TRICARE Approved Drug and Alcohol Rehab Coverage in Tampa

If you’re seeking TRICARE approved rehab treatment, Riverside Recovery is an in-network provider. TRICARE insurance provides coverage for active-duty service members, veterans, and their family members. This insurance previously provided limited benefits, but changes to their program in 2017 included the addition of addiction treatment coverage. Riverside Recovery is a TRICARE rehab in Tampa dedicated to providing help in overcoming an alcohol or drug addiction.

TRICARE covers different types of substance abuse services, including the following:

  • Inpatient or Residential care
  • Intensive Outpatient Programs (Day/Night Program)
  • Medical Detoxification
  • Medication-Assisted Treatment
The type of treatment needed will depend on certain factors, such as the severity of your condition. Keep in mind that eligibility requirements for treatment services vary based on specific TRICARE plans.

Am I Covered for Addiction Treatment at Riverside Recovery?

Riverside Recovery of Tampa accepts many private insurance plans for addiction treatment, including TRICARE. The specific services and programs included with your TRICARE coverage will depend on the type of plan you have and other factors, such as whether you meet eligibility requirements. Depending on your coverage details, you might have full coverage for certain rehab services or partial coverage.

In general, TRICARE insurance plans typically include addiction rehab coverage for three benefit periods over the course of your lifetime. Keep in mind, you may need prior authorization showing that addiction treatment is medically necessary. Once you receive authorization, TRICARE should approve coverage for rehab. The details of the coverage provided will vary from plan to plan.

Does TRICARE Cover Drug and Alcohol Detox in Tampa?

At Riverside Recovery of Tampa, our detoxification program provides comfort and safety while going through withdrawal prior to inpatient or outpatient treatment. With TRICARE, you can receive detox services, including medication, if these services are provided for managing symptoms of substance abuse withdrawal.

TRICARE typically approves coverage for medical detox programs upon enrollment in an intensive outpatient or residential rehab program. Coverage for detox services through TRICARE includes other forms of treatment as well. These include opioid treatment programs, office-based opioid treatment, and partial hospitalization programs.

Does TRICARE Cover Residential Rehab?

Inpatient rehab, also known as residential rehab, is a program that requires you to stay at our facility while you receive treatment. TRICARE provides coverage that includes non-emergency treatment and urgent care as long as it relates to drug or alcohol addiction. These include medical emergencies and mental or psychiatric emergencies that occur due to or along with addiction.

In order to be eligible for inpatient or residential treatment, TRICARE requires you to meet certain conditions. For example, you must have a formal diagnosis of a substance use disorder and severe symptoms that require medical care during withdrawal. If you seek non-emergency treatment on your own, you will need prior authorization to receive TRICARE coverage.

Does TRICARE Cover Intensive Outpatient Programs (IOP)?

Intensive outpatient programs (IOP), or Day/Night programs, provide rehab care for those who do not need inpatient rehab. TRICARE requires you to meet specific criteria for outpatient coverage. For example, you must have an active substance use disorder that is not severe enough to require hospitalization.

Depending on your TRICARE plan, you might be able to get coverage for outpatient treatment without prior authorization. Outpatient coverage through TRICARE also typically includes intensive outpatient care after completing an inpatient program. TRICARE coverage for outpatient treatment includes services for co-occurring mental health disorders as well.

TRICARE In-Network vs Out-of-Network

The amount of coverage you have for drug and alcohol treatment services depends in part on whether you go to an in-network provider or an out-of-network provider. Keep in mind that some TRICARE plans require using an in-network provider. Others allow you to go to an in-network or out-of-network provider.

With an in-network provider, you will only be responsible for out-of-pocket expenses that are not included with your coverage. Using an out-of-network provider usually costs more, since you might be responsible for covering the entire cost of treatment. Since your overall costs are lower with in-network providers, you should look into these options with your TRICARE plan. Riverside Recovery is an in-network provider for those who have TRICARE coverage.

TRICARE Health Plans

TRICARE has several plans available for active uniformed service members and family members, as well as retired service members. Since these plans differ in terms of specific coverage for rehab, it’s important to go over the details of your plan. TRICARE health plans include the following:

  • TRICARE Prime
    This plan offers healthcare coverage in areas of the U.S. that are considered prime locations.
  • TRICARE Prime Remote
    This plan offers healthcare coverage outside of prime locations within the U.S., along with certain locations overseas.
  • TRICARE Standard and Extra
    This plan does not involve enrollment for coverage, although there is a paid fee.
  • TRICARE Standard Overseas
    This plan offers healthcare coverage for those who are overseas.
  • TRICARE Young Adults
    This plan offers healthcare coverage for young adults who are not eligible for other TRICARE plans.
  • TRICARE Reserve Select
    This plan offers healthcare coverage for eligible reserve service members, along with their family members.
  • TRICARE for Life
    This plan offers healthcare coverage for those who are Medicare Part A and B recipients.
  • TRICARE Retired Reserve
    This plan offers healthcare coverage for retired service members who meet eligibility requirements.

Verify Your TRICARE Plan With Our Professionals

Before deciding on a treatment program for addiction, it’s important to verify your TRICARE plan. This helps determine how much coverage you’ll have for addiction treatment services. Our professionals at Riverside Recovery can verify your TRICARE plan, so you’ll know which services are covered and what the cost of your rehab program will be.

If you are looking into rehab options for a substance abuse disorder and have TRICARE coverage, contact Riverside Recovery of Tampa today to speak to one of our admissions counselors. We can do an assessment over the phone to help you determine which program is right for you or your loved one and verify your TRICARE coverage for rehab services.

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