Triwest Detox & Rehab Benefits Guide for Veterans

Triwest Detox & Rehab Benefits Guide for Veterans

If you are reading this page, chances are you are seeking out rehab or detox for yourself or a loved one who is struggling with a substance use disorder. You may have questions about drug rehab insurance coverage and be wondering, is detox covered by insurance? As a Veteran, you may have medical coverage through TRICARE insurance, which provides insurance for Veterans throughout the VA regions 3 and 4 (western and southern United States) as well as Alaska and the Pacific Islands.

The TRICARE program provides health insurance for Veterans and their families. TriWest partners with the Department of Veterans Affairs to administer this program.1 This page will help you understand how to use your TriWest insurance plan to access the detox and rehab services you need for alcohol and drug addiction.

Does Triwest Cover Detox?

Does health insurance cover detox? TriWest rehab insurance coverage does cover detox and drug rehab as part of the TRICARE program.5 You can find detailed information about covered services on the TRICARE website. This includes detox services that may be provided in a number of different treatment settings, including: 6

  • Inpatient
  • Outpatient
  • Office-based treatment
  • Opioid treatment programs
  • Partial hospitalization
  • Residential substance abuse treatment

If you need to be in an inpatient program, TriWest drug rehab coverage will cover your detox, stabilization, and any medical complications that may arise.7

TRICARE also covers partial hospitalization. Partial hospitalization programs provide intensive services and support. You may be eligible for partial hospitalization if you are:8

  • Suffering from acute symptoms.
  • In need of detox and/or stabilization.
  • In transition from an inpatient program.
  • Unable to maintain yourself in the community with less intensive services.

If you have a substance use disorder and do not need full-time hospitalization, you may qualify for intensive outpatient treatment. TRICARE most often covers outpatient treatment when you are:9

  • Stepping down from inpatient services.
  • Stepping down from partial hospitalization.
  • Unable to maintain yourself in the community with less intensive outpatient services.

Dependent family members on your TriWest plan, including your spouse or children, also have access to these drug rehab programs.10 It is important to note that while TriWest and TRICARE do provide insurance coverage for rehab, you still need to get prior authorization for TriWest to pay for these services.

Regardless of which type of treatment TriWest authorizes, you should definitely seek help if you need detox, withdrawal management, and rehab. Don’t be deterred by the cost. TriWest can help cover a large portion of these expenses. Keep in mind that you do not need to try to detox on your own when you have TriWest detox coverage. Nor should you. Detox at home can be very uncomfortable and dangerous. Withdrawal from some substances, particularly alcohol and benzodiazepines, can cause seizures or other serious complications. The safest setting for detox is in a treatment program where you have medical supervision.11(52-53 and 75-76)

How to Check Your Triwest Benefits

It is important to confirm your medical benefits before seeking addiction treatment. To discover what your TriWest plan offers for detox and drug rehab services, log on to their website or call the number on the back of your card.

It is also essential to contact the treatment facility of your choice in advance to ensure that your medical insurance will be accepted there. You don’t want any surprise expenses. American Addiction Centers (AAC) makes it easy to verify your insurance online. You can also call AAC toll-free any time of the day or night at 1-888-935-1318. An admissions navigator will promptly help you with any questions you may have—not just about insurance, but about every aspect of addiction treatment. Be assured that our knowledgeable team members will advise you with compassion and free of judgment and that your information will always be kept strictly confidential.

 

Types of Triwest plans

Founded in 1997, TriWest offers several different types of insurance plans through TRICARE. TRICARE Prime covers active-duty service members and their families and retired service members. Survivors of Veterans and certain other select groups of people also qualify for TRICARE Prime coverage. 2 TRICARE Select covers service members and their families and retirees and is also offered to service members in certain categories of service.3

Another type of TRICARE plan, TRICARE for Life, coordinates coverage and payments with Medicare. TRICARE is the primary plan in foreign countries and places where no Medicare coverage is available. However, in the United States, the two plans coordinate, and what is usually not covered by Medicare is covered by TRICARE for Life.4

Triwest Coverage at American Addiction Centers

American Addiction Centers is a leader in treating Veterans, and we have long-standing relationships with many insurance providers, including TRICARE. At our facilities, you will find the highest standards for detox and rehab for Veterans and others.

If you or your loved one are seeking a personalized path to a sober, substance-free life, please contact us today at our 24/7 helpline. Our trained referral specialists can assist you in locating the best treatment options to suit your needs.

  1. TriWest. (2020). A history of service.
  2. TRICARE. (2020). Plans: TRICARE prime.
  3. TRICARE. (2020). Plans: TRICARE select.
  4. TRICARE. (2018). Plans: TRICARE for life.
  5. TRICARE. (2018). Covered services: Substance use disorder treatment.
  6. TRICARE. (2020). Detoxification.
  7. TRICARE. (2020). Emergency inpatient hospital services.
  8. TRICARE. (2020). Partial hospitalization.
  9. TRICARE. (2020). Intensive outpatient program.
  10. TRICARE. (2019). Eligibility.
  11.  Center for Substance Abuse Treatment. (2006) Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series 45. DHHS Publication No. 06-4131. Rockville, MD: Substance Abuse and Mental Health Services Administration