Does TRICARE Cover Rehab?
Often, yes. Here’s how to check yours.
TRICARE may cover substance use treatment when it’s medically necessary, including detox, inpatient and residential care, partial hospitalization (PHP), intensive outpatient programs (IOP) and medication-assisted treatment (MAT). What your plan pays depends on your plan, your sponsor status and the care your clinical assessment supports.
Recover Now is a network of treatment facilities across the Southeast, and most of them accept TRICARE. One call to admissions gets you a free, confidential benefits check and a clear next step.
Have questions? Just reach out.
Admissions answers 24/7 and can check your TRICARE benefits for free, in confidence.
- Admissions answers 24/7
- Free, confidential benefits checks
- Detox to outpatient care
- A dedicated veterans track
Key Takeaways
- TRICARE may cover detox, inpatient and residential care, PHP, IOP, outpatient therapy and MAT when it’s medically necessary.
- Prior authorization is generally required for non-emergency inpatient and residential admissions. Rules for PHP and IOP vary by region and beneficiary type.
- Active duty service members need a referral and prior authorization for mental health and substance use care outside a military hospital or clinic, except emergency inpatient care.
- Most Recover Now facilities accept TRICARE. Lotus Wellness, the Eating Disorder Treatment Center of Louisiana and Recover Now Central Alabama don’t.
- Free, confidential benefits checks, 24/7. Call (205) 533-6509 and admissions requests prior authorization for you.
What TRICARE May Cover for Addiction Treatment
TRICARE lists these substance use disorder services as ones it may cover when they’re medically necessary and proven, according to TRICARE’s substance use disorder treatment coverage page.
- Inpatient services, emergency and non-emergency
- Detox for withdrawal management
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Mental health therapy services
- Medication-assisted treatment, including office-based opioid treatment and opioid treatment programs
TRICARE doesn’t cover aversion therapy or unproven treatments. Sober living isn’t on TRICARE’s list of covered substance use services, so ask admissions about housing options before you plan around it.
Levels of Care in the Recover Now Network
Levels of care differ by facility, so the right starting point depends on your assessment, not the nearest address.
| Level of care | Where it’s offered | What a week looks like |
|---|---|---|
| Medical detox | Green Acres Wellness, Recover Now Greater Atlanta, Tides Edge Recovery, Longbranch Recovery (Abita Springs) | Set by your clinical team |
| Residential treatment | Green Acres Wellness, Recover Now Greater Atlanta, Tides Edge Recovery, Longbranch Recovery (Abita Springs) | About 8 hours of programming a day, 7 days a week |
| Partial hospitalization (PHP) | Grace Land Recovery, Chattanooga Recovery Center | 5 hours a day, 5 or 6 days a week |
| Intensive outpatient (IOP) | Grace Land Recovery, Chattanooga Recovery Center, Longbranch Recovery (Covington) | 3 hours a day, 3 to 6 days a week, with evening options at Grace Land and Chattanooga |
| Outpatient care | Grace Land Recovery | Set by your treatment plan |
| Medication-assisted treatment | Can be part of a treatment plan when clinically appropriate | Set by your clinical team |
Co-occurring mental health care is part of treatment across the network. See dual diagnosis treatment.
How TRICARE Coverage Works
Your plan and sponsor status shape the rules
Coverage and cost depend on whether you’re on TRICARE Prime or TRICARE Select, whether the sponsor is active duty or retired, and whether you’re the sponsor or a family member.
TRICARE Prime generally routes care through a primary care manager (PCM). TRICARE Select gives you more choice of TRICARE-authorized providers, usually with higher cost shares. Your benefits check confirms what applies to you.
When prior authorization comes in
- Inpatient and residential care: non-emergency admissions generally need a referral and prior authorization. Emergency admissions don’t need it up front, but the regional contractor has to be notified soon after admission.
- PHP and IOP: requirements differ by TRICARE region and plan, so admissions confirms them during your benefits check.
- Outpatient therapy: most beneficiaries don’t need a referral or authorization to see a TRICARE network provider. Active duty service members do.
- Active duty service members: a PCM referral and prior authorization are needed for mental health and substance use care outside a military hospital or clinic, except emergency inpatient care.
Our admissions team contacts TRICARE and requests prior authorization for you, so you don’t have to manage the paperwork alone. Approval isn’t guaranteed and depends on the clinical documentation.
Medication-assisted treatment
TRICARE covers MAT through office-based opioid treatment and through opioid treatment programs, and its medication-assisted treatment coverage page says no pre-authorization is needed in either setting. Some medications outside the TRICARE formulary may still need pharmacy approval. Methadone for opioid use disorder is dispensed only through federally certified opioid treatment programs.
If TRICARE denies coverage
A denial isn’t always the final word. Your denial letter explains why and how to appeal, including the deadline. Ask for the reason in writing, then work with the treating facility to send any missing clinical records. Our admissions team can walk you through the next step.
How to Check Your TRICARE Coverage
Three steps, and the benefits check and phone assessment are free.
Gather your details
- The sponsor’s name and the beneficiary’s relationship to the sponsor
- The beneficiary’s date of birth
- Your TRICARE plan name and the DoD Benefits Number from the military ID card
- The kind of care you’re looking for, if you know it
Make sure the beneficiary’s DEERS (Defense Enrollment Eligibility Reporting System) record is current. TRICARE eligibility runs through DEERS.
Ask us to check your benefits
Call (205) 533-6509 any time, or submit the secure verification form. Admissions usually follows up within five minutes of a form submission.
Checking benefits for a spouse, child or parent? Admissions can check benefits on their behalf.
Assessment, authorization and admission
A complimentary phone assessment helps the clinical team recommend a level of care and a facility. If TRICARE requires prior authorization, admissions requests it for you, then schedules your admission or start date.
