TRICARE Insurance Coverage for Addiction Care

Veterans who are struggling with addiction or a substance use disorder can find coverage through TriWest Insurance. Dedicated to working with the Department of Defense and the Department of Veterans Affairs, TriWest Healthcare provides military families and veterans access to high-quality care. Serving the western portion of the United States, such as Texas, Arizona, and California, allows TriWest Healthcare to reach a wide range of active or retired veterans. 

However, like all healthcare coverage, it’s important to be aware of what is covered, what policy to choose, and how this affects your needs as a patient. It’s important to work closely with your primary care physician and treatment center to be aware of what is covered in your insurance policy. 

What Is TriWest Insurance, and Who Is Eligible?

As TriWest Insurance works with veteran services and government departments, they only accept veterans and their beneficiaries. 

TriWest Insurance: Built for Veterans and Their Loved Ones

By working with the VA Community Care Network, TriWest Insurance ensures the accessibility of quality and timely care for veterans. This care network provides healthcare services and assists veterans in finding the care they need. People who are eligible for coverage through TriWest Healthcare are: 

• Service members and their families (active duty or retired)
• National Guard and Reserve members and their families (active duty or retired)
• Medal of Honor recipients and families
• Foreign Force members and families

TriWest is committed to upholding the Affordable Care Act. As such, they provide coverage for life-saving mental health care and behavioral health services, such as addiction treatment, mental health therapy, and dual diagnosis care. 

Eligibility for TriWest Benefits

Veterans are referred through the Veterans Affairs office to receive community-based care. They must have served in any branch of the United States armed forces, been in the National Guard or Reserves, be a Medal of Honor recipient, or be a Foreign Force member. Family members of eligible veterans are also covered when seeking mental health and addiction treatment services. These beneficiary family members are defined as:

• Children
• Spouses and ex-spouses
• Dependent parents/parents-in-law
• Surviving children and spouse

Financial Information and Support for TriWest Coverage

The cost of coverage under TriWest depends on the insurance policy and health care plan selected. Those interested can browse the plans to see which suits them the best. Co-payment and cost-share responsibilities also vary based on plan and coverage. To get answers, veterans or their beneficiaries can speak to a VA Community Care Network representative or contact TriWest directly. 

Addiction Treatment Services Covered by TriWest Insurance

TriWest Insurance covers evidence-backed and clinical treatments for substance use disorder, substance dependence, and drug addiction. This coverage applies to all drug addictions, including alcohol and prescription drug addiction. Outpatient and residential services are covered as long as they are a medical necessity. 

Detox and Withdrawal Management

Detoxification is essential for substance abuse and addiction recovery. This includes medically supervised care in a hospital or other specialized facility. Every substance is different, and how detox is managed depends on several factors, such as the age of the patient or how long they engaged in drug use. During detox, care is taken to manage the symptoms of withdrawal safely. It’s not always needed, but some patients may need medication-assisted detox. TriWest Healthcare covers medication-assisted treatment but only for opioid use disorder.

As each patient is unique, personalized plans are needed to ensure safety during detox and withdrawal management. Patients can expect to have their medical needs upheld during the process and are made as comfortable as possible. Once detox is complete, it’s time to begin a rehab plan. 

Residential Inpatient Treatment

Health insurance through TriWest Healthcare usually covers residential treatment with some exceptions. Residential treatment programs are immersive, structured programs designed for long-term recovery. They don’t just offer evidence-based therapies and holistic care — they provide a place for patients to recover away from the stress and triggers of everyday life. These programs range in duration from a few weeks to months. Patients completing residential treatment typically transition to outpatient treatment programs. 

Outpatient Treatment Options

These programs are also covered under TriWest Healthcare, provided they utilize evidence-based and clinical treatments. Outpatient treatment programs are generally preferred because they are flexible and help veterans transition back to daily life quickly. Patients go into a treatment center or clinic for treatment and then return home or to work or school once finished for the day. 

Intensive outpatient programs (IOPs) offer care for those requiring additional support, such as those still struggling with drug cravings or those needing help navigating daily life. IOPs provide a safety net that allows veterans to return to life at their own pace. 

Dual Diagnosis and Mental Health Services

Having an addiction or substance use disorder is difficult, but having a co-occurring addiction can make recovery more challenging. This is known as a dual diagnosis, and recovery can only occur when treating both mental health disorders at the same time. Common co-occurring disorders include post-traumatic stress disorder (PTSD), depression, and anxiety. Veterans are especially prone to trauma-based disorders from sources such as active duty or military sexual trauma. These conditions can result in drug abuse as a way to cope with pain and trauma.

Treating a dual diagnosis requires an individualized treatment plan. The best is a mix of holistic and clinical therapies, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), art therapy, neurofeedback, and suicide prevention.

How TriWest Insurance Simplifies Access to Treatment

The Affordable Care Act ensures that every insurance policy covers mental and behavioral health care. TriWest Healthcare makes it easy to access critical care by working closely with the patient’s primary care physician and VA Community Care Network. 

Coverage for Comprehensive Care

TriWest Insurance covers the therapies needed for a comprehensive care experience. This includes detoxification, inpatient, outpatient, and aftercare programs to keep veterans and their loved ones in recovery.

TriWest covers evidence-based therapies and holistic approaches, including psychotherapy, art therapy, occupational therapy, and psychological testing and assessment.

Affordable Addiction Treatment

To ensure that veterans and their loved ones can get the treatment needed, out-of-pocket expenses are reduced with TriWest-approved programs. Patients have access to assistance with navigating insurance claims and authorization, ensuring swift treatment and care.

