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.
While reviewing rehab settings or understanding how your insurance applies, you can learn more about rehab options to see which centers align with your plan.
By Cary Damerow
Cary holds a BA in Liberal Arts and over 30 years of nursing experience as a Licensed Practical Nurse. During her career she has focused her work on high risk populations including pregnant women, children and adolescents, and those facing healthcare disparity.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
2 weeks ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
1 month ago
This place is great. The entire staff had always been excellent
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
Collin Cook
5 months ago
Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points.
Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own.
The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist.
Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment.
Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients.
If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
Hailee Burdette
6 months ago
Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I recently moved from California and was very skeptical about going to another clinic for help, but let me say that the moment I walked into this clinic I was greeted and helped immediately. Everyone at this office went above and beyond to make sure I was comfortable and the girls in the front office are so very helpful and kind. Thank you for being so understanding and non judgemental it's honestly so nice to be welcomed in and treated so kindly. Definitely recommend to anyone looking for help
Lyndsey Riley
3 months ago
I am deeply grateful to CMS for guiding me through the last ten years. This program changed everything for my family. Getting clean allowed me to rebuild my relationship with my children and ultimately meet my wonderful husband. CMS gave us a second chance at life.
Rachelle Holland
3 months ago
I have been coming here for 10 years and they treat you well and take very good care of you!! I recommend this place to anyone If you’re trying to be in Recovery!!
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Vogues was amazing Angie was amazing helped a lot with my recovery the staff was amazing and the groups did a very good job opening my mind and perspective
Gods Art
1 week ago
Very knowledgeable they are there to embed it into you make sure that you know what is what etc they acknowledge your opinions have you voice your opinions as well to make you understand and believe in yourself they help you focus. There is a lot that they d, NOT just Substance Abuse but Mental Health Issues as well. I will always go to them if I ever need help!
Andrea Carrillo
2 weeks ago
So I was enrolled at the vogue house and was there for week or little more and then was in need to go to emergency room then which my hospital admitting cause me to lose my place In program....although everyone has been awesome an met alot of other people going through the same to continue their sobriety as well amazing strong people.....I felt I was treated unfairly because I was in a hospital bed not amusement park and left the facility in an ambulance
I loved seeing and being part of the program but one shouldn't be kicked out do to hospital stay
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
This place is not your ordinary rehab facility. They go beyond your standard rehabilitation and literally "Elevate" your life to a new level you didn't think was ever possible before. The program is structured in a way that you desire to learn more and give more into the healing process. If you take the necessary steps and put your heart into the program you will come out with a newfound appreciation for life and all that surrounds you. Please take this step, as my husband did, to embrace your life and get the healing you deserve and owe yourself.
The Truth
6 months ago
I think this is a wonderful rehab, the facilities are beautiful, the food is amazing (I have never even had food this good at a restaurant), and above all they have really helped my husband. Obviously anyone that first goes to rehab isn’t happy with their situation but in just two short months he was a changed person. The work they have them do on themselves got him to finally see why drugs and alcohol are no way of life. He’s finally sober and actually enjoying it! This rehab helped him so much he actually chose to stay LONGER, and I am for once excited for what the future can bring.
