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Will Tricare Cover Me?

Veterans Addiction treatment Program

Will Tricare Cover Addiction & Mental Health Treatment?

Veterans SUD Treatment in California

TRICARE is a health insurance program that is designed to provide coverage for active duty military personnel, retired military personnel, their dependents, and certain members of the National Guard and Reserve. TRICARE offers different types of health care coverage, including medical and dental services, prescription drugs, and mental health services.

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When it comes to mental health services, TRICARE offers coverage for a range of conditions, including anxiety disorders, depression, post-traumatic stress disorder (PTSD), and substance abuse. TRICARE coverage for mental health services varies based on the type of plan that a patient has and the specific treatment that they are receiving.

For example, TRICARE Prime, which is the managed care option, requires a referral from a primary care manager for patients seeking mental health services. TRICARE Standard and Extra, which are fee-for-service options, allow patients to self-refer to a mental health provider. TRICARE Select, the replacement of TRICARE Standard and Extra, is a self-referral plan, but patients may still need to get pre-authorization for certain mental health services.

TRICARE offers a range of mental health services to its beneficiaries, including individual therapy, family therapy, group therapy, medication management, and crisis intervention. Additionally, TRICARE offers coverage for inpatient mental health treatment, partial hospitalization programs, and intensive outpatient programs.

It is important to note that while TRICARE offers coverage for mental health services, some services may not be covered. For example, certain alternative therapies, such as acupuncture or hypnotherapy, may not be covered under TRICARE. Additionally, patients may be responsible for paying copays, deductibles, and other out-of-pocket costs for mental health services.

To determine coverage and out-of-pocket costs for mental health services, patients should consult with their mental health provider and their TRICARE representative.