Personalized Care for Veterans With TriWest Insurance

One-size-fits-all care never works for serious conditions such as drug addiction or substance abuse. An individualized approach is needed to ensure optimal care and recovery success. 

Custom Treatment Plans for Every Individual

Each patient is assessed to identify personal goals and challenges that must be met to achieve recovery. This involves close collaboration with mental health care professionals to ensure the best recovery outcomes for every patient. 

Holistic Healing to Support Long-Term Recovery

Mindfulness practices, fitness programs, and nutritional guidance are all holistic ways to manage drug addiction treatment and recovery. Holistic therapies work to build mental resilience and foster emotional well-being in patients to prevent relapse and ensure continued recovery. To learn if a holistic treatment method is covered under TriWest insurance, speak with your primary care physician or insurance provider. 

Family Involvement in Addiction Recovery

Having a supportive family can make a tremendous difference in the life of a recovering veteran. That’s why Stairway Resource Center works to include families in the addiction treatment process. 

The Role of Family in Supporting Veterans

Families are important to the recovery process as they provide support during a difficult and often frightening time. They can also help patients find the strength they need to overcome any challenge. Stairway Resource Center believes strongly in the power of families and thus provides therapies designed to strengthen familial bonds through open communication and education. Family counseling sessions are utilized to address shared challenges and foster mutual healing and understanding.

Resources and Education for Loved Ones

Workshops and support groups at Stairway Resource Center empower families in the recovery process, allowing them to also care for their own mental health needs. These services provide tools for creating a supportive home environment for not just recovery but for a more cohesive and understanding family unit. 

Care at Stairway Resource Center With TriWest Coverage

TriWest Healthcare and Stairway Resource Center work together to provide quality and comprehensive addiction and substance use disorder treatment for veterans. By addressing the unique needs and challenges veterans face, better care can be applied to all manners of mental health care needs. 

Expertise in Veteran-Centered Addiction Treatment

With specialized programs tailored to the needs of veterans, the recovery process is notably faster and more comfortable. Addressing PTSD and co-occurring disorders with trauma-informed care ensures healing without re-traumatizing the patient. 

A Safe and Supportive Healing Environment

Located in beautiful Woodland Hills, California, Stairway Resource Center offers serene surroundings for recovery. With an emphasis on holistic and evidence-based approaches to healing, patients get customized comprehensive care to address any need or difficulty. 

Comprehensive Support for Veterans and Their Families

The families of veterans deserve care as well, so Stairway Resource Center offers inclusive care that extends to loved ones through family therapy and educational resources.

How Stairway Resource Center Supports You Beyond Treatment

Care doesn’t stop because a patient completed treatment. To ensure continuous growth and recovery, Stairway Resource Center offers aftercare services. 

Continued Care Through Aftercare Programs

Our aftercare program provides essential services for continued recovery, such as ongoing therapy options, relapse prevention, access to alumni support groups, and establishing peer networks.

Lifelong Connections in a Community That Cares

You don’t just get treatment at Stairway Resource Center; you become part of a wider community that celebrates your milestones and progress in recovery. By relationships with others who share similar experiences, you can see that you are never truly alone. 

Take the First Step With TriWest Insurance Today

Contact Stairway Resource Center to verify your TriWest insurance benefits and enroll in a personalized addiction treatment program. Let us help you build a brighter future.

FAQs About TriWest Insurance Coverage for Substance Abuse Recovery Care in California

Does Stairway Resource Center accept TriWest insurance for addiction treatment?

Yes, Stairway Resource Center accepts TriWest insurance.

What types of addiction treatment does TriWest insurance cover?

TriWest insurance covers several necessary treatments for drug rehab and recovery. These treatments include: 

• Detoxification 
• Substance use disorder treatment 
• Intensive outpatient program (IOP)
• Mental health therapeutic services 
• Medication-assisted treatment for opioid use disorder
• Residential substance use disorder treatment 
• Partial hospitalization (psychiatric and substance use disorder) 

Note that to be covered, these treatments must be proven to be a medical necessity for the individual patient.

How can I verify my TriWest insurance benefits?

You can verify your TriWest insurance benefits at Stairway Resource Center by calling or contacting us through our web form. For questions related to TriWest insurance, you can call a TriWest customer service representative or utilize the self-service beneficiary portal if you are already enrolled. 

Does TriWest cover family counseling and therapy?

TriWest only covers therapies that are proven to be a medical necessity for the treatment of a mental health or substance use disorder. As a result, family counseling and therapy are usually not covered unless they meet the criteria above. It’s important to verify with both Stairway Resource Center and TriWest insurance if you are considering family counseling and therapy as part of your treatment program. 

What makes Stairway Resource Center a great choice for veterans?

Stairway Resource Center provides quality, compassionate, and evidence-based addiction treatment for veterans. We are specially equipped to treat mental health issues specific to the United States armed forces, such as:

• Military sexual trauma 
• Chronic pain and injury associated with active duty
• Bipolar disorder
• Alcohol addiction
• Opioid use disorder
• Prescription drug addiction
• Dual diagnosis
• Suicidal ideation 

Stairway Resource Center also works closely with Medicaid and other health insurance to ensure that each veteran gets the mental health care they need and deserve. 

Getting addiction treatment is essential for recovery. To verify your insurance with Stairway Resource Center at Woodland Hills, CA, call (888) 450-2701.