TRICARE Insurance for Addiction Treatment
As an in-network provider, we ensure that those who have served our country receive the highest standard of care for substance use and mental health disorders.
With over 50 years of experience, Discovery Institute provides a range of evidence-based treatments, including medical detox, residential care, outpatient programs, and dual diagnosis treatment. Our team is committed to delivering compassionate and effective care tailored to each individual’s unique needs.
If you’re covered under TRICARE and seeking support, Discovery Institute is here to help you navigate your insurance benefits and begin your journey toward recovery. Verify your insurance to get started today.
TRICARE Eligibility Requirements and Coverage
TRICARE provides comprehensive coverage for addiction treatment services to eligible beneficiaries, including active duty service members, retirees, and their families. Eligibility is determined based on the sponsor’s uniformed service and the beneficiary’s relationship to the sponsor.
All services must be deemed medically or psychologically necessary and provided by TRICARE-authorized providers. Contact our admissions team for more information on covered services.
Important Considerations
- Prior Authorization: Some services may require prior authorization from TRICARE.
- Network Providers: Using the TRICARE network providers can reduce out-of-pocket costs.
- Cost Shares and Copayments: Depending on the specific TRICARE plan, beneficiaries may be responsible for cost shares or copayments.
What Health Plans are Offered by TRICARE?
TRICARE provides a variety of health plans to meet the diverse needs of eligible service members, retirees, and their families. The available plans depend on duty status, location, and eligibility category. Below is an overview of the primary TRICARE health plans:
TRICARE Prime is a managed care option similar to a Health Maintenance Organization (HMO). It is available to active duty service members and their families, retirees and their families, and others who are eligible. Enrollment is required, and beneficiaries must choose a Primary Care Manager (PCM) to coordinate their care. This plan emphasizes preventive care and offers lower out-of-pocket costs.
TRICARE Select is a self-managed, preferred provider organization (PPO) plan. It is available to active duty family members, retirees, and their families, and others who are eligible. Beneficiaries can see any TRICARE-authorized provider without a referral. Enrollment is required, and there are annual deductibles and cost-shares.
TRICARE For Life is a Medicare wraparound coverage for TRICARE beneficiaries who have Medicare Part A and Part B. It provides comprehensive health coverage and acts as a secondary payer to Medicare. Enrollment in Medicare Part B is required to maintain TRICARE For Life coverage.
TRICARE Reserve Select is a premium-based health plan available worldwide for qualified Selected Reserve members of the Ready Reserve and their families. It offers comprehensive health care coverage similar to TRICARE Select.
TRICARE Retired Reserve is a premium-based health plan available worldwide for qualified retired Reserve members under age 60 and their families. It offers comprehensive health care coverage similar to TRICARE Select.
TRICARE Young Adult is a premium-based health plan available for purchase by qualified adult children of TRICARE-eligible sponsors. It provides coverage similar to TRICARE Select and is available until the age of 26.
The US Family Health Plan is a TRICARE Prime option offered through designated community-based, non-profit health care systems. It is available in certain areas and provides comprehensive health care coverage.
TRICARE for Life is a Medicare wraparound coverage for TRICARE beneficiaries who have Medicare Part A and Part B. It provides comprehensive health coverage and acts as a secondary payer to Medicare. Enrollment in Medicare Part B is required to maintain TRICARE for Life coverage.
If you need assistance in determining which TRICARE plan best suits your needs or have questions about coverage options, feel free to ask our admissions team!
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Our compassionate counselors are standing by to answer any questions you may have. After helping thousands of people over the last 50 years, we have the resources to help you and your family and all your individual needs.
Does TRICARE Cover Addiction Treatment?
Yes, TRICARE provides comprehensive coverage for addiction treatment services, including those offered at the Discovery Institute in Marlboro, New Jersey. As an in-network provider, Discovery Institute ensures that eligible beneficiaries receive high-quality care with minimal out-of-pocket expenses.
TRICARE covers a range of medically necessary addiction treatment services included at the Discovery Institute, such as:
- Medical Detoxification: Supervised withdrawal management to safely remove substances from the body.
- Residential Addiction Treatment: Inpatient care providing 24/7 support in a structured environment.
- Intensive Outpatient Programs (IOP): Structured therapy sessions allow individuals to live at home while receiving treatment.
- Partial Hospitalization Programs (PHP): Day treatment programs offering intensive therapy without overnight stays.
- Medication-Assisted Treatment (MAT): Use of FDA-approved medications to support recovery from substance use disorders.
- Dual Diagnosis Treatment: Integrated care for individuals with both substance use and mental health disorders.
These services are designed to address the physical, emotional, and psychological aspects of addiction, promoting a holistic approach to recovery.
With over 50 years of experience, Discovery Institute is dedicated to providing personalized care to help individuals achieve lasting recovery.
Understanding your TRICARE benefits can be complex. Discovery Institute’s admissions team is available to assist you in verifying your insurance coverage and determining the services available to you under your specific TRICARE plan. They work closely with TRICARE to ensure that you receive the maximum benefits available, minimizing out-of-pocket costs.
