Explore TRICARE benefits for addiction treatment, including coverage for rehab services, MAT options, and mental health care.
TRICARE Health Coverage for Addiction Treatment
Explore TRICARE benefits for addiction treatment, including coverage for rehab services, MAT options, and mental health care.
If you’re in the American Armed Forces, there’s a good chance you have TRICARE. You may also have TRICARE if you served in the past or if you’re a family member of someone who served or is serving. You can use TRICARE the same way you would use health insurance. The funding for your TRICARE benefits comes from the Department of Defense.
TRICARE’s plans provide coverage for medical and pharmacy benefits. You can also get dental and vision from them too. Most services will be covered by the medical benefit. The pharmacy benefit will cover medications that your provider prescribes to treat you.
Does TRICARE Cover Addiction Treatment?
If you’re on active duty, the first stop for help with substance use is your local military hospital. Your primary care manager, also known as a PCM, can give you the referrals you need and request prior authorization if needed.
All VA health systems are equipped to handle all levels of substance use treatment, including residential or inpatient treatment. TRICARE does contract with some addiction treatment centers outside of the VA system, but to go to an outside provider, you’ll first have to get prior authorization from your primary care manager (PCM).
If you’re not on active duty but still have TRICARE coverage, such as a military spouse, you’ll also need prior authorization for drug rehab if your condition isn’t an emergency. Your primary care provider can refer you and request prior authorization on your behalf.
If you’re retired and have TRICARE for Life, you can go anywhere that takes Medicare since that’s your primary payer.
If you’re mapping out treatment options or checking whether centers are in network, you can learn more about rehab options to review providers suited to your benefits.
Mental Health and Substance AbuseDrug AddictionAlcoholismOpioid AddictionDual DiagnosisSubstance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For WomenSeniors ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
Staff a Boca rehab are very caring to your needs my experience was amazing through out my recovery
Wal Williams
6 days ago
I went to Boca for detox and a short rehab stay. I can’t say enough about incredibly helpful and caring the staff was. Special shoutout to Mikaela, one of the therapists there and all of the techs and nurses. They guided and helped me along my journey to recovery.
Brian Marchioni
1 week ago
I have never been in any treatment facility for my addiction and I am so grateful that I was sent to Boca. I was scared and nervous about being away from home but I was immediately put at ease by the staff. I had no clothes, Bridget came to my rescue with clothes. Sissy, the housekeep, loved on me like a mother with everything I needed to build my self esteem. Ashley, my Therapist, gave me so many tools to not pick up again and assisted me with many coping skills. Brianna, the case manager, assisted me with all things FMLA and pay related with was great because I didn’t know where to start. The chefs, Joseph and Tyron fed me amazing meals to regain my strength and stay healthy. Kevin, the alumni coordinator, has given me his direct contact in case I need anything sobriety related. Overall this has been a life changing experience for me and I am grateful to have had this opportunity and I know that I have truly made life long friendships at Boca.
Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
Its a great place
Andrea Youngblood
3 weeks ago
I had a wonderful experience at Boca recovery center they helped me with a lot of things, they gave me a lot of tools and resources that I currently continuing to work with.They have helped me in my recovery journey as I continue to be mindful of my triggers to prevent relapse. To all that are reading this may God of the universe continue to guide you on your recovery journey as well Amen! ☺️🙏
Diamond Louis
3 weeks ago
Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramLGBTQ ProgramMilitary ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
My experience with Boca recovery was a great one. The staff was awesome. They were very accommodating. The nursing staff was awesome. The two that were in housekeeping was awesome. I loved The kitchen staff also the food was great always had snacks available. I gained a lot of weight lol now I’m in PHP and I’m getting ready to go to IOP. My life is awesome today and it started at Boca recovery. I am 74 days sober today. I am a different person I replace fear with faith and I no longer believe the lie that was a lie today I have a solution and the solution is a 12 step program and my faith which I call God
Darian Strick
1 day ago
I went to BRC thinking that I wasn't like the other patients there. That drugs and alcohol weren't really the issues I struggled with. Within two days into my recovery I began to let my guard down and accept not only skills they offer but accept the situation I'm in. I left there learning several things including how to deal with addiction, mindfulness, surrender, and gratitude. Thank you BRC for swiftly helping me find myself and providing me with the necessary tools for the ever-long journey ahead. A+ staff
aj holmes
1 week ago
Oh man, I can not thank this place enough for literally helping me when I thought I had no where to turn. Every single staff member from housekeeping to the directors were unbelievably kind and caring for each and every client and our different needs. Every single staff member takes the time to always check in with you, even if you're having a down day and just need to rest your mind and body. The everyday groups became something I looked forward to going to. I loved hearing how there really are people JUST LIKE ME! I had some of the best laughs and made great memories here. I made friends for life. I learned so much about myself that I didnt even know was there. I truly love every single human at Boca and I can't ever thank them enough!
