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.
Five-Star ReviewChoosing this design for change treatment center was one of the best decisions I ve ever made. From the moment I walked through the doors, I felt a sense of safety, support, and genuine care that I hadn t experienced anywhere else. The facility is beautiful and peaceful, but it s the people who make this place truly special.One of the standout individuals on the team is Tiffany, one of the directors. Her compassion, professionalism, and unwavering dedication to every individual s recovery journey is something you rarely see. Tiffany doesn t just talk the talk she truly walks with you through the process. Whether it was a rough day or a breakthrough moment, she was there offering insight, encouragement, and a calming presence that made all the difference.The program is thoughtfully designed, blending evidence-based therapy with holistic practices, and the staff are all incredibly knowledgeable and supportive. You re never treated like a number here you re seen, heard, and deeply respected.If you re looking for a place that s not only committed to helping you heal but also to empowering you long after you leave, this is it. I m beyond grateful for my experience, and for people like Tiffany who pour their hearts into the work they do every single day.
salim halabi
2 months ago
Deciding to go and stay at DFC was the best thing that happened too me. The staff and counselors are world class. The education and treatment I received changed my life. Care, compassion, & understanding of my disease from the staff kept me focused on my recovery. I owe my future to this program - and it is looking bright!
Angela Simpson
2 months ago
Wonderful and knowledgeable staff. Nick and Adam are substance abuse counselors who really truly care and their experience was invaluable. This place is truly unique within the recovery community.
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 symyetriaTo all staff : thanks so much. N.B
Nolan Brown
3 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.
Amazing experience. Highly recommended. Shoutout all the staff especially John, Joey, Tim, both Will s, Canada, Gina, Ginger and all the great therapists as well, everyone is super nice
K Z23
2 months ago
From the moment I arrived, I felt welcomed and cared for. Having a private room was a huge plus it gave me the personal space I needed to focus on my recovery while still managing my work and school. The fact that I could use my phone and laptop was incredibly helpful, allowing me to stay connected and on top of everything while receiving the care I needed.The staff were incredible not only professional but genuinely caring. They treated me like a friend, making the whole experience feel much more comfortable. The facility itself is very comfy. Plus, there were plenty of fun outings that kept me active and distracted in the best way possible.If you're looking for a place where you can focus on recovery while still maintaining your responsibilities, I can t recommend this place enough!
Skyler Hermes
7 months ago
I had the privilege of going through detox at this facility. To say this place is awesome is an understatement. They sincerely care about your well being and health. It's a small facility so they can spend more individual time with the residents. They cater three amazing meals a day along with snacks 24/7. If you are truly thinking about changing your life forever, this is the place you want to start your journey. I highly recommend this to anyone needing help. Thank you for reading. Sincerely Anthony W.
Footprints was an amazing experience and helped me turn my life around and back on track! I feel like I m my old self again, before my addiction.
Cody Thibault
2 months ago
Wonderful staff and program. The groups are thought out, planned and executed successfully. You can tell the staff are all on the same page when it comes to patient care. Addiction and substance abuse are addressed with compassion and professionalism. Even more than that, the program provides a crash course in mental health which services all aspects of life.Highly recommend for anyone suffering from any level of substance abuse. The staff and the program they ve designed gave me my life back.
Mark Gillaspie
2 months ago
Very thankful for Footprints and to all the staff. I would highly recommend to anyone seeking treatment.
I was admitted this time last year to this amazing facility and staff. Went through there process twice and glad to be Alumni. Still stay connected to my sober activities with Acqua. Much love to everyone involved!!
chris scull
1 month ago
Acqua was the perfect start to my recovery journey! I had never been through treatment before and had no idea what to expect but It turned into the best decision I’ve ever made. The house and grounds are beautiful and they matched me with one of the best therapists I’ve had in the many years I’ve been in therapy. I can’t express how much this place has changed my life. I will be one year sober in one week!
Mario
1 month ago
This place literally saved my life. I'm living a life i only dreamed about. Thanks Acqua! From a proud Alum!!!!
Symetria of Lewisville is a great place to all those in recovery. The entire staff is super friendly and helpful. They re there to help. Trust me. Special thanks to Cynthia and Ashley. Keep up the great work!
