Discover how TriWest supports veterans with addiction treatment options through the Community Care Network. Verify coverage today.
TriWest Health Insurance Coverage For Drug Rehab
Discover how TriWest supports veterans with addiction treatment options through the Community Care Network. Verify coverage today.
Triwest is a part of the VA health system’s Community Care Network (CCN). The CCN is divided into five regions and Triwest is the third party administrator for regions 4 and 5.
The Community Care Network enables veterans to obtain healthcare outside of a VA facility when certain eligibility requirements are met. This is especially important when individuals do not live near a VA facility or need care that their VA facility does not provide. It’s also helpful for specialized care or when the wait is too long for a needed appointment.
Referrals must be obtained from the veteran’s primary care provider within the VA system for care with a CCN to be covered. Failure to obtain a referral could result in non payment.
Does TriWest Cover Addiction Rehab?
Yes, TriWest will provide addiction rehab for those who are approved by the VA for this type of care. TriWest has providers for inpatient and outpatient services such as residential care and various outpatient treatment programs. You can also get medication assisted treatment (MAT) including detox and long term maintenance if it’s appropriate for your individual needs.
Prior to any type of alcohol and substance use disorder treatment you will go through an assessment process to determine the best starting point for your unique circumstance. The American Society of Addiction Medicine has created an assessment tool that the VA may use to help to determine the level of care that is appropriate for your specific recovery needs.
If you need to obtain services outside of a VA facility TriWest will help to locate a community provider that meets VA quality standards. A referral from a VA healthcare provider will be necessary before starting any treatment programs.
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Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
Cassie Lee
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
This place has gotten me back on my feet and ready to take on life without the need of alcohol and drugs. Thank you Elevate!
Leo Guerra
1 month ago
helped me through the hardest point of my life, would recommend to anyone who's wanting to change their life and best their addiction/s.
Ashton Adams
2 months ago
My wife, Nancy and I could not be happier with the people and program at ERS. There's no doubt in my mind that the welfare and success of each client is at the forefront of everything they do. Our 21 year old grandson entered the Watsonville center lost ,angry ,hurt with no direction relying on drugs and alcohol to ease his pain. ERS provided him with the tools and support he needed to lift himself out of this destructive path and give hope to a new beginning living in sobriety. He has grown so much over the past few months and takes with him so many life skills both new and rediscovered. I see confidence again and a self love that had been buried for a long time.
The program is progress based and not rushed giving him time to truly work on his issues that are unique to him and his sobriety. The staff there truly care and are able to understand and mentor since many have been through the program themselves...they get it.
The communication with the Family Support staff was very, very good. Caitlin was so helpful and informative and able to ease our anxieties along the way. We were kept informed regularly of his progress and his struggles and hear how we might best support him.
As our grandson had pending legal problems as many newly in recovery do and ERS was even able to support this aspect of recovery by providing transportation to his court ordered appearances, helping him with his goal to be a responsible adult....many thanks to Arthur for all his support in this area. We are so very grateful and highly recommend Elevate Recovery Services !
Richard and Nancy
I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.
They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria
To all staff : thanks so much. N.B
Nolan Brown
4 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
SoberLife: Great program and especially, great, caring, professional staff! They helped me so much. Highly recommended.
Tim Kazwell
11 months ago
Highly recommend. For addiction and mental health. My journey through soberlife has been such a blessing. The staff are very caring, intuitive, relatable & intelligent. I learned so much & really think the curriculum is top tier. They take your recovery seriously, motivating you to do the same. Core memories made here, so sad to leave but thankful for the experience of a lifetime.I never imagined being a week sober, now I am almost 6 months. Make the choice to heal, you deserve it.
Katriel Goodson
11 months ago
Sober life is the absolute BEST place to be if you are struggling. I went in 2020 and didn’t complete, and they welcomed me back with open arms march of this year and I went through completion. I have had the opportunity to stay in their network by getting care at SD wellness for psychiatry. Over this holiday week I had forgotten about my refill of a medication I need, I got in contact with Dan from alumni since I forgot what their hours were for thanksgiving and Black Friday, and by today (saturday) I have my refill! I got a personal call from Dr Amaro and got squared away. I’ve never found a medical group that listens, cares, and has better communication than here. I am so happy with this process and will always come back if I need it! Highly recommend!
