Does TRICARE Reserve Select Cover Addiction Treatment?

Finding Alcohol and Drug Treatment With TRICARE Reserve Select

If you are looking for help, whether for yourself or a loved one, you likely know that mental health services and substance abuse treatments can be difficult to find and access without excessive costs, no matter which of the major insurance providers you have.

But as a member of the Armed Forces or an Armed Forces family, one of the perks of a military career is access to TRICARE insurance coverage. But does TRICARE Reserve Select cover addiction treatment?

Fortunately, the ACA mandates that all insurance companies cover substance abuse help as one of their essential health benefits, and TRICARE is no different. It covers medically necessary treatment for all alcohol and drug use, from inpatient to outpatient care. In-network providers not only have a lower cost, but are required for TRICARE holders in many instances.

At TricareRehabs.com, we can help you find the perfect placement for your mental health and substance use issues while getting the most out of your insurance coverage. Here’s what you need to know about finding services for Reserve Select clients.

TRICARE Reserve Select Rehab Coverage and Treatment Options

Facing substance abuse on your own is challenging at best. Most people who struggle with addiction will require professional help at some level. What does your TRICARE insurance plan cover when you find yourself in need of inpatient and outpatient treatment centers?

The good news is that addiction treatment is covered by TRICARE as long as it is psychologically or medically necessary. If a medical professional can prove that you are in need of treatment centers to get sober, then it is likely that TRICARE Reserve Select coverage will help.

This is part and parcel of the changes made to insurance plans with the Affordable Care Act in 2010. All insurance companies were mandated to cover the essential health benefits, including substance abuse and mental health services. TRICARE is no exception to this executive order.

When you’re ready to seek help for your addiction, what can you expect to be covered by TRICARE insurance?

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Drug and Alcohol Detox Covered by TRICARE Reserve Select Insurance

The first stage of treatment for substance abuse usually requires a residential treatment program with a specific detox option. During these early stages of recovery, you could require medical help to stabilize your condition. One of the best options is medication-assisted treatment.

This is typically best administered when you can be under around-the-clock care by a team within the relative safety of a medical program. When you seek treatment, the hospital or your primary care doctor might refer you to this intensive level of care before offering you inpatient and outpatient rehab.

Inpatient Rehab as a Step Down from Detox

Detox programs naturally transition to inpatient rehab care, where you have 24/7 access to counselors and other staff members who help you learn to navigate life without drugs. It’s not as intensive as your detox program, but it can still be quite expensive if not covered by TRICARE.

As long as you continue to make progress and need this level of care, TRICARE Reserve Select typically covers residential treatment facilities for your care. Only once you are stabilized will they help transition you to an outpatient program that suits your needs.

Outpatient Treatment at a TRICARE Rehab

After transitioning from residential treatment centers, outpatient is usually the next logical step. Your TRICARE insurance will likely pay for two types of outpatient treatment for your substance abuse or mental health condition: partial hospitalization programs and intensive outpatient programs.

Partial Hospitalization Programs for More Intensive Help

Partial hospitalization programs are the first step down from inpatient rehab. You’ll spend the majority of the day in treatment centers while returning to sleep in your own bed at night. TRICARE covers this for a brief period of time, depending on how much progress you make and medical necessity.

PHP programs give you an opportunity to practice new skills while still making the best use of all of the evidence-based treatments you found in inpatient care.

Intensive Outpatient Programs to Transition Out of Rehab

Once withdrawal symptoms are under control and inpatient treatment is no longer required, intensive outpatient rehab is often the next best thing. You’ll spend a few hours each day attending treatment in the form of one-on-one therapy and group therapy sessions.

Then, you’re free to leave to return to work or spend time with loved ones. You can start building your bridge back to your everyday life piece by piece. This is the first step toward traditional outpatient care with individual therapy several days each week, coupled with community-based resources like Twelve Step meetings.

Where to Find Treatment Providers with TRICARE Reserve Health Insurance

The good news is that an addiction treatment plan is possible for those with a TRICARE insurance plan, including Reserve Select. With this type of plan, clients receive the freedom to choose where they want to receive help. While some plans limit you to in-network providers, TRICARE Reserve Select allows you to go anywhere.

An in-network provider might warrant comprehensive coverage for inpatient and outpatient rehab care. An out-of-network provider may be covered in part but have more out-of-pocket costs associated with them in the long run. The choice is yours to find treatment options that work for you and your family.

When you need substance abuse treatments, it helps to know that TRICARE covers drug and alcohol addiction as well as the skills you need to function in everyday life. They will help you locate all of the resources you need for evidence-based therapies to help you take steps toward sobriety.

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Get Help Covered With TRICARE Reserve and TricareRehabs.com

Are you ready to find addiction treatment that TRICARE covers to the fullest extent? TricareRehabs.com provides you with a placement service for locating the help you need when you need it most.

We help all insurance holders, whether you have TRICARE Reserve Select, TRICARE Young Adult, or TRICARE Retired Reserve.

Give us a call today to learn what TRICARE typically covers for mental health care and drug and alcohol rehab. We can walk you through the treatment process so that you and your family members get excellent, evidence-based assistance with substance abuse and mental health issues.

All calls are strictly confidential, so please don’t hesitate to reach out now.

James Webb

Recovery Advocate at Tricare Rehabs Com

James has 15 years in recovery and has dedicated his life to sharing information on substance use in order to help anyone struggling get the information needed to get help. He believes that everyone struggling with addiction should have the opportunity to live a happy life free of the effects of substance abuse.