What is TRICARE East Rehab?

TRICARE East rehab refers to addiction treatment and mental health services, including drug and alcohol rehab, covered through TRICARE’s network of providers. This can include detox, inpatient rehab using Tricare benefits, outpatient treatment, therapy and medication-assisted treatment (MAT).

It’s designed to provide comprehensive and affordable care for service members, veterans and their dependents.

Who is eligible for TRICARE East Rehab Coverage?

TRICARE East rehab is for:

• Active duty service members (ADSMs)
• Retired military personnel
• National Guard and Reserve members
• Spouses and dependents of service members
• Medically retired personnel and their dependents

To get rehab services, you must be enrolled in TRICARE East and see an approved provider in-network. Prior authorization may be required depending on the type of treatment.

Types of Rehab Services covered by TRICARE East

TRICARE East covers a wide range of rehab services so military families can get treatment for various substance use and mental health disorders, including both inpatient and outpatient rehab. Here are some of the services covered:

1. Detox Services

Detox is the first step in recovery, allowing individuals to safely quit substances under medical supervision. TRICARE East covers both inpatient and outpatient detox programs depending on medical necessity.

2. Inpatient Rehab Programs

For those who need intensive care, TRICARE East covers inpatient treatment programs where patients receive 24/7 medical and psychological support. These programs are often recommended for severe addiction cases or co-occurring mental health disorders.

3. Partial Hospitalization Programs (PHPs)

PHPs offer structured treatment like inpatient care, but patients go home at night. These programs typically include therapy, medical supervision and medication management.

4. Outpatient Treatment Programs

Outpatient programs allow individuals to receive therapy and treatment while maintaining their daily responsibilities. TRICARE East covers individual therapy, group therapy, family counseling and medication-assisted treatment (MAT). TRICARE East covers a range of treatment options, both inpatient and outpatient, to provide comprehensive care.

5. Medication-Assisted Treatment (MAT)

MAT is a critical part of recovery especially for opioid and alcohol use disorders. TRICARE East covers FDA-approved medications like Suboxone, Methadone and Naltrexone to manage withdrawal symptoms and reduce cravings.

6. Mental Health Services

Addiction often coexists with mental health disorders like PTSD, anxiety, depression and bipolar disorder.

TRI East and TRICARE cover a range of mental health services including:

• Psychiatric evaluations
• Cognitive Behavioral Therapy (CBT)
• Dialectical Behavior Therapy (DBT)
• Trauma-informed care

TRICARE East Rehab Benefits

TRICARE East has ample rehab benefits to help individuals overcome drug and alcohol addiction, a lifeline for military personnel and their families. The plan covers inpatient and outpatient programs so everyone can find the right level of care for their needs.

Evidence-based treatments like cognitive-behavioral therapy, counseling and medication-assisted treatment are all covered under TRICARE East, effective ways to combat addiction.

In addition to substance abuse treatment, TRICARE East also covers mental health services. This includes therapy and counseling to address underlying mental health conditions that may contribute to substance abuse like anxiety, depression and PTSD. By treating the addiction and any co-occurring mental health issues, TRICARE East supports a holistic approach to recovery.

The plan also covers inpatient and outpatient detoxification services and residential treatment programs so individuals can have a safe and supportive environment to start their recovery. Family therapy and counseling services are also included, recognizing the impact of addiction on loved ones and promoting a supportive recovery environment.

TRICARE East’s rehab benefits are designed to equip individuals with the tools and support they need to achieve and maintain sobriety. Outpatient programs including intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) offer flexible treatment options that can be tailored to each individual’s unique needs and circumstances.

Overall, TRICARE East ensures military personnel and their families have access to comprehensive and effective treatment for drug and alcohol addiction, mental health conditions and substance abuse, a path to lasting recovery.

How to Find a TRICARE East Rehab Provider

Finding the right rehab center is key to recovery. Here’s how you can find TRICARE-approved rehab facilities:

Contact a TRICARE Rehabs Representative

If you’re not sure about coverage or need help finding a facility, reach out a TRICARE Rehabs representative for assistance.

We can refer you to an in-network rehab facility and assist with any required pre-authorization.

How to Get TRICARE East Rehab Coverage

Insurance can be confusing but getting rehab coverage through TRICARE East is straightforward:

1. Get a Referral (If Required) – Some inpatient and specialty programs require a referral from a primary care provider.
2. Check Coverage and Benefits – Verify what services are covered under your specific plan by contacting a TRICARE Rehabs representative. We can help you verify what services TRICARE covers under your specific plan.
3. Get Pre-Authorization (If Necessary) – Certain treatments like inpatient rehab or specialized therapies may require prior approval.
4. Choose an Approved Facility – Select a TRICARE-approved rehab center from the provider directory.
5. Start Treatment – Once authorized you can start your recovery journey with the confidence that your treatment is covered.

Understanding How to Use Your TRICARE East Benefits

Getting help for substance use or mental health issues is courageous. Military life comes with special challenges and the right support makes all the difference in recovery. If you or a loved one is struggling, TRICARE East rehab services offer comprehensive, high-quality and convenient care to help you heal and rebuild your life.

TRICARE East Rehab FAQs

1. Does TRICARE East Cover Long-Term Rehab?

Yes, but length of stay must be deemed medically necessary. Coverage for long-term treatment is reviewed on a case-by-case basis.

2. Are There Any Out-of-Pocket Costs?

Costs depend on your TRICARE plan. Active duty service members may have no out-of-pocket costs while retirees and dependents may have copayments.

3. Can Veterans Use TRICARE East Rehab?

Veterans may be eligible for treatment through VA health benefits rather than TRICARE insurance. However, certain veterans and medically retired personnel can still access TRICARE rehab services.

4. Is Family Therapy Covered?

Yes, family therapy and support programs are covered because addiction affects not only the individual but their loved ones as well.

Start Your Journey to Recovery With TRICARE Rehabs

Knowing TRICARE East rehab coverage can give military members and their families the power to get life changing treatment without financial burden. Whether you need detox, inpatient care, outpatient therapy or mental health services TRICARE Rehabs can help you find the care you deserve.

If you or a loved one needs help finding a TRICARE-approved rehab provider, reach out to us today and rest assured: all calls are confidential.

Recovery is possible and help is available— you are not alone.