Great facility and staff. Highly recommend this place
Urodino FPV
4 months ago
I arrived at All Points North in November, feeling lost and hopeless. After spending four months in another rehab, I had little faith in my future and even less confidence in my ability to change. But over the next two months, that began to shift. All Points North takes a modern and holistic approach to recovery, focusing on healing not just addiction but the person as a whole-mentally, spiritually, physically, and socially. The treatment process is highly individualized, tailored to meet each client’s unique needs rather than following a rigid, one-size-fits-all model. Unlike other programs, APN listens to its clients and creates a personalized plan for both inpatient treatment and aftercare, ensuring lasting success beyond their stay. What stood out most was the staff’s unwavering commitment to empowerment rather than dependency. They didn’t carry me through recovery but instead provided me with the tools to help myself while offering constant compassion and support. On top of that, the hospitality, therapists, security, and overall amenities at APN are truly best in class, making my experience both comfortable and transformative.
.the only place I will never try to prove wrong….. even though I was right 😘. IP got my head on straight!!!!! Forever grateful 🥲 ikyk
If you are trying to maintain your marriage and finances, I recommend having a solid plan before walking through these doors
Zack Metcalf
2 months ago
I think that Patrick should be the Director of the Facilities. He has a passion for his job. Because he understands what patients are going through. He’s an amazing advocate.
Kristin Chaplin
2 months ago
This place is awesome!! I was skeptical at first but when I got there it was such a beautiful place. The staff are ALL amazing! After 10+ years of being an opiate addict I am now finally free!! Thank you My Time Recovery.
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All of the staff are super nice and helpful! It’s very clear how much they really care about you and are rooting for your success.
Hannah Nicole
2 months ago
Calvary Healing Center will forever have a special place in my heart. The therapies that they provided went beyond my expectations. I have healed and grown in unexpected ways. Thank you universe for allowing me to come across Calvary. You all saved my life!
Jamie Madrid
2 months ago
Healthy healing process for my life great community 🥰
AlcoholismDrug AddictionDual DiagnosisSubstance AbuseMental Health
Private InsuranceSelf-Pay Options
The clinical care at Wolf Creek Recovery is truly exceptional, marked by compassion, professionalism, and a deep commitment to lasting healing. Their dedicated team of clinicians, therapists, and support staff create a safe, nurturing environment where individuals are treated with dignity and respect throughout every step of their recovery journey. Their personalized approach and unwavering support set a standard of excellence that inspires confidence. I would wholeheartedly trust Wolf Creek Recovery with the care of my own family, knowing they would be in the best possible hands.
Ryan Jongeward
2 months ago
As a community partner we witness the intentional care and lasting impact of Wolf Creek Recovery every day. I regularly speak with clients and loved ones years after their experience and the results are remarkable.
Wolf Creek Recovery offers a robust clinical program with a warm, family-oriented approach. Its culture is built by exceptional people who take the time to understand the unique needs of their clients and community partners.
Get to know this place, and you’ll see the unshakable foundation that makes WCR truly stand out!
Drake Brown
3 months ago
Wolf creek is a SCAM !
After forty years of active alcoholism and 4 months recovery at Wolf Creek I have been gratefully sober over a year.
Be careful you might just get healed.
I had never been to rehab, so I didn't know what to expect. But this place blew me away!! The staff are all very nice, and truly care about each and every person in the program. The house is beautiful. The food is delicious.. I actually gained about 10 lbs in 5 days. Lol. I can't say enough great things about this place.
american soldier
2 months ago
Great staff and excellent program. Definitely recommend.
