TRICARE Insurance Coverage for Addiction Treatment

Deployment is certainly a significant stress on our military members and their families.  Many military families face these challenges by self-medicating with drugs or alcohol. TRICARE Insurance coverage for addiction can help active and retired members of the military recover from substance addiction.

We Accept Veteran TRICARE Insurance

Researchers conducted a survey during 2015.  According to the National Institute on Drug Abuse, the survey revealed that drug addiction among active-duty members is generally low. That’s in comparison to their non-military counterparts. “In contrast,” says the study, “rates of binge drinking are high compared to the general population.”

Let’s talk about some of the treatment components in TRICARE Insurance coverage for addiction. TRICARE covers primary components of a treatment program.  Primary components are the backbone of treatment. Consequently, all successful treatment programs include primary components. For instance, individual counseling is a primary component.

But that’s not all. They generally cover support therapies, as well. These can include life skills, yoga therapy, music therapy and more. We’ll discuss a few examples below. However, this not a complete list of treatment coverage.

TRICARE Insurance Coverage for Addiction Treatment

Partial Hospitalization

Addiction specialists consider the overall person when developing a treatment plan. The severity of your addiction plays a significant role in making this determination, as well. While some addictions call for long-term residential treatment, others call for weekly support meetings. Partial Hospitalization is undeniably a combination of both.

Partial hospitalization should only be an option if the patient has an emphatically strong support system at home. According to the National Institute of Drug Abuse, “This setting offers . . . the opportunity to participate in treatment 4-6 hours a day at least five days a week while living at home.”

TRICARE insurance coverage for addiction treatment includes authorized partial hospitalization at Recovery in Motion. In fact, they list some of the qualifications you may need for coverage:

  • Are seeking treatment in the U.S. and its territories
  • Have mental health or substance use disorder problems
  • Can function with support in some of your major life areas
  • Don’t need to be in a hospital full time
  • Have a significant impairment that interferes with your normal functioning.
  • Require medically monitored management of withdrawal symptoms with direct access to medical services
  • Need stabilization, have acute symptoms, need treatment for partially stabilized mental health disorders, or are transitioning from an inpatient program
  • Are unable to maintain yourself in the community with a lower level of outpatient services

Intensive Outpatient Program

Every addiction is equally as individual as the person suffering with it. For that reason, several levels of care are available to addiction patients. Long-term residential programs are suitable for most addictions. However, many patients may have family, school, or work obligations at home. Undoubtedly, these patients can’t move into a residential treatment center for a long-term program.

TRICARE insurance coverage for addiction includes intensive outpatient programs. An intensive outpatient program is similar to partial hospitalization. The difference is the amount of time spent in treatment.

As we mentioned, partial hospitalization consists of 4-6 hours of treatment for five days of the week. According to the National Institute of Drug Abuse, intensive outpatient services are less frequent. For example, treatment may be only two days a week for three hours per day.

According to TRICARE, you may generally receive coverage for an intensive outpatient program if you:

  • Have a psychiatric or substance use disorder
  • Don’t need to be in a hospital full-time
  • Need stabilization, symptom reduction, or prevention of relapse
  • Need a higher level of care than you’re currently receiving in outpatient care
  • Are transitioning from an:
    • Inpatient program
    • Partial hospitalization
    • Regular outpatient services

Medication-Assisted Treatment

Overall, evidence has shown that the use of medications is effective in addiction treatment. For that reason, TRICARE insurance coverage for addiction includes medication-assisted treatment (MAT). They understand the value of using medications when in addiction treatment. Most noteworthy in TRICARE addiction coverage is that MAT must be part of a whole program. In other words, the program must also include addiction therapy.

You may qualify for MAT coverage if you have an opioid use disorder and need medical care. You may also qualify if you need medical support during withdrawals.

Other Addiction Treatment Therapies

A variety of therapies are efficient components of a successful treatment program. In fact, many patients benefit from art therapy, music therapy, yoga therapy, and more. Like MAT, TRICARE covers these additional therapies as part of a whole program. Furthermore, these programs must be at a residential addiction facility, partial hospitalization program, or intensive outpatient program.

Recovery in Motion offers our veterans and their families a holistic approach to recovering from substance abuse. Our founder, Nick Jones, is a veteran of the Vietnam war. He certainly understands the unique challenges that our military members face every day.

Our veterans are close to our hearts. We’re emphatically committed to guiding them to the happy, healthy lifestyle in recovery that they deserve. Call us today

Sources

[1] “Intensive Outpatient Program” TRICARE, tricare.mil/CoveredServices/IsItCovered/Intensive-Outpatient-Program.

[2] “Medication-Assisted Treatment” TRICARE, tricare.mil/CoveredServices/IsItCovered/MedicationAssistedTreatment.

[3] “Partial Hospitalization” TRICARE, tricare.mil/CoveredServices/IsItCovered/PartialHospitalization.

[4] “Substance Use Disorder Treatment” TRICARE, tricare.mil/CoveredServices/IsItCovered/SubstanceUseDisorderTreatment.

[5] “Home.” TRICARE, www.tricare.mil/CoveredServices/IsItCovered/MentalHealthTherapeuticServices.

[6] National Institute on Drug Abuse. “Substance Use and Military Life DrugFacts.” National Institute on Drug Abuse, 9 Nov. 2020, www.drugabuse.gov/publications/drugfacts/substance-use-military-life.

[7] National Institute on Drug Abuse. “Treatment Settings.” National Institute on Drug Abuse, 25 May 2020, www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/treatment-settings.