I’m truly enjoy working with the counselors at rolling hills. They listen and support all of us in our journey of recovery. Caroline is my guardian angel, she greets all of us with a big smile.
Virgelina Miranda
3 days ago
Rolling Hills is an amazing place for recovery. I never had to visit, but my best friend was a client after a long struggle. He enjoyed the transition to more of a free atmosphere. He spoke very highly of the staff and how they helped him to feel more like the version of himself that he longed to be. I didn't recognize my best friend for a while, he was so lost. When he contacted me during the stay at Rolling Hills, it was like a night and day change from who he had become. I would definitely recommend this facility.
Tommy Brown
4 days ago
Within minutes of entering the facility, I felt at home. The staff is all so kind and I have gotten the absolute most out of the groups! I’m so grateful I came here. I highly, highly recommend for anyone seeking treatment related to substance abuse.
This program has saved my wife’s life! They exceed expectations and Ron helped me when I needed it most. They are passionate on what they do and I appreciate them for caring for my wife during this difficult time in her life.
Joe
3 weeks ago
I want to start by saying to ignore any negative review on this place. I personally went to Rise at Mayberry and cannot say enough of amazing things. I’ve been to many different facilities over the last decade and this one has become family. I get emotional and want to cry with gratitude when I think about how the staff/clients have been there for me during the most difficult moments of my life. Everyone turned their back on me outside of here while they didn’t judge me and gave me a chance. Ron reminds me of my papa being the kindest man ever. He cares deeply about each client, is passionate, patient, generous, the list goes on. Lauren has gone above and beyond for me with all my legal issues making sure everything is done the way it needs to be. She listens without judgment and is always available to help me. Allison was so helpful getting me into this place and throughly explained all the services that’s offered here. She’s relatable and kind. Dr. Neesha is beautiful inside and out, intelligent, and a strong woman of faith. She’s so insightful and working with her as a therapist has been my honor. Not to mention the support staff are incredible. Josh K has also made himself always available to the clients and he’s helped me so much from his own personal experiences dealing with dependency court/CPS. Chris and Tim are also such an honor to know. Tim, with all his travel stories and passion for AA. Chris, prioritizing the physical fitness in sobriety. All their stories on how they ended up here are inspirational. God brought me here unexpectedly and it’s one of the best things that’s ever happened to me. I live in Orange County which has a lot of recovery and places to get sober, but i couldn’t be more blessed that I landed here. I’ve been here without my young children for a couple months now and I wouldn’t have been able to get through this difficult time without everyone here. I’ll never forget what’s been done for me ❤️ addiction is a lonely disease, allow them to help guide you to a solution.
Alexandra Bigland
3 weeks ago
If you need Detox/Rehab, this is the place to do it. The staff is fantastic, the therapy is top notch. The food is prepared by professional chefs and the food is incredible. All the patients have their own rooms and bath rooms. You may not want to leave.
Such a awesome rehab I love it learned a lot Anthony is amazing sweet and very helpful and very humble Lauren was amazing and sweet and Ashley was great getting me into where I need to go and she Always made me feel welcome and omg Jason was the best therapist ever he made my heart warm and he's funny and sweet I loved all the staff and Shantel and Henny are amazing and shaggy and also jose was great always has a amazing love you all and thank you xoxo 😘
Corinne Nelson
2 days ago
I had an excellent stay at Haven !
