TRICARE is a health care program for active duty service members, National Guard and Reserve members, veterans, and their families. Like other insurance providers, federal legislation mandates that TRICARE provide coverage for mental and behavioral health treatment services, including substance abuse treatment. If you have TRICARE insurance, your plan may cover some or all of your addiction treatment in Texas.
Alamo Behavioral Health is a leading provider of veteran’s drug and alcohol rehab services in San Antonio. Our program allows veterans with TRICARE to obtain the personalized care they need to restore their lives.
Understanding Your TRICARE Substance Abuse Treatment Coverage
TRICARE covers a wide range of substance abuse treatment services, including detox, inpatient, and outpatient care. They may also offer coverage for medications used during treatment. However, coverage specifics may vary based on the TRICARE plan and the specific circumstances.
The extent of your coverage may depend on:
- Level of care – In some cases, coverage might include inpatient treatment, which involves residing at a treatment facility for intensive care and monitoring. Outpatient treatment, where individuals attend therapy sessions while residing at home, could also be part of the coverage. The extent of coverage for these levels of care can vary based on the plan and the specific needs of the individual.
- Deductible – The deductible is the amount you’re required to pay out-of-pocket before your TRICARE coverage begins. Depending on your plan, you might have different deductible requirements for different services. It’s important to check your plan’s specifics regarding deductibles for addiction treatment services in Texas to have a clear understanding of your financial responsibility.
- Copayment and coinsurance – Copayments are fixed amounts you pay for certain services, while coinsurance is a percentage of the total cost you’re responsible for after meeting your deductible.
- Pre-authorization – Some TRICARE plans require pre-authorization or approval for specific treatment services. It’s essential to confirm whether the treatment or services you seek need pre-authorization to ensure they’re covered under your plan. Failing to obtain proper authorization could result in your coverage being denied or increased out-of-pocket expenses.
- In-Network vs. Out-of-Network Coverage – In-network providers have pre-negotiated rates with TRICARE, resulting in potentially lower costs for covered services. Out-of-network providers might still be covered but could result in higher out-of-pocket expenses. If the cost of rehab is a concern for you, you may want to choose an in-network addiction treatment center in Texas.
What TRICARE Covers
According to TRICARE’s website, their plans may cover the following forms of substance abuse treatment:
- Inpatient services (emergency and non-emergency)
- Intensive outpatient programs
- Management of withdrawal symptoms (Detoxification)
- Medication-assisted treatment (MAT)
- Mental health therapeutic services
- Office-based opioid treatment
- Opioid treatment programs
- Partial hospitalization programs
- Residential substance use disorder treatment
What TRICARE Doesn’t Cover
TRICARE insurance plans offer veterans, active duty military, and their families extensive health coverage. The only services that aren’t covered are aversion therapy and unproven treatments, or treatments that are not evidence-based.
Choosing a Veterans Rehab Center When You Have TRICARE Insurance
When selecting a veteran’s addiction treatment center in Texas, several factors should be considered. These include the facility’s location, the range of therapies offered or specialties, accreditation, availability of a specialized veteran program, and the types of aftercare support offered for sustained recovery.
However, a great place to start when seeking addiction treatment is with your insurance. A TRICARE representative can help you understand the details of your coverage and give you a list of local rehab centers that accept your health plan.
Where Can Veterans With TRICARE Get Addiction Treatment in Texas?
Many addiction treatment centers in Texas have specialized programs tailored explicitly for veterans covered by TRICARE insurance. These programs often address the unique needs of military personnel, incorporating trauma-informed therapies and support systems specifically designed for their experiences.
At Alamo Behavioral Health, our comprehensive rehab programs in San Antonio, Texas are tailored to support the unique needs of veterans, providing them with a compassionate and evidence-based approach to recovery. We’re dedicated to providing veterans with the support and resources they need to stay sober, and one way we do that is by helping those who are covered by TRICARE.
Verify Your TRICARE Insurance Today
Dealing with insurance doesn’t have to be complicated. At Alamo Behavioral Health, we aim to make it easy for veterans to get the treatment they deserve. Our qualified admissions counselors are available 24 hours a day and they can verify your insurance for you as well as address any concerns you may have about paying for rehab. We’ll help you understand exactly what your plan covers and what you can expect when attending treatment at our San Antonio facility.
Whether you’re ready to verify your insurance or you’d like to learn more about addiction treatment for veterans, please contact us today.