Nelson Paniagua
2 months ago
Excellent facility, excellent counselors, excellent staff. Stay at DFC is my best experience in my life. The knowledge, treatment and care I received here changed my life. DFC gave me a new start of my life. Nothing to say but appreciation. Thank you! DFC
My time at Cornerstone has been an experience which I can only describe as life changing. With the help of amazing therapists, navigators and friends in recovery I was able to begin my journey of self-love and service. I am beyond grateful.
Irving Mange
2 months ago
Cornerstone has changed my life forever. Before coming to them, I did not know where my life was going, and I was not in constant contact with God. They took great care of n me, challenged me, cared, and worked with my. The therapists are excellent and pushed me beyond what I realized I could accomplish. I thank them for the life that I have with God and my family.
Nicole
2 months ago
I recovered here. I love the program. Highly recommend others to seek help here.
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Frequently Asked Questions
In What States Does TriWest Provide Coverage?
TriWest administers the Community Care Networks in Regions 4 and 5. This includes the western and southwestern portions of the United States along with Alaska and Guam. It also includes the Northern Mariana Islands and American Samoa.
For example, you would use TriWest for Community Care in Texas or California along with Oregon or Colorado.
When Would TriWest Provide Care Instead of the VA?
Under certain circumstances when a veteran is unable to obtain the services they need at a VA facility they may seek care through the Community Care Network.
For example, you may not have a VA facility within the defined standard for driving (which is 30 minutes from an individual’s home) or appointments can not be made in a timely manner (within 20 days of need). Perhaps the type of care needed is not provided by your VA facility or more specialized care is required.
You can find the CCN provider yourself or ask your VA medical team to find one for you. Then you’ll ask for a referral from your VA primary care provider which can take 14 days to process. Once you have the referral you can schedule your appointment. When the appointment is scheduled the VA will send you an authorization letter for CCN care which will tell you what kind of care you can get and how long you can get treatment before you need another referral.
What Type of Inpatient Addiction Treatment Does TriWest Cover?
TriWest administers CCN care for inpatient rehab when inpatient care is approved by the VA. This can include medical detox and residential treatment. There are many factors your doctor will consider when determining the appropriate level of care. They will look at your support system and willingness to work the program along with your physical and financial condition.
While not everyone requires medical detox there are many benefits to this first step in recovery. Medical detox allows for slow and safe withdrawal from substances such as alcohol and benzodiazepines along with stimulants and opioids in a closely monitored environment. Medical professionals assess and treat the symptoms of physical dependence. This may include the use of FDA approved medications such as methadone or disulfiram. Naltrexone and buprenorphine are other options. Medical professionals can also provide care to help stabilize any other conditions that may be affected by the withdrawal process such as hypertension and diabetes.
On average the medical detox lasts between 7 and 10 days but each person’s experience is different. Continued medical support may be needed for weeks or months.
Residential treatment is often recommended after medical detox and for some it may be the first step in their recovery journey. During this time you’ll be at an inpatient treatment facility and receive 24/7 care. Treatment generally includes individual and group therapy along with nutritional counseling and life skills education. You’ll also get recreational and experiential therapy and in some cases holistic therapies such as meditation and yoga and art therapy.
Recognizing that the first phases of recovery are difficult residential treatment provides a structured environment where individualized treatment plans are created to meet the unique needs of each person. This may include ongoing MAT to help reduce the cravings that can be a tremendous obstacle in recovery.
Residential treatment times can vary. Programs can range from 30 to 90 days and in some cases longer depending on the needs of the individual. The 90 day treatment programs have been shown to have the highest success rates.
What Type of Outpatient Rehab Does TriWest Cover?
Outpatient rehab services are provided by TriWest when approved by the VA. As with other types of care a referral is required before obtaining any treatment outside of the VA system. The facility and provider must be a part of the CCN system for coverage.
Partial Hospitalization programs (PHPs) provide you with similar intensive treatment plans as residential treatment but allow you to return home each night. These programs are known as day programs and provide an average of 20 hours per week of addiction treatment. Participants receive individual and group therapy as well as medical care if needed.
