TRICARE, Your Military Health Plan

In This Section:

• Psychological Testing
• Psychotherapy
• Family Therapy
• Acute Inpatient Psychiatric Care
• Partial Hospitalization
• Residential Treatment Center Care
• Telemental Health
• Treatment for Substance Use Disorders
• Detoxification
• Rehabilitation
• Outpatient Group Therapy
• Family Therapy
• Medication Management

Treatment for Substance Use Disorders

A substance use disorder includes alcohol or drug abuse or dependence.

TRICARE may cover:

• Services for the treatment of substance use disorders, including detoxification, rehabilitation, and outpatient group and family therapy.

Limitations/Exclusions:

• TRICARE covers 3 substance use disorder treatment benefit periods in a lifetime (waiver possible in accordance with policy criteria). A benefit period begins with the first date of covered treatment and ends 365 days later, regardless of the total services used during that period. Emergency and inpatient hospital services for detoxification, stabilization and for treatment of medical complications of substance use disorders do not count for purposes of establishing the beginning of a benefit period.
• Emergency and inpatient hospital services are considered medically necessary only when the patient's condition is such that the personnel and facilities of a hospital are required.

Requirements:

• All treatment for substance use disorders requires prior authorization from your regional contractor.

Last Modified:January 25, 2010