Recover Now Facilities That Accept TRICARE
TRICARE is accepted at these facilities in the Recover Now network. Each facility page lists its own programs and credentials.
Grace Land Recovery
134 Timber Creek Drive,
Cordova 38018
Outpatient-focused, serving greater Memphis: PHP, IOP, evening IOP, standard outpatient and aftercare.
Website for Grace Land Recovery
Learn More about Grace Land Recovery View Map for Grace Land Recovery
Chattanooga Recovery Center
13 W Kent St,
Chattanooga 37405
Outpatient care in Chattanooga: PHP and IOP, with supportive housing staffed by 24-hour behavioral health technicians.
Website for Chattanooga Recovery Center
Learn More about Chattanooga Recovery Center View Map for Chattanooga Recovery Center
Green Acres Wellness
15320 Co Rd 129,
Alapaha 31622
Medical detox and residential treatment on a rural south Georgia campus.
Website for Green Acres Wellness
Learn More about Green Acres Wellness View Map for Green Acres Wellness
Recover Now Greater Atlanta
155 Greensboro Rd,
Eatonton 31024
Medical detox and residential treatment serving greater Atlanta.
Website for Recover Now Greater Atlanta
Learn More about Recover Now Greater Atlanta View Map for Recover Now Greater Atlanta
Tides Edge Recovery
1597 The Greens Way,
Jacksonville Beach 32250
Medical detox and residential treatment serving northeast Florida.
Website for Tides Edge Recovery
Learn More about Tides Edge Recovery View Map for Tides Edge Recovery
Longbranch Recovery, Abita Springs
21516 LA-36,
Abita Springs 70420
Detox and residential care serving the New Orleans north shore.
Website for Longbranch Recovery, Abita Springs
Learn More about Longbranch Recovery, Abita Springs View Map for Longbranch Recovery, Abita Springs
Longbranch Recovery, Covington IOP
201 Holiday Blvd #400,
Covington 70433
Intensive outpatient programming in Covington.
Website for Longbranch Recovery, Covington IOP
Learn More about Longbranch Recovery, Covington IOP View Map for Longbranch Recovery, Covington IOP
Longbranch Recovery, Metairie
2329 Edenborn Ave,
Metairie 70001
Intensive outpatient programming serving greater New Orleans.
Website for Longbranch Recovery, Metairie
Learn More about Longbranch Recovery, Metairie View Map for Longbranch Recovery, Metairie
Longbranch Recovery, NORA Covington
80431 Ogden Road,
Covington 70435
NORA veteran sober-living house in Covington.
Learn More about Longbranch Recovery, NORA Covington View Map for Longbranch Recovery, NORA Covington
TRICARE isn’t accepted at Lotus Wellness, the Eating Disorder Treatment Center of Louisiana or Recover Now Central Alabama.
Veterans and Military Families
The Recover Now network has a dedicated veterans track. VA benefits are accepted at Longbranch Recovery and Tides Edge Recovery, and Longbranch runs NORA veteran sober-living houses in Covington, Louisiana. Admissions can help you sort out whether TRICARE or VA benefits fit your situation.
Don’t see your situation here? We can still help. Call (205) 533-6509 and admissions will talk through your options, including private pay.
Why Families Call Recover Now
One confidential entry point
One call connects you to facilities across the Southeast, from medical detox to outpatient care, so you don’t have to research each one alone.
Admissions answers 24/7
Nights, weekends and holidays, a real person picks up at (205) 533-6509.
Care that can change with you
When treatment needs shift, admissions can help you move between levels of care within the network.
Frequently Asked Questions
Does TRICARE cover rehab?
TRICARE may cover rehab when it’s medically necessary, including detox, inpatient and residential care, PHP, IOP, outpatient therapy and medication-assisted treatment. Your plan, sponsor status and clinical assessment decide what’s approved.
Does TRICARE require prior authorization for rehab?
Usually for non-emergency inpatient and residential admissions. PHP and IOP rules vary by region and plan, and active duty service members need a referral and authorization for most care outside a military hospital or clinic. Admissions requests prior authorization for you.
Does TRICARE cover medication-assisted treatment?
Yes. TRICARE covers MAT through office-based opioid treatment and opioid treatment programs without pre-authorization, though some non-formulary medications may need pharmacy approval.
How much will I pay out of pocket?
It depends on your TRICARE plan, sponsor status and the care you receive. A free benefits check shows what your plan covers before you commit.
Does TRICARE cover sober living?
Sober living isn’t on TRICARE’s list of covered substance use services. Admissions can talk through housing options, including the NORA veteran sober-living houses at Longbranch.
Can I use VA benefits instead of TRICARE?
VA benefits are accepted at Longbranch Recovery and Tides Edge Recovery. Admissions can help you work out which benefit fits your situation.
Does TRICARE cover treatment for co-occurring mental health conditions?
Yes, TRICARE covers mental health therapy alongside substance use treatment when it’s medically necessary. Co-occurring care is part of treatment across the Recover Now network.
What if TRICARE denies my claim?
Ask for the reason in writing and follow the appeal steps in your denial letter, including the deadline. The treating facility can send missing clinical records, and admissions can help with next steps.
Accreditation
Joint Commission accreditation is held facility by facility, under each facility’s own certificate. Recover Now is LegitScript certified. Each facility page lists its own accreditation and state licensure.
Start Your TRICARE Benefits Check
Don’t wait for tomorrow. A free, confidential benefits check tells you what your plan covers, with no obligation.
Learn more about addiction treatment, mental health treatment and how insurance works with Recover Now.
This content is for informational purposes only and isn’t a substitute for professional medical advice. If you’re in crisis, call or text 988 (Suicide & Crisis Lifeline).