TRICARE Coverage for Drug and Alcohol Rehab in Virginia
TRICARE includes coverage for medically necessary drug and alcohol addiction treatment. Your benefits and requirements depend on your plan, beneficiary status, and the services recommended for you.
Virginia Recovery Centers can review your TRICARE information and help determine whether treatment at VRC is available under your benefits.
What Is TRICARE?
TRICARE provides health coverage for eligible service members, retirees, and family members.
Virginia is in the TRICARE East Region, administered by Humana Military. Members can contact Humana Military at 800-444-5445 for plan and coverage information.
Does TRICARE Cover Rehab?
TRICARE covers qualifying, medically necessary substance use disorder services, which may include:
- Withdrawal management and detoxification
- Inpatient substance use disorder treatment
- Partial hospitalization programs
- Intensive outpatient programs
- Medication-assisted treatment
- Opioid treatment programs
- Individual and group therapy
Coverage depends on the service, clinical criteria, provider eligibility, and any required referral or authorization.
Our admissions team can help review the requirements that apply to treatment at VRC.
TRICARE Plans
Plan | Who it may cover |
TRICARE Prime | Eligible active duty members, family members, retirees, and other qualifying beneficiaries |
TRICARE Select | Eligible family members, retirees, and other qualifying beneficiaries |
TRICARE Reserve Select and TRICARE Retired Reserve | Qualifying Selected Reserve members, retired reservists, and eligible family members |
TRICARE Young Adult | Qualifying unmarried adult children age 21 but under 26, subject to additional eligibility requirements |
TRICARE For Life | Eligible TRICARE beneficiaries with Medicare Part A and Part B |
Each plan has different rules. Tell our team which plan you have so we can review the appropriate benefits.
Levels of Care, Explained
The following descriptions explain treatment settings. They do not establish coverage for a particular service or mean every service is provided on site at VRC.
Do You Need a Referral or Approval?
Requirements depend on your TRICARE plan, beneficiary status, treatment setting, and requested service.
Active duty service members: Nonemergency civilian mental health and substance use disorder care generally requires a referral and authorization. Start with your primary care manager or military treatment facility.
Other beneficiaries: Referral and authorization requirements vary. Check the rules for your specific service before beginning treatment.
Emergency care: Prior authorization is not required for emergency care. Follow TRICARE’s notification requirements if admitted to a hospital.
The treating provider must meet TRICARE’s eligibility requirements. Being TRICARE-authorized and being in network are different statuses, and both can affect your treatment arrangements and costs.
Need Help Understanding the Requirements?
Our admissions team can help review your benefits and coordinate next steps with the appropriate provider or regional contractor.
What Will It Cost?
Costs depend on your plan, beneficiary category, provider status, and treatment.
Some members may have deductibles, copays, or cost-shares. TRICARE also has annual catastrophic caps that apply according to the member’s coverage category.
TRICARE For Life coordinates with Medicare, and payment depends on which programs cover the service and their coordination rules.
Our team can review your benefits and explain estimated costs before treatment begins. Verification does not guarantee authorization or payment.
How to Use TRICARE for Rehab: 4 Simple Steps
1
Contact Our Admissions Team
Call (804) 465-7953 or complete our insurance verification form. Have your TRICARE plan and member information available.
2
Check Referral and Authorization Requirements
Our team can help identify the steps required under your plan. Active duty members may need to begin with their primary care manager or military clinic.
3
Complete a Clinical Assessment
An assessment helps determine the appropriate level of treatment for your needs.
4
Plan Your Start Date
Once eligibility, treatment arrangements, and required approvals are addressed, our team can discuss your first day and practical needs.
If a service is denied, review the decision and appeal instructions. Humana Military can explain the applicable process.
TRICARE and VA Health Care Are Different
TRICARE and Department of Veterans Affairs health care are separate programs with different eligibility and payment rules.
Having VA benefits does not automatically mean you have TRICARE. Some eligible people have access to both.
Tell our admissions team which coverage you have so we can review the appropriate options.
Support for Military Families at Virginia Recovery Centers
Virginia Recovery Centers is located at 8510 Bell Creek Road in Mechanicsville, near Richmond.
We welcome inquiries from eligible military family members, retirees, and other TRICARE beneficiaries. Treatment options at VRC may include:
- Partial hospitalization and intensive outpatient programs
- Medication-assisted treatment
- Trauma-informed therapy
- Case management
- Recovery planning and family support
If you need detox or a more intensive setting before outpatient care, our team can help you explore an appropriate starting point. Benefits must be verified for the recommended services and provider.
Frequently Asked Questions About TRICARE Rehab Coverage
Does TRICARE cover rehab in Virginia?
TRICARE covers qualifying substance use disorder treatment in Virginia. Coverage depends on medical necessity, provider eligibility, and your plan’s requirements.
Who administers TRICARE in Virginia?
Virginia is in the TRICARE East Region, administered by Humana Military.
Does TRICARE cover Suboxone or other medication-assisted treatment?
TRICARE includes medication-assisted treatment benefits. Coverage for a specific medication or service depends on prescribing requirements, pharmacy benefits, and applicable authorization rules.
Does TRICARE cover IOP?
TRICARE includes intensive outpatient treatment benefits when coverage criteria are met. Our team can help check the requirements for your plan and provider.
Can my spouse or child use TRICARE for rehab?
Eligible family members may have addiction treatment benefits. Eligibility and coverage should be checked for the person seeking care.
Is TRICARE the same as VA benefits?
No. TRICARE and VA health care are separate programs. Tell our team which coverage you have so we can check the correct benefits.
Find Out How to Use Your TRICARE Benefits
Call (804) 465-7953 or complete our insurance verification form to discuss coverage and treatment options.
Veterans and service members in crisis can call 988 and press 1 to reach the Veterans Crisis Line.