How Long Does Tricare Cover Rehab Stay?

Tricare, formerly known as the Civilian Health and Medical Program of the Armed Forces, is the supplemental health care program for active-duty and retired military members as well as their families.

Tricare is a program of the Department of Defense’s Military Health System that provides coverage for U.S. citizens as well as members of the Army, Marine Corps, Navy, and much more. 

how long does tricare cover rehab stay

In 2017, Tricare announced major enhancements to its mental health insurance, which now include addiction treatment.

The expansion of health coverage includes treatment for opioid dependence and other substance abuse issues. 

Substance misuse has historically been a chronic problem for members of the United States Armed Forces, and these adjustments continue to aid active-duty and retired service members who are battling addiction. 

Tricare is an insurance company that has expanded to cover more than 9.5 million military residents in the United States.

To qualify for a Tricare plan, you must be a current or former member of the military or be related to someone who is covered by one of their policies.

The 3,100 employees of the organization help provide dental, vision, mental health, and other services to members of various ages and ethnicities. Tricare Insurance is organized into two separate businesses that serve diverse U.S. areas.

Tricare West extends from the Midwest to the Pacific Coast, whereas Tricare East encompasses New England and the Southeastern United States.

Tricare acknowledges the sacrifices our armed forces have made for the United States and its citizens and tries to preserve their health and well-being.

Tricare attempts to offer past and current military members with the best care available.

They are aware that this group faces a significant amount of stress and struggle as a result of the work they conduct within their ranks. 

Tricare supports marriage counseling, psychiatric testing, and medication management for its members since solid relationships and mental health are essential to their job.

Rehabilitation

Tricare covers any therapy intended to improve, restore, preserve, or prevent function loss. For you to get any sort of treatment, it must be deemed as “medically necessary”. 

Tricare covers inpatient rehabilitation for up to 30 days. 

Rehabilitation treatment must:

  1. Be supplied by an authorized vendor,
  1. Be vital to the creation of a safe and effective maintenance program for a specific medical condition,
  1. Be provided at a competent level
  1. Cannot be custodial care 

Alcohol And Drug Rehab

Typically, Tricare health insurance includes alcohol and drug treatment. If you require Tricare drug addiction treatment, you are eligible for coverage at a variety of clinics, including American Addiction Centers.

Numerous treatment facilities accept Tricare, however, reimbursement for rehabilitation depends on the provider, the member’s health plan, and other variables.

Drug And Alcohol Detox 

Drug And Alcohol Detox 

Detoxification services for drugs and alcohol are covered under Tricare insurance in several settings.

Being insured by Tricare inpatient coverage does not automatically guarantee that you will be covered for all aspects of drug and alcohol detoxification treatments, however.

It is possible that detox facilities that take Tricare will ask you to pay a portion of the costs based on your specific insurance plan, or that you will be forced to receive a doctor’s authorization and recommendation. 

Several insurance companies, for example, require that you complete specified prerequisites before being admitted to an inpatient detoxification treatment program before they will cover your treatment.

The Department of Veterans Affairs (VA) may determine that you can successfully detox on an outpatient basis.

Inpatient Rehab

You will be covered by Tricare for inpatient treatment for drug and alcohol abuse if you meet the eligibility requirements for inpatient rehab therapy. 

Numerous factors used by substance abuse treatment providers are used to determine whether or not you require inpatient treatment for your drug addiction.

You must first speak with a Tricare-approved professional to assess whether or not inpatient rehabilitation is an appropriate treatment choice for your situation. 

As long as a doctor or other medical expert determines that you are in immediate medical danger, they will offer treatment to stabilize your condition. 

Some people seeking addiction therapy may not require medical care 24 hours a day, although others do require such supervision.

Outpatient Rehab

In some instances, Tricare will pay for outpatient rehabilitation services. Because insurance companies are more likely to accept and pay for outpatient therapy, the cost of outpatient therapy is frequently cheaper. 

This type of treatment is typically the best option for individuals who require substance abuse treatment but do not require constant 24-hour supervision at any time.

 Someone who has completed a comprehensive inpatient treatment program could consider enrolling in an outpatient rehabilitation program as a less intensive option to stepping down from or transitioning from a more severe treatment program. 

In other cases, if the addiction is not as severe, a person’s first treatment session may take place in an outpatient facility.

Therapy

The Tricare program typically covers a wide range of psychotherapy treatments, including one-on-one therapy sessions and counseling consultations.

Marriage and family therapy, as well as several other forms of group treatment for a wide range of mental health conditions, are commonly covered by Tricare for service members and veterans.

Apart from providing coverage for a wide range of therapy and counseling services, Tricare also covers a wide range of psychological tests – examinations that can assist in the identification of patients suffering from a variety of mental health conditions. 

If declared medically required, it is also possible that this member-only insurance company will pay for some experiential therapies, such as art therapy and music therapy, that are deemed medically essential. 

Summary

Tricare is an excellent insurance company that helps to support members of the armed services and their families with medical issues. They offer a wide range of mental health support for their members, with services ranging from rehab to therapy.

No matter what you are dealing with, Tricare will help you to get through it.

Ryan Ascroft