Does Tricare Cover Alcohol Rehab?

Having adjustment issues with civilian life or war traumas often leads to alcohol addiction among veterans and active duty personnel. A study revealed that 65% of the veterans seeking addiction treatment were involved in alcohol abuse. Due to alarming rates of alcohol misuse among veterans, Tricare started covering addiction treatment including alcohol. Let’s read to know more!

ChoicePoint is a Tricare in-network alcohol rehab in New Jersey. Call Now 844.445.2565 to start your treatment!

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Tricare Insurance-Overview

Tricare is an insurance program offered by the Department of Defence (DOD) for people who are active or retired in the United States military. In 2017, Tricare annexed addiction treatment into its coverage. Since then, the general public had little knowledge of whether Tricare covers alcohol rehab.

People who are entitled to get benefits from Tricare coverage are termed Beneficiaries. They include:

• Sponsor (Active duty personnel, retired and guard/reserves)
• Family Members (children, spouse, and family members who are enlisted in DEERS)

Rehab centers that offer Tricare insurance coverage in their addiction treatment section are designated in two forms:

1. In-network provider: that has a contract with Tricare and does the job of payment and negotiations for individuals seeking treatment.
2. Out-network provider: only accepts Tricare, but all the departmental fuss needs to be filled by the person at higher costs.

Helpful Link: How to verify insurance at Tricare-approved residential treatment centers?

Does Tricare Cover Alcohol Rehab in NJ?

Yes! If an individual or any of their family members need alcohol rehab, they can avail of the coverage of Tricare insurance for their alcohol addiction. However, the level of coverage depends on certain factors, including:

• Tricare Plan
• Treatment Type
• Person seeking treatment

Tricare Plan That Does Cover Alcohol Rehab

Tricare offers a series of plans that cover alcohol rehab according to rank and location; they may or may not be limited to:

• Prime
• Select
• Tricare for Life
• Reserve Select
• Retired Reserve
• Young Adult
• US Family Health

Other health plans may or may not directly cover alcohol rehab, and one can find out from their healthcare provider.

Alcohol Addiction Treatments Covered By Tricare In NJ

Tricare Covered Treatment at Alcohol Rehab Facility in NJ

Around 65% of veterans admitted to a rehab facility across the US reported alcohol as the first misused substance. We will see how an alcohol rehab facility covers treatment under Tricare for alcohol addiction.

Does Tricare Cover Alcohol Detox?

Tricare covers the cost of an alcohol rehab detox program in the form of: 

• Withdrawal management i.e., symptoms 
• Removing toxication, i.e., alcohol dependence, cravings, and blood catharsis. 
• Helping you flush alcohol from your system.
• Associated risks

Yet, it may vary following location, plan, and treatment tenure.

Tricare Alcohol Therapy Coverage

One of the wonderful benefits of Tricare is that it covers counseling, psychotherapy, and associated testing necessary for comprehensive alcohol rehab as defined by the ACA Act. However, the coverage may vary. Therapies include:

• Cognitive Behavioral Therapy (CBT)
• Individual Therapy/ Group Therapy 
• Dialectical Behavioral Therapy (DBT)
• Family Therapy

Dual Diagnosis Coverage Under Tricare 

Amid war conditions, post-traumatic stress disorder (PTSD) is the most common mental disorder among military people; most are associated with alcohol misuse. Symptoms may include recurring flashbacks of traumatic events in the past.

For this reason, Tricare covers dual diagnosis treatment programs at alcohol rehab to facilitate better diagnosis and comprehensive treatment for our war heroes. 

Medication-Assisted Treatment for Alcohol Rehab Under Tricare

During detox or sometimes during alcohol withdrawal, alcohol rehab may require the use of FDA-Approved medications that are covered under Tricare insurance, including:

• Naltrexone for alcohol withdrawal treatment
• Buprenorphine for managing alcohol cravings
• Vivitrol for alcohol cravings.

The purpose of these medications involves reducing alcohol cravings and managing withdrawal symptoms. An inpatient alcohol rehab can also have 24/7 monitoring of potential side effects and controlled medical care.

For comprehensive alcohol rehab through Tricare, Contact ChoicePoint 844.445.2565 for more information!

We Accept Most Insurance Programs

What Treatment Programs Tricare Does Not Cover?

Despite being a versatile insurance, Tricare has some limitations that a person must consider.

•  It won’t cover unproven treatments. You should opt for inpatient treatment for consistent and authentic abstinence to solve this.
• Therapeutic absences/leaves from inpatient facilities so a person should be consistent and dedicated to their alcohol rehab to avoid penalties.

Most exclusions are the ones that are not medically necessary or don’t involve alcohol rehab.  

What Forms of Alcohol Rehab Tricare Cover?

Individuals often seek personalized alcohol rehab but wonder and even worry about whether it is covered under Tricare. So, to their knowledge, the following setups can be covered by Tricare.

• Intensive Outpatient
• Outpatient treatment
• Inpatient
• Online IOP
• Residential treatment
• Partial Care

All of the above settings are allowed for both alcohol rehab and opioid addiction treatment so no need to worry. Moreover, in emergencies, there is no need for pre-authorization for treatment under Tricare, and the treatment starts immediately.

Other Options Besides Tricare for Alcohol Rehab

Sometimes, there can be peculiarities during alcohol rehab that may or may not be completely covered under Tricare a person can always arrange other means to pay, including:

• Commercial Insurance Programs such as Optum, BCBS-covered alcohol treatments, United Healthcare, etc. 
• Out-of-pocket
• Medicaid
• Medicare

Call Now 844.445.2565 to learn about other payment methods!

In-Network Provider That Does Cover Alcohol Rehab in NJ

Those who have served their country ChoicePoint can be the knight in shining armor with 

• Inpatient alcohol rehab
• Alcohol Counseling Therapies
• Dual Diagnosis
• MAT
• Veteran Addiction Treatment 

Get in touch 844.445.2565 with our DEA-certified staff to begin alcohol rehab today without inconvenience in New Jersey.

Sources

1. Dworkin, E. R., Bergman, H. E., Walton, T. O., Walker, D. D., & Kaysen, D. L. (2018). Co-Occurring Post-Traumatic Stress Disorder and Alcohol Use Disorder in U.S. Military and Veteran Populations. Alcohol research: current reviews, 39(2), 161–169.NIDA. 2019, October 23. Substance Use and Military Life Drug Facts. Retrieved from https://nida.nih.gov/publications/drugfacts/substance-use-military-life
2. Defense Enrollment Eligibility Reporting System. (n.d.). TRICARE.
   https://www.tricare.mil/Plans/Eligibility/DEERS
3. DoD Awards $136 Billion TRICARE Managed Care Support Contracts. (n.d.). U.S. Department of Defense. https://www.defense.gov/News/Releases/Release/Article/3254129/dod-awards-136-billion-tricare-managed-care-support-contracts/