Intensive Outpatient Programs (IOPs) are another treatment option for people who do not need residential treatment. These programs require a time commitment of several days per week but allow for more flexibility to accommodate work and allow for a return to home each night. On average you’ll attend treatment for 9 to 12 hours per week. Typically these programs last for 90 days but depending on your unique recovery needs this could be extended.
IOPs consist of individual and group therapy and may include case management programs along with vocational and education support and family therapy. Often a 12 step recovery program is also a part of this type of treatment.
An aftercare program’s main goal is to help you establish long term recovery and avoid relapse. Recognizing that recovery is a lifelong commitment these programs help to equip you with the support and tools you need to meet the day to day challenges you’ll face. Ongoing therapy and programs geared toward strengthening coping skills and recognizing triggers are common and you’ll learn to build your support system. You may also have access to peer support groups along with vocational and education support and case management services.
Does TriWest Cover Methadone & Suboxone (MAT)?
Yes, TriWest has CCN providers that offer MAT if this treatment is approved for you by the VA.
MAT refers to the use of FDA approved medications such as methadone or buprenorphine or naltrexone and others to help those with alcohol or substance use disorder in the recovery process.
In the early stages of recovery MAT can be used during medical detox to help decrease withdrawal symptoms and normalize brain chemistry. Medical detox on average lasts 7 to 10 days. For some this is where the use of medication assisted treatment ends.
For others MAT may be used for weeks or months or for an even longer term. For those who struggle with opioids or alcohol MAT has been shown to greatly reduce the risk of relapse and decrease the number of overdose deaths. When the medication is paired with evidence based treatment you have a better chance of establishing long term recovery and eventually living a fully substance free life.
Does TriWest Cover Other Mental Healthcare?
TriWest has CCN providers that can offer mental healthcare when approved by the VA as well. TriWest and the VA offer a wide range of options when it comes to mental health care including individual and group therapy involving modalities such as cognitive behavioral therapy (CBT) and Dialectical behavioral therapy (DBT). You can also get couples and family therapy along with readjustment counseling and grief counseling. The VA offers military sexual trauma therapy as well. Treatment with medication is also a part of mental healthcare through the VA system
According to the Substance Abuse and Mental Health Services Administration SAMHSA) 1 in 4 people with a mental illness also experience alcohol or substance use disorder. When mental illness and SUD occur at the same time it is referred to as a cooccuring disorder. Because of this mental health care is an extremely important part of the recovery process. It’s very important to get integrated care that addresses both mental health and addiction to give yourself the best chance at long term recovery.
Does Addiction Treatment Need to Be In Network?
If you want the VA to cover addiction treatment you will need to obtain care in a VA facility or through an approved CCN provider. It is important to remember that a referral is needed from a VA primary care provider before obtaining care outside of a VA facility.
Failure to get a referral or use a CNN authorized provider could result in nonpayment of services. Emergency and urgent care do not require a referral prior to receiving care.
If you have other health insurance and your addiction or mental health concerns are not service connected you may be able to use your other insurance to get treatment outside the VA and CCN system. You will want to check with that insurance plan to see what coverage is available.
What to Do if TriWest Won’t Cover the Cost of Rehab
If you cannot find a provider within the VA system or CCN network there may be other options to help pay for care.
You might be able to get non VA health insurance and get coverage for non service connected addiction or mental healthcare. That insurance plan will have its own provider network and coverage requirements so be sure to understand the full details of the plan before you commit to treatment.
You might also qualify for Medicaid in your state if you’re lower income. Medicaid coverage will allow you to get free or low cost care for addiction and mental health through state and county facilities.
Another option is to pay for treatment yourself. Many treatment centers have payment plans available or offer a sliding scale of fees based on income. Others offer scholarships to help pay for the cost of treatment.
Finally free services can be found in many communities through organizations such as the Salvation Army or YMCA along with homeless shelters or faith based organizations. As with all types of medical and mental health care it is extremely important to verify accreditation and ensure the highest quality of care when seeking free or low cost treatment options.
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.
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