TRICARE Insurance Coverage for Drug and Alcohol Rehab Treatment

TRICARE Health Plans
TRICARE offers a variety of plans, and each type of plan has different forms of coverage.4-11
- TRICARE Prime is a mandatory TRICARE plan for active-duty members of the military. It covers active duty and retired military members and their families, as well as activated members of the National Guard and their families. TRICARE Prime offers coverage for most forms of substance misuse treatment, including inpatient and outpatient treatment as well as detox.
- TRICARE Prime Remote is an option for those who qualify for TRICARE Prime but live and work at least 50 miles from the nearest military hospital.
- TRICARE Select is another option for active duty and retired military members and their families. While members have additional choices in the providers they see, there are higher costs. This coverage is very similar to TRICARE Prime, but certain services must go through an approval process before they’re authorized.
- TRICARE Standard Overseas is a plan offered to active duty and retired military members and families that allows a choice of providers but has higher costs associated with it. As with TRICARE standard, authorization is required for many services.
- TRICARE for Life is a program for people who receive Medicare Part A and B. TRICARE for Life is a form of health insurance that covers many of the expenses that Medicare does not.
- TRICARE Reserve Select coverage is for members of the Reserves who are not on active duty. It is similar to a typical insurance plan with a deductible, monthly payments, and a provider network. Members can choose to go to a non-network provider for treatment but will pay a higher deductible and copay.
- TRICARE Retired Reserve offers coverage for eligible retired reserve service members under the age of 60 and some surviving spouses of eligible retired reserve members. As with Reserve Select, members of this plan have monthly premiums, deductibles, and copays but can opt to use non-network providers at a higher cost.
- TRICARE Young Adult offers coverage for those who need healthcare after their “regular” TRICARE coverage ends after the age of 21 (23 if in college). You must also be under the age of 26, unmarried, and the child of an eligible TRICARE member.
What is TRICARE Health Insurance?
TRICARE health insurance is a healthcare program offered exclusively to service members (both actively serving and retired) and their families. TRICARE offer its members medical and dental coverage in most of their plans as well as many forms of behavioral health coverage. This insurance carrier used to be known as the Civilian Health and Medical Program of the Uniformed Services.
TRICARE health insurance is managed by the United States Defense Health Agency, or Military Health System, whose mission consists of providing exceptional medical benefits for those who serve or have served our country, as well as their family members.
Does TRICARE Cover Mental Health and Substance Abuse Treatment?
Depending on the approval to receive treatment, there are a few different forms of mental health and substance abuse treatment that TRICARE will often cover for its members including:
- Inpatient treatment.
- Outpatient treatment.
- Detox.
- Medication-assisted treatment (MAT).
- Partial hospitalization.
- Residential treatment.
Our Insurance Statistics
- More than 21,000 people have used insurance to attend treatment at one of our facilities since 2021.
- More than 300 people have used TRICARE to attend treatment since 2021.
- Our verification of benefits form has been filled out more than 125 times for TRICARE insurance since 2021.
- TRICARE has a more than 82% acceptance rate for one of our facilities when using our online form.
- See if you are in-network with us.
Sources
- TRICARE. Covered Services: Substance Use Disorder Treatment.
- TRICARE. Covered Services: Inpatient Hospital Services.
- TRICARE. Covered Services: Intensive Outpatient Program.
- TRICARE. Mental Health Therapeutic Services.
- TRICARE. Plans: Health Plans.
- TRICARE. Plans: TRICARE Prime.
- TRICARE. Plans: TRICARE Prime Remote.
- TRICARE. Plans: TRICARE Select.
- TRICARE. Plans: TRICARE For Life.
- TRICARE. Plans: TRICARE Retired Reserve.
- TRICARE. Plans: TRICARE Young Adult.
- TRICARE. Costs: Health Plan Costs.
- TRICARE. Partial Hospitalization (Psychiatric and Substance Use Disorder).
- Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? A booklet for families. HHS Publication No. (SMA) 14-4126. Rockville, MD.
- Substance Abuse and Mental Health Services Administration. (2020). TIP 47: Substance abuse: Clinical issues in intensive outpatient treatment.