The facility was very clean and the staff there
Was very Professional and Concerned about our needs !
Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramProgram For MenProgram For WomenLGBTQ Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
Exceptional staff and facility. Definitely one of a kind tailored treatment for people struggling with substance abuse!!
Charlie Hite
1 month ago
The staff and clients at boca are incredible. Joe leads the most incredible meetings; I wish I could virtually sit in on them. Bri was such a strong supporter. If you have an opportunity to go here, give it a chance and go!! It works!
Krista Calabrese
1 month ago
This place was amazing! The staff has also walked in shoes similar to my own so it made relating to them much easier! I was able to get a good head start in sobriety here! The residents were also amazing! If I had to refer anyone needing help I would definitely refer them here! It’s a great place to start your sober journey!
I was so scared asking for help and didn’t know where to go, but this place came highly recommended. The only bad thing is that the fact that I had to leave anybody looking to get help there is not a better place to go in here. the staff is absolutely incredible. I cried more just seeing how well I was treated here than even dealing with my issues. I cannot recommend this place enough if you want help come here.
Peter Meyerhoff
1 month ago
I was here for a 10 day detox. Every staff member here was incredibly compassionate, and I feel that they went to great lengths to take care of their patients. I would highly recommend this place for detox. Part of me never wants to leave. All I can say is they are truly amazing people And I will miss them all.
Ron Bonnett
2 months ago
The staff and provider here made my stay bearable and successful. Dr. Sierzenski, Samantha BHT, Derrick RN, Stephanie RN, Veronica BHT, Ingrid RN, Gabby BHT, Tanisha RN, and all of them! They were attentive, compassionate, helpful, professional, but most of all... they were kind to me when I was in a very dark place and a world of hurt. I did not ask for this to happen, but I am eternally grateful for the safety net Gallus provided me. I am 30 days sober because of you. And me. And the universe. Please keep saving souls, one person at a time. We need all the help we can get. Never, lose sight of why you signed up for this job! You all can mark one more life saved today. Thank you.
When my younger brother finally decided to seek help for his alcohol addiction, I spent countless hours researching treatment programs. From the moment I came across the website for Tree House Recovery PDX, I knew this was something special. A truly unique program that stood out from every other rehab facility I had seen.
Tree House’s focus on building a brotherhood grounded in mutual respect, compassion, and empowerment immediately resonated with me. My brother had spent years feeling isolated and disconnected, and I knew this kind of community could give him the sense of belonging he’d been missing.
The combination of strength training and mindfulness yoga was unlike anything I had come across before. Replacing harmful habits with physical strength and mental resilience was exactly what my brother, once an athletic, active teenager, needed to reconnect with a version of himself that existed before alcohol took hold.
The program’s one-on-one, group, and writing therapy, combined with the educational classes on the mechanisms of addiction, make it one of the most well-rounded and thoughtful approaches to recovery I have ever seen. In just three months, the transformation in my brother has been remarkable, not only in his body but in his voice, his confidence, and his spirit.
Tree House has given him tools to cope with disappointment and setbacks, develop healthier reasoning skills, and rediscover the strength that comes from brotherhood, from leaning on and lifting up others walking the same path. He’s learned how to have fun without substances and surround himself with people who genuinely care about his well-being.
Initially, I worried Tree House might not be an option for us financially. But then I saw the words at the bottom of their website:
“We strive to make sure that Tree House is an option for everyone.”
It felt like they were speaking directly to me.
When I reached out, Matt was incredible. He listened with genuine compassion, spoke with both my brother and me, and over the next week and a half worked tirelessly with the team, including the program director and finance department, to make sure my brother could be admitted. He arranged detox admission, transportation, and housing. Thanks to Matt, Brandon, Emma, Esther, and Rob, my brother was given a real shot at recovery.
Tree House Recovery PDX hasn’t just helped my brother get sober, it has transformed his outlook on life. He’s now enrolled in school, exploring meaningful work, and, most importantly, has hope again.
Our family will forever be grateful to the entire Tree House team for their compassion, creativity, and unwavering belief in the potential for change.
