery, contact us for help. A member of our admissions team can help you better understand what aspects of care will be covered by your insurance. We can also help you better understand your potential out-of-pocket expenses or any possible treatment services that may be excluded from TriCare coverage. Our caring and compassionate team of treatment professionals are here to help you get started on your journey to recovery. Contact us today for more information.
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Dan has worked as a licensed therapist, both publicly and privately, in the behavioral health field for the past 20 years. He specializes in the treatment of young adults struggling with anxiety, depression, substance abuse, family discord, Autistic Spectrum Disorders (ASD), relational struggles, and a variety of learning disabilities. Dan utilizes various therapeutic modalities in his practice including EMDR, Cognitive Behavioral Therapy (CBT), Relationship-Based Therapy and Existentialism. He has been a Licensed Clinical Mental Health Counselor since 2009.
Dan in his leisure time is an avid mountain biker, skier, trail runner, and golfer. He has also traveled extensively throughout his life to Nepal, Switzerland, Thailand, Italy and Costa Rica.
They have the best team of staff and doctors on this planet. I am proud to say I am a recovering addict because of their amazing skills and treatment. They have changed my life completely and I could not have done it without them! Thank you for guiding me and paving the path for me to find my true self, and what I am capable of. You are all my family and friends.J.T.