TRICARE Drug Rehab Coverage
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Inland Detox is Southern California’s premier provider of drug and alcohol rehabilitation services.
Individuals and families seeking help with substance use disorders face an uphill battle when trying to determine if their health insurance covers the cost of treatment. This page is designed to help you find a quality substance abuse program, covered by TRICARE insurance, for the specific level of care you or a loved one needs. In today’s mental health and substance abuse recovery environment, there are literally thousands of providers of care. Simply googling “Alcohol detox” or “Rehab Programs Covered by TRICARE” will return you thousands of results. The sheer number of results can be overwhelming. How do you choose the right program? Will the program you like or the program your loved one is interested in accept your specific TRICARE plan? What are the applicable co-pays and deductibles? These are all valid and important questions that need to be answered so that you or a loved one can make an informed decision when choosing the best program at the lowest expense that will address the level of care you or a loved one needs.
On this page, we will review the services covered by TRICARE, give you an overview of the various levels of care available to you, define the services that Inland Detox offers, discuss aftercare planning and continuing care for those seeking long term treatment and, finally, how to get the help you need now.
The TRICARE.mil page related to Substance Use Disorder Treatment defines what TRICARE may cover. However, this page defines coverage in terms that many people may not completely understand. It’s important to note that the page indicates TRICARE may cover certain services. What this qualifier ultimately means is that there has to be a medical necessity. Medical necessity is something that your provider of care must prove to TRICARE before you enter treatment. So, if you describe what’s going on with you or a loved one to a qualified Admissions Representative at a treatment provider, they will call TRICARE directly before you or a loved one is admitted to make sure your treatment will be covered and determine what your applicable co-pays and/or deductibles will be.
Here’s a list of that various services covered by TRICARE insurance and definitions to help you understand the level of care.
Inpatient Services: These are services related to substance abuse treatment that require the patient to live in the facility full-time. This could be for emergency services at a hospital related to substance use disorders or residential rehab or inpatient detox services.
Intensive Outpatient Programs: This level of care is a step down from residential services and a step above outpatient services. The patient does not live at the treatment provider. Instead, they may live at home or in a sober living environment while going to a local provider of care because they have a psychiatric disorder, substance use disorder and they need ongoing stabilization obtained through medication or therapy.
Detox: TRICARE defines this as the Management of Withdrawal Symptoms. When you or a loved one are experiencing significant withdrawals that impede the path towards continued sobriety, TRICARE may approve this level of care. Detox can be inpatient or outpatient but most people opt for inpatient detox services, especially for alcohol detox, opiate detox or benzodiazepine detox needs.
Medication Assisted Treatment (MAT): Medication Assisted Treatment helps people that suffer from opioid use disorder. Instead of therapy alone, MAT programs offer clients medication to reduce cravings, taper off of opiates long-term and remain free from illicit opiates such as heroin. TRICARE may approve MAT services if your care provider feels that the patient requires monitored detoxification and continuing medical support but the patient does not necessarily need inpatient services. MAT can be offered by inpatient, intensive outpatient and outpatient providers of care if they maintain the proper certifications and licensing.
Mental Health Services: These services provide patients with one-on-one therapy, group counseling, psychotherapy and family counseling. Like MAT, mental health services are typically offered by inpatient, intensive outpatient and outpatient providers of care.
Partial Hospitalization Programs: Many people think this level of care means that you will live in a hospital for care. This is not the case. In fact, in a partial hospitalization program, the patient lives in a sober living environment or at their own home but they are in treatment 5 days per week for 6 hours per day. This level of care is considered a step down from inpatient services and acknowledges that the client is not high functioning and is at risk for relapse.
Residential Treatment: This level of care is a step down from inpatient detox. The client will live in the program for 30, 60 or 90 days and they suffer from a substance abuse disorder or psychiatric disorder and the patient is unable to live on their own because they need a structured program and a structured therapeutic living environment.
Inland Detox is a TRICARE approved, in-network provider of care licensed by the California Department of Health Care Services and is licensed to provide detox services, residential services, dual-diagnosis treatment and Incidental Medical Services (IMS). So, if you or a loved one finds it difficult to impossible to discontinue using alcohol or other drugs without severe withdrawals, we can help in an inpatient environment. Once detox is complete, typically in 7 to 10 days, we also offer residential treatment that lasts for 30, 60 or 90 days. Our dual-diagnosis license means we are able to treat both substance use disorders and mental health disorders through therapy and with medication. Our IMS license means we are able to practice medicine on-site for medical issues related to substance use disorders. What the IMS license really means to our clients is that our doctors, nurses and therapists all work on-site. Our clients do not need to be transported off-site to a medical doctor or Psychiatrist for an evaluation and prescription medication. Clients of ours like this because they do not need to be shuttled back-and-forth to various providers of care.
Inland Detox provides all clients, no matter the level of care we treat at, with a minimum of 3 referrals to aftercare programs and we book an appointment with our clients for a lower level of care before they leave our facility. What we have noticed over the years is that the clients we serve that have the best outcomes do not stop treatment after detox or residential services. Instead, they view their recovery as a life-long process. At minimum, we find our clients programs in their home communities at the IOP, PHP or outpatient level of care so the transition from residential services is as seamless as possible.
There are a number of ways for you to get help immediately. Most people search the web using terms like “rehabs covered by TRICARE” or “Treatment facilities that accept TRICARE.” As we explained earlier, this can lead to an overwhelming amount of results for people to pour over. However, there are better ways of getting help. If you have TRICARE coverage, simply call the number on the back of your insurance card and let them know what’s going on with you or with your family member. Hopefully, the definitions regarding the various levels of care covered by TRICARE will help you have a more informed discussion with your insurance provider. Understanding the terms related to substance use disorder treatment as TRICARE defines them will help the person on the other end of the line give you referrals to programs that are in-network with TRICARE insurance.
You do have another option: You can call Inland Detox at (888) 739-8296 at any time. Even if you are out of the area and do not want to travel to Southern California for care, we can help you find a program that accepts your TRICARE insurance plan and give you referrals to programs that will give you the care you or a loved one needs.
If you have any questions or concerns about admissions, you can always email us at firstname.lastname@example.org as well.