How To Get Tricare Approval For Rehab

When you decide that you or a loved one needs to be checked into rehab, it can be an incredibly difficult time for yourself and your family.

The process can be tough and there can be lots of things to sort out, but having Tricare can help take some of the pressure off you when you are dealing with the process. 

How To Get Tricare Approval For Rehab

Tricare is a healthcare program that is used by people all around the country.

It can cover a lot of different services to do with your and your family’s health, but how do you get Tricare approval for rehab? If you are unsure how you can find out, find everything that you need to know here. 

This article will show you how to get Tricare approval for rehab and what the program covers.

It is important to know what Tricare covers when it comes to rehab, and you can find out more here.

What Is Tricare?

Tricare is a healthcare program that is used by members of the military, veterans, and their family members.

It can cover a variety of different services to help you and your family receive the necessary treatment that you need. There are many services that Tricare covers that you may not even realize. 

Can Tricare Be Used For Rehab?

The majority of Tricare plans can be used to help cover rehab, but it may differ depending on what services you are looking for.

This can all depend on the place that you want to be treated, what kind of treatment that you are looking for, and lots of other factors. These can all determine whether or not your Tricare plan is suitable. 

What Services Can My Tricare Plan Cover?

Although the services that Tricare plans cover can vary, different treatments can be covered if you have the right plan. 

Outpatient Programs

Outpatient programs are an important part of recovery that can be included in Tricare plans.

They help clients readjust to living outside of rehab by regularly attending the facility for treatment to help make the transition smoother. 

Inpatient Programs

Inpatient programs help people during recovery as they offer greater medical supervision compared to other residential programs offered at facilities. This can be included in Tricare plans but it can vary depending on the facility. 

Residential Programs

Residential programs differ from inpatient programs as inpatient programs have more medical supervision, but residential programs offer supervision and support as well. Treatment often includes therapy and other support classes to help during recovery. 

How To Get Tricare Approval For Rehab

To get Tricare approval for rehab, the treatment that a person is undergoing must be medically necessary and appropriate for the condition that they are suffering from.

Tricare plans can cover treatment to prevent a person from deteriorating, so the treatment must be appropriate. 

Some services are not included by Tricare as they are not deemed medically necessary for a person to undertake as treatment.

Some of these services include acupuncture, gym memberships, massages, and paternity testing.

Unnecessary inpatient stays are also not included, so treatment must be deemed necessary. 

To get Tricare approval for rehab, treatment must be evaluated and approved by an authorized facility, the facility must be safe, treatment must be medically necessary, and the treatment must be at a skilled level. 

Affording Rehab

Affording Rehab

Having a healthcare program like Tricare can help people get the help that they need when they are struggling with addiction.

If you get approved for rehab through Tricare, it can help you afford the help that you need to make sure that you are receiving the right support and care from professionals.

Tricare can help people afford treatment, but there are also other ways that you can pay for the effective treatment depending on the facility that you are using.

Some facilities offer payment plans to people to help them afford treatment, and this can allow people to afford rehab at a great facility. 

You must research the facilities that you are looking at well, as not all of them offer payment plans that you can pay in installments.

You can research the facilities to make sure that they receive payment plans that suit you and what type of services they can provide. 

Do Facilities Need to Be In-Network For Tricare Approval?

When you are looking for a facility, you may have heard the term ‘in-network’. When a facility is in-network with an insurance company, it means that the facility has an agreement with the insurance company to provide their clients with treatment. 

You can find out what facilities are in-network with Tricare by asking the facility or contacting Tricare directly.

Once your treatment has been assessed as medically necessary by an in-network facility, you can then begin receiving treatment. 

Once you have been assessed as medically necessary to take part in the treatment, the in-network facility will then send the costs to Tricare.

How much you then owe for your treatment will depend on the Tricare plan that you currently have. 

Although some Tricare plans can allow you to use an out-of-network facility, it may become more complicated as it could end up becoming more expensive than using an in-network facility.

You would then have to deal with the insurance claims yourself, which is why the cost could become more expensive than using an in-network facility for your treatment.

Final Thoughts

To conclude, you can get Tricare approval for rehab as long as the treatment that you want is assessed as being medically necessary for your health by a professional.

There are lots of services that are not included in Tricare plans, such as massages, as they are not medically necessary for people to have. 

When you use an in-network facility, it means that the facility and Tricare work together for their clients to get treated.

You can find in-network facilities through Tricare or by contacting the facilities that you are looking at.

This can be cheaper for people than using out-of-network facilities for treatment as this can become expensive.

Ryan Ascroft