TRICARE Drug Rehab Coverage

Find Treatment Programs Covered by TRICARE at Icarus Idaho

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When seeking addiction treatment, one of the first things that hinders people from enrolling in programs that suit them is the potential cost. Your insurance provider should be able to help you cover the cost, but what can you expect specifically from TRICARE drug rehab coverage?

TRICARE insurance is required to cover addiction treatment services under the Affordable Care Act to the same degree that they would cover medical or surgical interventions. There are no lifetime limits to what you can spend on residential treatment, but you may have some minimal cost for care.

Icarus Behavioral Health in Idaho can walk you through the complex addiction treatment coverage that is offered by your provider. Our enrollment team can verify your TRICARE coverage and benefits in our initial phone call so that we can help you enroll. Keep reading to learn more about TRICARE rehab, generally speaking and with our accredited facility in Boise.

TRICARE Coverage for Addiction Treatment: What Will You Spend on Residential Treatment?

Drug and alcohol rehab is known for being long-lasting and intense, which leads many people to worry about the expense. They don’t want to inconvenience or burden their family members with the cost of their care, so they avoid treatment centers and try to go cold turkey on their own.

But you don’t have to do this alone when you have TRICARE coverage.

What will your insurance provider cover when it comes to substance abuse issues, inpatient rehab, and even mental health issues? Here is what you need to know about federal law and rehab services.

Essential Health Benefits Under the Affordable Care Act

One of the biggest leaps forward in helping people pursue the help they need for substance misuse and mental health was the Affordable Care Act. Enacted in 2010, this piece of legislation signed into law by former President Barack Obama provided more comprehensive coverage than ever before. The law has ten essential health benefits that must be covered by all insurance plans.

This paradigm shift also included substance abuse treatment and mental health treatment.

Now, you can pursue help for either issue and rest easy knowing that your insurance plans are going to help cover the cost. That being said, they might not cover all treatment centers in the same way, and it may not be covered in full. It’s just the start of establishing good care.

Parity Protections for Drug and Alcohol Rehab Services

Not only is your TRICARE coverage mandated to include mental health conditions and substance abuse in your plan, but they also have to cover it to the same extent that they do other services. Think about it this way: your appendix burst, and you had to be rushed in for emergency surgery. Would it be covered?

You may incur some out-of-pocket costs for your last-minute medical emergency, but the odds are that it’s affordable with your normal monthly insurance premiums. The amount you pay contributes toward a deductible. Then, you may be responsible for coinsurance or a copayment for your hospital stay.

The Affordable Care Act put parity protections in place, which means that TRICARE coverage includes substance use disorder treatment and mental health treatment in the same way as medical or surgical issues. If medical issues are covered at 60 percent, so is your addiction treatment.

No Lifetime Limits with TRICARE Insurance

In the past, your insurance company could put a cap on what you spent in any one category. It meant that you may have had one stint in inpatient rehab, and it would never cover another stay in the future. Given that most people have multiple attempts at rehab services before finding lasting recovery, this was a major problem.

Now, there’s no limit to what you can spend on any one issue.

Even if you spent thousands of dollars on inpatient mental health care this year, you can still pursue more care the following year if you need additional support. You can transition from inpatient care to partial hospitalization programs and trust that you won’t tap out your insurance.

Get Effective outpatient Rehab Options at Icarus

Coverage for Pre-Existing Conditions

Similarly, they can’t deny you coverage for an issue due to a pre-existing condition. When people sought help at treatment centers before 2010, their substance use disorder might have been considered a new pre-existing condition that enabled their insurance company to deny coverage of that issue.

Insurance plans are more accessible than ever, ensuring you get the help you need to be healthy and thrive.

Prior Authorization May Be Required by TRICARE Insurance Plans

If you intend to seek help with your TRICARE insurance (which could include TRICARE Retired Reserve and other plans), you may need prior authorization. This means that your insurance company will review your need for treatment and assess what level of care you qualify for.

Unless your situation is a true medical emergency, you may need to walk through the process of getting help from TRICARE. In an emergency, you can head to the closest local hospital for help or contact us here at Icarus to work with an accredited partner facility that will help you obtain prior authorization for the next stage of your recovery.

Both an inpatient and intensive outpatient program might require you to jump through a few hoops for coverage. Icarus Behavioral Health in Boise can help you navigate these complexities.

Why Choose Icarus in Idaho for Rehab Using TRICARE Health Insurance?

Is it time to start your search for an inpatient or outpatient treatment program that TRICARE covers to limit your out-of-pocket spending? Icarus Behavioral Health in Idaho can help you work with insurance plans to get the most out of your medically-assisted treatment.

We can verify your insurance benefits in a confidential, no-obligation phone call so that you can start to think about the next steps for your care.

Accredited Facility for Qualified Care

Whether you need medication-assisted treatment or behavioral therapies, you don’t want to trust just any treatment center with your care. Icarus in Boise is a proud Joint Commission-accredited option for inpatient treatment covered by TRICARE.

This means we uphold all OSHA, CMS, and Joint Commission standards for the highest quality of care.

Rest easy knowing that you’re in good hands at a safe and comfortable facility when you need to move toward recovery. We provide everything you need, regardless of which insurance plans cover your care.

Help for Dual Diagnosis Clients with Mental Health and Substance Abuse Issues

Our clinicians understand that substance abuse rarely happens inside of a vacuum. One in four adults with a mental health issue also struggles with a substance use disorder, so we integrate treatment for both into every program. TRICARE covers both, so get simultaneous help and seek treatment for both.

We treat dual-diagnosis clients in our outpatient rehab as well as during an inpatient stay. If you require inpatient detox to kickstart your treatment process, we will connect you with one of our accredited and state-of-the-art partners in the local area. This will help you with immediate withdrawal symptoms.

After you complete your detox, you can make a smooth transition into our comprehensive care plans.

Searching for In-Network Providers

You should look for in-network providers whether you have TRICARE Prime or other TRICARE plans. An in-network option will have a limited cost for you because the facility has negotiated rates with a detox center or residential treatment program.

If Icarus Behavioral Health in Boise is an in-network provider for your unique TRICARE plan, then you may be able to tap into our treatment options at little to no cost out of pocket. You can reach out to our enrollment team to learn whether we are in-network and estimate your out-of-pocket costs.

You may still have to contribute toward your deductible or owe a coinsurance payment, but it’s minimal compared to what you might owe to a facility that doesn’t have these rates in place.

Up To 100% of Rehab Costs Covered By Insurance

Verify Your Insurance Benefits with TRICARE Insurance Now

TRICARE typically covers both inpatient and outpatient programs for substance use disorder or mental health issues, but it may require prior authorization. Our enrollment team can help you verify benefits and coordinate doctor visits to get the paperwork that you need for your treatment plan with us.

It takes just fifteen minutes of your time to pick up the phone, ask your questions, and let us relay your benefits to you in a way that makes it easy to understand and navigate. Never again do you have to go through the complex TRICARE insurance system to get answers regarding your care.

Reach out to us today to learn more about our inpatient our outpatient care for active duty and retired service members who have substance use issues or mental health concerns. We want to help military personnel excel in their civilian lives!