Does TRICARE Cover Therapy?
Yes, TRICARE provides comprehensive coverage for therapy services, including individual, family, and group psychotherapy, when deemed medically or psychologically necessary. This coverage extends to both inpatient and outpatient settings, ensuring eligible beneficiaries have access to essential mental health care.
Covered Therapy Services
TRICARE covers a variety of therapy services, such as:
- Individual Therapy: One-on-one sessions with a licensed mental health professional to address personal mental health concerns.
- Family and Conjoint Therapy: Sessions involving family members to improve communication and resolve interpersonal issues.
- Group Therapy: Therapy conducted with a group of individuals facing similar issues, providing support and shared experiences.
- Intensive Outpatient Programs (IOP): Structured programs offering therapy several times a week, allowing individuals to live at home while receiving treatment.
- Medication-Assisted Treatment (MAT): Use of FDA-approved medications in combination with therapy to treat substance use disorders.
These services are available through both military treatment facilities and TRICARE-authorized civilian providers.
Discovery Institute is In-Network With TRICARE Insurance
Discovery Institute is proud to be an in-network provider for TRICARE, offering comprehensive addiction and mental health treatment services to military personnel, veterans, and their families. Located in Marlboro, New Jersey, Discovery Institute provides a range of evidence-based treatment programs, including medical detoxification, residential treatment, intensive outpatient programs (IOP), and dual diagnosis care.
While TRICARE provides comprehensive coverage for addiction treatment services at Discovery Institute, there may be out-of-pocket costs such as copayments, cost-shares, and deductibles. Understanding how to manage these expenses is essential to ensure you receive the care you need without financial stress. Discovery Institute’s admissions team is here to assist in navigating these costs, ensuring access to their high-quality treatment services.
TRICARE beneficiaries may encounter the following out-of-pocket costs for services at the Discovery Institute:
- Copayments: A fixed amount you pay for a covered health care service or prescription drug.
- Cost-Shares: The percentage of the total cost of a covered service that you are responsible for after meeting your deductible.
- Deductibles: The amount you pay for covered health care services before TRICARE begins to pay for treatment.
These costs can vary depending on your specific TRICARE plan and treatment program. It’s important to review your plan details or consult with the Discovery Institute’s admissions team for a breakdown of your potential out-of-pocket costs.
Discovery Institute provides several helpful resources to help manage and pay for costs not covered by TRICARE:
- Insurance Verification: Discovery Institute works closely with TRICARE to verify your coverage and ensure you’re maximizing your benefits, reducing out-of-pocket expenses as much as possible.
- Payment Plans: For services not covered by TRICARE, Discovery Institute offers flexible payment plans to help spread out the cost of treatment.
- Credit or Debit Cards: Discovery Institute accepts credit and debit card payments for treatment costs, making it easy to manage expenses.
- Financing Options: If you need assistance covering treatment costs, Discovery Institute can help you explore third-party financing options that offer manageable monthly payments.
Discovery Institute understands that managing treatment costs can be challenging, which is why they offer financial counseling services to assist you in creating a plan that fits your budget. Our team is available to discuss options for paying out-of-pocket costs, including sliding scale fees and payment plans tailored to your financial situation.
Discovery Institute Accepts TRICARE Insurance
If you or a loved one is struggling with addiction or mental health issues, Discovery Institute is here to help. As an in-network provider for TRICARE, Discovery Institute ensures that military personnel, veterans, and their families have access to high-quality, comprehensive treatment services. With a range of evidence-based programs, including medical detoxification, residential treatment, and outpatient services, Discovery Institute offers the care and support you need to overcome addiction and reclaim your life.
By accepting TRICARE insurance, Discovery Institute makes it easier for eligible beneficiaries to receive the care they need without worrying about financial burdens. With the assistance of their admissions team, you can navigate the insurance process, verify benefits, and explore flexible payment options for any out-of-pocket costs.
Don’t wait to start your recovery journey. Contact us today and get started on the path to long-term healing.
Get Help Now
Looking for addiction help for yourself or a loved one? Our professionally trained admissions coordinators are always available to assist you with any questions you might have.
Make a Referral
For professional client referrals, please call our helpline and ask to be directed to the outreach team. You can also submit a contact form below to schedule a call with us.
Schedule a Tour
If you are an addiction professional interested in our services, we would love to arrange a tour of our treatment facility with you.
Dr. Michael DeShields, MD, ASAM, DABAM, is a distinguished Medical Director with nearly 40 years of expertise in addiction medicine. A diplomate of the American Board of Addiction Medicine and the American Society of Addiction Medicine since 1996, he is renowned for his leadership and commitment to evidence-based, patient-centered care. Dr. DeShields earned his medical degree from Temple University School of Medicine and completed his training at Cooper University Medical Center, where he cultivated his passion for addiction treatment. His dedication and innovation continue to shape the field, guiding clinical teams and supporting patients on their recovery journey.
