TRICARE Insurance

TRICARE, formerly known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), is a health care program of the United States Department of Defense Military Health System. TRICARE provides health benefits for U.S. Armed Forces military personnel, military retirees, and their dependents. 

 

TRICARE Addiction Resources

In 2017, TRICARE largely changed and expanded their mental health benefits to include coverage for addiction treatment. Drug and alcohol abuse are ongoing issues for members of the United States Military, and this expansion by TRICARE was a large effort to provide more support to individuals who are struggling with addiction. 

 

TRICARE offers a wide array of options and coverage for many facets of addiction treatment including:

  • Medical detox
  • Inpatient treatment
  • Outpatient treatment
  • Partial hospitalization
  • Prescription medications 
  • Intervention programs
  • Medical-assisted treatment
  • Family therapeutic services

Using TRICARE for Substance Abuse Treatment  

Substance abuse coverage through TRICARE is extensive, but it is not one-size-fits all. Many factors determine which addiction treatment services are covered by an individual’s plan, including the plan’s coverage details, location of the customer and where they are seeking treatment, and the specific type of treatment being sought.

 

TRICARE has eight different plans available, each with its own details of benefit coverage and options:

 

TRICARE Prime is a mandatory plan for active-duty members of the military. It also provides coverage for retired military members and their families. 

TRICARE Prime Remote provides similar coverage as TRICARE Prime, and is offered to those who live and work further than 50 miles from the nearest military hospital.  

TRICARE Select is another option available to active and retired military members and their families. It is similar to TRICARE Prime, but may require more authorizations and higher service costs.

TRICARE Standard and Extra require a paid free but do not require enrollment for members to receive service. 

TRICARE Standard Overseas offers TRICARE Standard coverage options to those living overseas. 

TRICARE Reserve Select is a premium-based plan that provides coverage for members of the Reserves who are not on active duty. 

TRICARE Retired Reserve is a premium-based plan that provides coverage for retired service members under the age of 60 and their families.

TRICARE for Life is a Medicare coverage option to provide additional help for people who have Medicare Part A and B.

TRICARE Young Adult offers coverage for those who need healthcare after their “regular” TRICARE coverage ends and who do not qualify for other TRICARE coverage.

 

Steps to Take When Seeking Addiction Treatment 

WIth so many plans and variations in coverage with TRICARE, the best first step is to contact TRICARE and speak to a representative about your individual coverage and benefits. Some TRICARE plans, such as TRICARE Reserve Select, TRICARE Young Adult, and TRICARE Prime Remote, allow use of out-of-network providers, but the costs are generally higher than using an in-network provider. Other plans require use of an in-network provider. 

 

An individual may also contact addiction treatment centers directly for guidance and specifics on coverage and next steps. 

 

For more information on addiction recovery options at Oasis Recovery, get started today with a free consultation call.