Ross
2 months ago
Costello is my SAG name. My name is James Dupee. I have been visiting the clinic for over a year and have been very pleased. Adam is the best Counselor/Therapist I have ever confided in. He is personable and understanding as well as straight forward with his advice. Cynthia is the most amazing face of a company I have ever met. She is kind and professional yet makes me laugh every time I stop in. The nurses are equally professional and personable. 5 Stars from me.
Jimmy Costello
2 months ago
Symetria Recovery saved my life!! I was driving down the highway suffering major withdraw from opioid addiction. I found Symetria Recovery and they had me in the very next day. When I got tested, I was positive for Fentanyl, which had to of come from something off the street. I nearly had a panic attack thinking about my life ending, leaving behind my wife and 3 beautiful children. I've been here for about 18 months clean and sober and have never been happier. It feels great to be "me" again. Addiction causes you to lose yourself. With the help of the staff at Symetria, you CAN be saved!! Come get saved at Symetria Recovery!!
Great program! Awesome staff, I would recommend Elevate to anyone looking for an alternative to the 12 step approach to recovery.
Kyle Emmert
2 months ago
Where do I begin Before I came to Elevate I thought I had reached rock bottom in life but shortly after coming here I realized they saved me from ever getting there. I came for an alcohol addiction which became a secondary objective to my stay. I learned to love myself and gained confidence in being me. I found a way to finally be happy in life, in the current moment without contingencies. To know I was never broken and that I have more control over my perspective than I ever thought was possible. My sobriety came as a byproduct of discovering my own self worth and I often lay awake at night filled with gratitude for having the opportunity to go through this program. The amount of understanding and support offered to me was outstanding and I felt as if I was amongst family. The care and love from the staff inspires the clients to care for each other in the same fashion. If at any point you need a shoulder to lean on or just someone to listen, every face you see is there for you. I can t find the words to formulate a sentence that will truly express my thanks and love for Elevate. All I can do is let others know if your suffering and need the help, this is where you will find it.
Nicholas Fitak
2 months ago
I am so grateful for the founders and all the staff at Elevate. From the very first introduction to the incredible program they have to offer throughout the entire time my loved one spent there, we were kept informed and encouraged. The setting is lovely, the commitment to helping each person succeed and get thru the hard things and the amazing food they serve as a part of the healing process. I really can't say enough good things about this program, staff and facility. Thank you from the bottom of my heart and may God bless all of you and keep you going strong for many others to reclaim the lives they were meant to live!
SoberLife: Great program and especially, great, caring, professional staff! They helped me so much. Highly recommended.
Tim Kazwell
9 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
9 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!
I am a born pessimist, so I spent a great deal of time looking into this place. First, I found nothing negative whatsoever, Secondly, I spent 60 days here and cried leaving. This place and ALL of it's staff saved my life. I can remember spending countless times in the nurses station, at the wellness advocates desk, and even in the Blanco hall, talking to the different staff about my days, my problems, my achievements, etc. And EVERY SINGLE PERSON TOOK THE TIME TO LISTEN AND HELP OR CHEER ME ON!! There's not a staff member in this place that doesn't care about each person. The therapy sessions are incredible and I can't thank them enough for showing me I wasn't hopeless and giving me all the tools I need to have a beautiful, healthy and sober life. I am 45 years old, and I never thought this was possible.
Gina Michelle Mullaley
2 months ago
After finishing treatment at Windmill Wellness Ranch I was confident in my ability to continue treatment for my Substance Abuse and Mental Health issues from home. The staff are awesome and very appreciated for all that they do this place is dog friendly and Leo loved it here!!
Jake Toepperwein
2 months ago
Windmill Wellness Ranch has truly changed my life in ways I never expected. I ve been to multiple treatment facilities over the last decade and felt that I was mentally, physically and spiritually hopeless. I felt I was a lost cause. I have had experience with 12 step programs before and assumed this experience would be like the others. I was wrong. Windmill Wellness Ranch and the staff they employ offer so much more than just a place to get sober and try twelve steps. From the admissions personnel to the wellness advocates, the therapists and the recovery coaches, I ve never met a team of people so willing to bend over backwards to help me reach my personal goals. Through WWR I was able to process a great deal of trauma successfully, while at the same time gain some phenomenal insight on how to grow in a life centered around permanent sobriety. The employees genuinely care about people and most are in recovery themselves. My time at Windmill Wellness Ranch has truly made a permanent positive impact in my life and in the lives of the people I love.
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
2 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
2 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
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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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