Christine Hanson
6 months ago
My experience here throughout my last few months has completely changed my whole outlook on life. Before I got here I thought my life was going towards the end. My body was failing and mental state was terrible. Every part of the program touches on every aspect of the addicts life. Now that I have finished the program and started living daily life with all of the gains I got throughout the program, failure isn’t an option. I know I can truly be happy sober now. I finally gained back the love and support from my life partner and best friend I always knew was still there. My mom also believes in me again which is so important to me. The possibilities and happiness are endless now. Thank you Elevate.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I've never been to a treatment center where I felt one hundred percent like welcome and safe.The staff there was i'm amazing.They're really gonna save some lives
Crystal Cole
1 month ago
Its People Like Mat P. That truly go above and beyond to guid paths wich for me has givin me another chance at life. I have made a friend for life & he's someone who's willing to guid me down My road to recovery. I feel its becouse of him i am still fighting everyday to be a better me. Thank you Mat P.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I really enjoy this clinic it's gotten so much better since they have an actual professional working and keeping the other people iñ recovery he's always tending to the need of patients questions and helps the best he can thank you James greiego⭐ your amazing thank you for actually caring n taking our recovery into initiative ur always working really hard keeping everything up to date and keeping things going smoothly ur awesome new season & staff are lucky to have such a good indrvidual. And Sophie🩷is one of the nurses you are awesome and are always in n the best of moods and always treat everyone with the up most respect. thank you for your time and. Making it way more special getting recovery taken care of .you are always keen and know how to do your job and if there's anything you need to know or anything she will help you to the best she can. And never judges or treats you different she is consistent and genuine🦋Thank you as well<3 and TY new seasons for the opertunity ...Always a fellow Doser and clinic goer 🎭Desaree B Maes
🎭💢💔=✨❤️✨
Payasa
1 month ago
Say or think whatever you want about methadone clinics, this place has helped me stay off opiates for 8 years now. Yes there are some questionable people that come here, however the staff is top notch. The dosing nurses are the BEST and the caseworkers, director, and everyone else is awesome. THANK YOU NEW SEASONS
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff have all been incredibly kind and helpful. They make me feel at ease and give me hope for a brighter future.
Dana Henderson
4 months ago
I would absolutely give a 10. From the time I called ideal option to the time I was getting real help was only a matter of hours, I feel that quick response time is important when a person is nervous to reach out. Also, Dr Sather and Tucker have been helping to guide me through this challenging time. They have both been extremely helpful, I feel safe sharing my situation as there's no judgment from them. Most of all I'm grateful to feel valued during my visits.
Sam Hill
5 months ago
I'm sky. Paula's my mom. Thanks isn't enough for ideal options and the wonderful people who work there. "You cured my hepatitis c, you helped me get my life back, and the staff always make my visit easier cause they know me and remember details about my health history and make me feel cared for and loved. THANK YOU so greatful
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I use to go to denton clinic last year and even years ago and I was honestly struggling very hard to keep up with payments and Im not here to bash... I blame myself for not communicating better. At the time I was forced to leave my denton home and stay with family in the colony and had to drive every day Mon thru Fri to denton. I finally tried looking for some place closer and thank the Lord He led me here. I called and they asked about insurance which I gave all my info about. I seriously had doubts that it would be of any help. Years ago methadone wasnt covered easily by insurance...
But they made my day when they told me yep they take my insurance which is through marketplace. AND I would not have to pay anything out of pocket!! I was singing and dancing. Been here ever since. Even when I messed up and missed open enrollment, they still worked with me without insurance... i was so worried but everyone reassured me that they would find a way to help me here and they did. Everyone is SO NICE also. Love it here.
Anita
6 months ago
I absolutely love this place from the front staff all the way to the back staff. Everybody is so amazing and so kind. The office manager helped me find a location where I could get my dose since I missed it on Saturday and I was so grateful for him to reach out because I finally got my dose I needed Because THEY CARE! I recommend this place to anybody struggling with opioid Use disorder or pain. Don’t be afraid to pick up the phone and call. Everybody is so nice and you’ll be taken care of🖤
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff at AspenRidge put a lot of effort into their groups and really try to teach a variety of topics that are relevant to a diverse population. You can tell that they really care about people. AspenRidge does some fun climbing groups and hikes. There is also case management that will help you with a lot of resources and just take you our for coffee or something to talk and get to know you. You can't make everyone happy. I would encourage people to pay attention to all of the good reviews about this place.
Heather
4 weeks ago
This place is great! I feel welcomed and appreciated everyday that I am here by everyone.
Erica Banuelos
4 weeks ago
Great groups!!! Professional staff and awesome therapists!!
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Frequently Asked Questions
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.
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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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