Elizabeth Gary
2 months ago
Our lives we had built over almost 40 years together were failing. We were scared, we were desolate and drowning, our family was tapped out, ashamed of our choices and finally desperately seeking help from anyone that would listen. No one was listening. We had waited too long thinking it was no problem, not really, we weren’t like “those people”, we knew that we could quit, he hadn’t relapsed he had had surgery and a month long hospital stay, we would easily just get a job, move in with family till we were on our feet, we’d done it many times before, he had been sober 17 out of 25 years, snap no worries….. we were so wrong about it ALL. Weeks later and my husband had been in detox for around 10 days in Eugene, the farthest place away my boys could find that would take and keep him, I had been making as usual, call after call, text chat after text chat, day after day, page after page, talking to each rehab, each place that said no, sent by them always to try another few and when they said no the search online would lead me to more. All of them said no for whatever reason, mostly full beds and even if there were available beds, they wouldn’t take our insurance since the Covid exceptions are all expiring. Or they would take our insurance but only for detox which he is already in. The luxury, lol, rehabs all offered self pay ofcourse, thousands upon thousands and we had no money. I had almost given up any hopes we once shared and I got a text back from someone. Not wanting to hear no again after pouring out our story through tears, I was frustrated and angry and I got to the point, “do you take our insurance or not?” No answer but they said I’d be chat contacted soon. Sure. Sure. Then I was, his name was Matt from Tree House Recovery, and he listened. I couldn’t believe he listened. My husband is 60, he is lost. I am lost. Matt gave me hope. Tree Houses Website and videos and links to YouTube gave me hope. Matt asked me if My husband was tired of self medicating and being in life long pain, were our lives unmanageable, were we on the bottom. We were way past that and we were going to die. He still was listening. We have nothing but we will give anything just to have a chance. Matt fought for us, fought for that chance, and through the Grace of God and everyone involved at Tree House, his chance at a NEW LIFE, his DAY ONE there, is this week. I promised to get my husband to the door, any door that said yes, he had to walk through it….. thanks to Matt listening and truly caring he is, and he will learn, and grow and rebuild his mind, body and spirit one minute, one hour, one day at a time. Our family is grateful and humbled and blessed. Thankyou isn’t enough.
Really enjoyed my stay, i completed CPR a few months ago and it was difficult being away from my home in NC but it turned out to be the best thing that happened to me. I now have 6 months of sobriety and I'm enjoying being back with my family and living this new way of life. My favorite part about being here was the staff, community and the great living near the beach. Much love CPR.
Alonzo Moreno
3 weeks ago
My experience was so amazing here at California prime not only did it help in my recovery but my confidence to give my self a better life! I want to thank all the staff but give me a new life tho I’m not done in my recovery each day I work on it, I’m going to be cherishing and using all my new tools to my life and again I want to thank yall for being amazing and helpful yall help save my life! God bless you
Sincerely, Todd Blackwolf
Todd Blackwolf
3 weeks ago
When I think of California Prime it instantly fills me with so much peace! I came into the program a couple years ago I was a lost, scared, insecure broken woman with addiction issues that were ruining my life. . Through out my stay I learned so many skills to change my life. The facilitators and staff are genuine, caring, compassionate, and informative. Today I have my life back! I'm a mother involved in my kids life, I manage a hair salon, I have a strong relationship with God, and thanks to Cali Prime i have coping skills to work through life's hard times that I will use the rest of my life. I'll forever be grateful for this program and everything they did for me💗 If you or someone you love needs help reach out you won't regret it. Life is so good today!
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Frequently Asked Questions
Does TRICARE Cover Suboxone & Methadone (MAT)?
Medication assisted treatment (MAT) combines mental health therapies and prescription drugs to treat substance use disorders. Suboxone and methadone are two of the FDA approved drugs used for MAT.
The medications and therapy are covered if you have medical need for this treatment and the TRICARE authorized provider is certified by the DEA to prescribe the medications. You may attend individual and group sessions in addition to regular doses of approved medications.
Does TRICARE Cover Other Mental Healthcare?
