Does TRICARE Cover Drug & Alcohol Detox? Yes- Here’s How to Use It at Sunrise
Verify your insurance coverage for drug and alcohol detox.
Does TRICARE cover drug detox? Yes. TRICARE generally covers medically supervised detox at Sunrise as required under the Affordable Care Act (ACA) mental health parity rules. We are also an in-network provider and work closely with TRICARE to ensure you get the care you need.
You don’t have to navigate this process on your own. Take the first step toward recovery today and reach out to our admissions team. At Sunrise Detox, our team of highly qualified addiction professionals is here to offer around-the-clock support to ensure the detox process is as safe and comfortable as possible.
We proudly offer a dedicated veterans program that addresses the specific challenges veterans face in recovery. Our integrated treatment approach focuses not only on your addiction but also on any co-occurring conditions, such as Post-traumatic Stress Disorder (PTSD), anxiety, depression, and service-related traumas.
What TRICARE Typically Covers for Detox
Depending on your specific benefits plan, TRICARE covers a range of substance use disorder treatments, including:
- Medically supervised inpatient detox
- 24/7 nursing care
- Withdrawal management
- Therapy during your stay
- Aftercare planning
In-Network vs. Out-of-Network: What It Means for Your Costs
Understanding insurance terms like deductibles, co-pays, and prior authorization can feel confusing and overwhelming, especially when you are trying to focus on getting help. At Sunrise, we help simplify the process by handling the insurance verification, obtaining prior authorization, and working directly with TRICARE, ensuring you get the help you need.
A deductible is a set amount you pay out of pocket before your insurance begins to cover your services. Depending on your specific benefits plan, this is for hospitalization, surgeries, and procedures, not for routine preventive care. If your plan has a $5,000 deductible per year, you will be responsible for paying the first $5,000 of medical costs before TRICARE pays.
Co-pays are fees that the insured pays out-of-pocket for covered services, including routine or preventative care. Depending on your specific benefit plan, you may also pay co-pays for certain medications. These fees do not typically apply toward your yearly deductible. If you have a co-pay of $25.00 for doctor visits, this fee is paid directly to the provider at the time of service.
Prior authorization refers to permission, based on medical necessity, from TRICARE before they will cover certain services, such as inpatient stays, surgeries, procedures, and some medications.
How to Verify Your TRICARE Benefits in 3 Steps
Verifying your benefits lets you know ahead of time which services are covered and at what level. Our team is here to help.
Step 1: Call Sunrise. Our admissions team can assist with insurance and benefits verification and help you understand the cost of care. This way, there are no surprise out-of-pocket expenses for you to worry about when you complete your TRICARE substance use disorder treatment.
Step 2: Have your TRICARE ID and member number when you call. A member of our admissions team will take down the information, contact TRICARE, and begin the admissions process.
Step 3: Get a same-day answer. We know that waiting for insurance information can increase your stress during an already difficult time. At Sunrise, a member of our team will contact TRICARE directly and reach out to you the same day to review your TRICARE alcohol detox coverage, explain your benefits, and discuss any potential out-of-pocket costs.
What Does Detox at Sunrise Look Like?
Our team of highly qualified addiction professionals uses an evidence-based approach that includes around-the-clock supervised withdrawal management to help make your detox as safe and easy as possible.
We know that being away from home can be difficult. Our facility offers a clean and welcoming environment with private rooms, modern common areas, and chef-prepared meals to help you feel comfortable while you stabilize and prepare for the next step in your recovery. We also offer specialized tracks for certain populations, including our TRICARE detox center for veterans.
FAQ
If you’re wondering, “Does TRICARE pay for inpatient detox?” The answer is yes, TRICARE covers medically necessary treatment, including detox for active duty, retired military, and covered dependents. Sunrise is considered an in-network provider with TRICARE, which may help to reduce your overall out-of-pocket costs.
That depends on which TRICARE plan you are enrolled in. TRICARE Select (PPO-like) generally does not require a referral. However, TRICARE Prime may require a referral from your primary care manager. We will contact TRICARE for you and verify what is needed for you to begin your treatment at Sunrise.
Yes. Sunrise has a dedicated veterans program and staff experienced in the specific challenges veterans face in recovery, including Post-traumatic Stress Disorder (PTSD) and service-related trauma.
This will depend on which TRICARE plan you are enrolled in. TRICARE cost-shares vary by plan and whether the facility is in network. We can walk through your specific cost on the verification call.