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Is Inpatient Rehab Covered by TRICARE?

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Seeking help for addiction and mental health issues is important. For many people, inpatient rehab is the best option for achieving sustainable recovery. However, people often wonder how they will pay for it. The unfortunate reality is that price often becomes a barrier to getting necessary help. At Pacific Sands Recovery Center, we are proud to work with TRICARE insurance, which makes inpatient drug rehab affordable for military professionals.

Many TRICARE plans are available and the type of plans someone is eligible for will depend on many factors. Specific plans are only available to active military, while others are specifically targeted to retired military or veterans. Regardless of the specific plan, TRICARE generally covers drug and alcohol treatment, including inpatient programs.

Inpatient Rehab

On the continuum of care, inpatient treatment offers some of the best structure and support. According to Substance Abuse: Clinical Issues in Intensive Outpatient Treatment, inpatient services can vary in the level of structure and support. Furthermore, effective treatment is unique to each individual. This includes the length of time in inpatient rehab and the type of therapies provided.

Regardless of the specifics of the treatment program, clients in inpatient rehabilitation live at the facility. This means that they are surrounded by peers with similar challenges and their days are structured to maximize treatment needs. Through inpatient rehab, a person can step out of their daily life and away from triggers, giving themselves a clean slate to heal and stabilize.

Addiction and Military Service

For professionals who are active in the military, reserves, or National Guard, as well as retired military members and veterans, addiction is common. The National Institute on Drug Abuse (NIDA) explains that the rate of substance abuse is slightly higher in military veterans when compared to the general public. It is thought that the stress of training, deployments, moving, and military culture might all play a role in this provenance. As a result, many professionals in the military as well as veterans are in need of help. These service members and former service members need support in learning how to cope without the use of drugs or alcohol.

What is TRICARE?

TRICARE is a healthcare initiative that offers healthcare for many individuals including:

  • Active military members and their families
  • Members in the reserves of any branch
  • National Guard members
  • Retired military members and their families
  • Medal of Honor recipients and families
  • Dependent parents and in-law parents
  • Foreign force members and families

Eligibility for TRICARE depends on military service. Due to the wide array of coverage, TRICARE offers many different plans. A person’s plan will depend on the type of plans they are eligible for, their location, and other factors. If someone is uncertain whether they are eligible for TRICARE, they should contact the company to learn more about what programs might be available to them and their loved ones. Additionally, TriWest is available for military veterans. Generally, TRICARE and TriWest offer coverage for physical health as well as mental health.

Using TRICARE for Inpatient Rehab in Orange County

If you are active in the military or a veteran struggling with addiction, inpatient rehab could be a good option for you. However, paying for treatment is often a barrier to getting the necessary help. Fortunately, TRICARE does cover inpatient rehab in Orange County, California. This includes both emergency and non-emergency inpatient services and programs.

Through TRICARE, military members, veterans, and their families can receive many different types of evidence-based treatments for both mental health and addiction. However, treatments that are not shown to be effective are generally not covered by the plan. This means that newer therapeutic modalities may not be an option when using TRICARE. However, the best treatment is one that works for the person. Therefore, at Pacific Sands Recovery Center we work with clients to create a plan that works for them financially and helps them to heal.

Common Inpatient Treatments

Inpatient treatment generally includes multiple parts. These include detox, medication-assisted treatment (MAT), and counseling. Treatment must include all of these aspects, as addiction is complex and multifaceted. Through detox and MAT, people can heal from physical dependence. By working with a counselor, they then learn new coping skills, work through trauma, and learn how to build a life without addiction.

Fortunately, most TRICARE plans cover all aspects of inpatient care. Therefore, by finding a treatment center that is in-network with someone’s plan, they can enter an inpatient facility and get the in-depth and effective help they need.

Does TRICARE Cover Inpatient Care Out-of-Network?

Just like any insurance, certain treatment centers, medical professionals, and mental health professionals are in TRICARE’s network while others are not. While each TRICARE plan will vary, working with a treatment center that is out of network will generally be more expensive. This is due to the need to pay for a portion of treatment out of pocket. Overall TRICARE’s coverage of rehab is less than many other medical or mental health plans. Therefore, it’s good to be aware that the out-of-pocket cost is often fairly high when going to a treatment facility that is out-of-network.

Inpatient rehab programs can be enormously beneficial for clients, helping them to heal in an environment free from triggers and structured with support. However, figuring out how to pay for treatment can be stressful. For working professionals who are active in the military or military veterans, TRICARE can help. TRICARE covers inpatient rehab in Orange County, California. At Pacific Sands Recovery Center, we are committed to helping our clients heal from addiction. This includes helping military professionals figure out the best rehab plan that works with their TRICARE plan. To learn more about our programs and to speak to a staff member about how we can help you, call (949) 426-7962 today. 


  • I would just like to share how Grateful I am with my experience through my addiction at this facility. I couldn’t possibly ask to be in such a “SAFE/COMFORTABLE” environment while receiving treatment for my addiction. I would just like to say Thank you sooo much to ALL the staff there from the Nurse’s to counselors and therapist all of you are a True Blessing in helping me through my journey of sobriety. I couldn’t feel more comfortable there on how they monitored my physical health and on dealing with my emotional health with there therapy sessions and groups I truly see them ALL as Family!

    Andrew N.
  • As a professional in the recovery field I have worked with many detox centers and none compare to The this one. Their staff is incredibly attentive and knowledgable regarding the needs of individuals seeking recovery from the very start. Their facility is welcoming and homey while remaining very luxe. I would recommend this facility to any loved one or friend looking to start down their journey of sobriety.

  • This place helped saved my life, and a great stepping stone to get my life on the right track. Was there first client under new management, caring staff and owners, comfortable place to get you on your feet in sobriety.

  • Great Staff. Comfortable Environment. Awesome place to Get Clean and Sober. Thank you guys for everything.


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