TRICARE offers coverage for a variety of medically necessary mental and behavioral health services for military personnel and their family members. However, these services may require a referral or preauthorization. Always contact your TRICARE provider before you see a mental health specialist to confirm coverage.
Covered treatments include applied behavior analysis, autism spectrum disorder, and cognitive rehabilitation therapy. You can also get coverage for eating disorder treatment, emergency inpatient hospitalization, and substance use treatment.
Many times people who struggle with substance use have a mental health diagnosis at the same time, known as a co-occurring disorder. It’s important to treat both your mental health and substance use in an integrated way. TRICARE offers programs that specialize in that and your doctor can point you in the right direction.
What Types of Plans Does TRICARE Offer?
There are multiple TRICARE plans and understanding your specific plan is vital to ensuring you get the care you need.
TRICARE Prime is a managed care network. It’s only available in certain areas, usually near a military base. If you’re on active duty, you must use TRICARE Prime as your plan. With this plan, you’ll have to stay within the TRICARE network to get your treatment covered.
You’ll also need a referral from your primary care manager for most specialists including for outpatient substance use treatment.
TRICARE Select is a PPO, or preferred provider organization. This means that you can use TRICARE for authorized non network providers in addition to their preferred in network providers.
However, if you stay within their preferred provider network, they’ll cover a higher percentage of the cost, which is less out of your pocket. Select may have higher premiums than the TRICARE Prime plan but gives you more care options. There is also an annual outpatient deductible for Select plans.
You don’t need to get a referral for specialist care when you have Select. But, you’ll still need a referral for residential drug rehab.
If you’re able to get Medicare, TRICARE for Life is the plan that’s available to you. It’s like a supplement to Medicare. With it, you can go to any place where they accept Medicare. TRICARE kicks in for certain things that Medicare doesn’t cover or if a benefit runs out.
What Outpatient Rehab Does TRICARE Cover?
You can definitely get outpatient substance use treatment if you have TRICARE, but how you access this treatment will vary based on what type of TRICARE plan you have. If you’ve TRICARE Prime, you’ll need a referral from your primary care manager. If you have TRICARE Select, you won’t need a referral for most outpatient services.
Outpatient programs can be intensive such as partial hospitalization programs or intensive outpatient programs, which include 10-20 hours of treatment per week. General outpatient generally meets 1-3 hours per week. In each case, you’ll live at home or in a sober living facility outside of treatment.
Outpatient services include options like psychotherapy for individuals, group sessions and family therapy. Psychological testing and analysis may also be a covered benefit, along with treatments such as art therapy and music therapy along with occupational therapy.
Medication assisted treatment (MAT) may be covered as well. MAT uses FDA approved medication to help you manage cravings and stay stable during treatment. This allows you to lay a strong foundation for recovery with a lower risk of relapse.
What Inpatient Addiction Treatment Does TRICARE Cover?
TRICARE covers certain inpatient alcohol and substance use disorder treatment as long as it is deemed medically necessary.
Medical detox can be the first step for many people who are ready to break free from substance use. Detox is usually a week or less, but it’s an inpatient process so you can be monitored and treated for withdrawal symptoms. Medical detox allows the substances to leave your system while keeping you safe and as comfortable as possible.
TRICARE may also cover inpatient treatment that isn’t an emergency, which can help you get the care you need to move toward recovery. There are requirements that must be met, like having symptoms severe enough to need medical help, having a formal substance use disorder diagnosis, and struggling to function in everyday life. You also need to use a TRICARE authorized institutional provider.
Inpatient treatment services that are not an emergency generally need preauthoritzation.
What to Do if TRICARE Won’t Cover the Cost of Rehab
Most of the time, you’ll be able to find a treatment plan that TRICARE covers. However if you are looking for treatment that’s not in the provider network or you haven’t met the requirements coverage might be denied. The best thing to do is work with TRICARE to find a facility that meets your needs.
If you are not able to do this, youcan work with the treatment center to create a payment plan. Some centers also offer scholarships to those who need it. You can even apply for health credit such as CareCredit to pay the amount off over time. Finally you can find low cost or free treatment offered by nonprofits or your local community. Resources for these services can be found on SAMHSA website at SAMHSA.GOV.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.