Do Drug and Alcohol Rehab Centers in Nashville, TN Take TRICARE Insurance for Veterans and Military Personnel

Tennessee Military and Veteran Addiction and Mental Health Treatment Stats

The U.S. Census Bureau data shows 18 million veterans and 2.1 million active duty and reserve service members. Data shows that 38% of retired military personnel’s medical records indicate they have a common mental health disorder. Disorders with the highest prevalence in veterans is depression, closely followed by alcohol misuse and anxiety.  

Women veterans have a higher rate of common mental health disorders than men. According to the Armed Forces Health Surveillance Division, most of the mental health disorders were attributed to adjustment disorders, such as anxiety or depression. A 2015 survey of active duty personnel asked for information about illicit drug use in the past year and revealed that 1% of enlisted service members and officers across all branches of the military reported use. In veterans with a substance use disorder, 41.9% use drugs, 70.1% use alcohol, and 12% use drugs and alcohol.

Discover Tennessee’s Popular Towns, Cities, and Attractions

Tennessee is characterized by a varied landscape that ranges from the Mississippi River plains on the western edge to the high mountains of the Appalachian range on the Eastern border. Nashville, the state capital, sits in the heart of Middle Tennessee and is renowned for its country music history with landmarks like the Grand Ole Opry and the Country Music Hall of Fame. 

Memphis is along the Mississippi River and is famed for its influence on blues, soul, and rock and roll music. Middle Tennessee does not have large-scale military bases that might be found in other parts of the country, but the installations play critical roles in research, national defense, and the Air National Guard’s operational capabilities. Nashville Air National Guard base is home to the 118th Wing, whose missions include intelligence, surveillance, reconnaissance, and combat communications. 

 Arnold Air Force Base is roughly 65 miles south of Nashville. It hosts the Arnold Engineering Development Complex, which is the most advanced and largest complex of flight simulation test facilities in the world. Tennessee Army National Guard facilities and units are spread throughout middle Tennessee, including training centers and armories. These facilities support the training and operational Readiness of the National Guard units.

TRICARE’s Brands, Products, and Services

TRICARE is a health program that serves military members, veterans, and their families. They offer key plans that provide a comprehensive approach to healthcare including dental programs, prescription programs, and healthcare programs that ensure coverage for the military community’s unique needs. 

• TRICARE Prime: This managed care option offers services in specific geographic areas within the U.S. for active duty personnel within military hospitals and clinics. Enrollment is required and some beneficiaries pay annual fees.
• TRICARE Select: TRICARE Select is a preferred provider organization (PPO) that is self-managed. Military personnel must be eligible in the defense enrollment eligibility reporting system and enrollment is required. Select is open to active duty and veteran service members and their families as well as active Guard and Reserve members.
• TRICARE for Life (TFL): This Medicare wraparound coverage is available to military personnel who are eligible for TRICARE and have Medicare Part A and B, regardless of where they live and their age. Coverage is not available to family members and enrollment is not required.
• TRICARE Reserve Select (TRS): This premium-based health plan is for selected Reserve members who qualify. Enrollment is a two-step process, during which the selected Reserve member must first qualify and then purchase a plan, which is available at any time throughout the year.
• TRICARE Retired Reserve: This plan is an option for retired Reserve members, their families, and survivors. Members must first qualify for enrollment and then purchase a plan anytime throughout the year.
• TRICARE Special Programs: TRICARE offers several special programs for individuals with certain health conditions or populations that have specific concerns. These include cancer clinical trials, autism care, continued care health benefit programs, and extended care health options.

Deductibles & Other Cost Concerns

Active-duty service members—required to enroll in TRICARE Prime—are the only beneficiaries who never have to pay deductibles or out-of-pocket (OOP) costs for services and prescriptions covered by their TRICARE plans. Other TRICARE Prime and Select plan users usually must pay deductibles and additional costs. In addition, other VA benefits can help with rehab costs.

Depending on someone’s beneficiary status and the specific Prime or Select plan they chose, they may have to pay one or more of the following:

• Annual deductibles
• Cost-shares
• Enrollment
• Annual deductibles
• Copayments
• Enrollment fees or premiums

TRICARE maintains a Compare Cost Tool for those needing details regarding TRICARE-covered rehab for veterans.

Will TRICARE Insurance Cover Residential Inpatient Programs for Substance Abuse near Nashville, TN?

Yes, TRICARE insurance for active duty and veterans of the U.S. military covers residential inpatient programs for substance abuse as part of a comprehensive approach to behavioral health. The coverage helps provide beneficiaries with the needed structured treatment environment for substance use disorders and provides coverage for a spectrum of care that includes medical detoxification, stabilization, and intensive therapeutic interventions.  

While the answer to the question, “Does TRICARE cover inpatient rehab?” is generally yes, the extent of that coverage and eligibility depends on the individual’s specific plan and the medical necessity of treatment. TRICARE beneficiaries seeking residential inpatient treatment for substance abuse typically require prior authorization to ensure the program meets TRICARE standards for quality and appropriateness of care. Programs that are included must be part of TRICARE’s network to be approved, which reflects TRICARE’s commitment to supporting beneficiaries and overcoming substance use challenges through accessible, high-quality treatment options.

Will TRICARE Health Insurance Pay for Outpatient Addiction Treatment in Tennessee (TN)?

Yes, TRICARE health insurance does offer some coverage level for outpatient addiction treatment as part of its commitment to provide comprehensive care for those who are struggling with substance use disorders. The coverage range generally includes therapy, counseling, medication-assisted treatment, and regular monitoring. This is designed to help support active-duty military members, veterans, and their families in their recovery journey. 

Outpatient treatment is a flexible approach for people who do not require an intensive level of care associated with inpatient programs but still need professional assistance to overcome addiction. While the answer to the question “Does TRICARE cover rehab?” is generally yes, the coverage level is based on several factors, including the benefits and limitations of your plan, the medical necessity of the services, and adherence to approved treatment plans. Beneficiaries generally need prior authorization for certain services or to ensure the providers within TRICARE’s network maximize coverage benefits.

Will TRICARE Cover the Cost of Drug and Alcohol Medical Detox Programs in Middle Tennessee?

Yes, TRICARE health insurance covers the cost of drug and alcohol medical detox programs. The insurance provider recognizes the critical role detoxification plays as the first step in the treatment of substance use disorders. Medical detox programs are designed to safely manage the acute physical symptoms of withdrawal under medical supervision. This helps to establish a foundation for further treatment and recovery.  

TRICARE alcohol rehab and TRICARE drug rehab programs help cover inpatient and outpatient detox services. The level of care offered is what is deemed medically necessary for the individual. Beneficiaries must ensure that the detox program is provided by a TRICARE authorized provider and coverage generally requires prior authorization. The goal of TRICARE’s detox programs is to support active duty, veterans, and their families through the challenge of the initial phase of sobriety while providing a medically supervised environment to safely manage withdrawal symptoms.

Will TRICARE Cover the Cost of Dual Diagnosis Treatment Programs in Nashville, TN?

Yes, TRICARE recognizes the complexity of dual-diagnosis conditions and helps cover treatment programs that integrate care and treat the conditions simultaneously. Dual diagnosis is a descriptive term that identifies an individual with both a substance use disorder and a co-occurring mental health condition. Integration of care is critical for successful treatment. 

Integrated care acknowledges the interrelated nature of mental health and substance use disorders and the necessity for a comprehensive approach to treatment. Coverage for dual diagnosis treatment generally includes a combination of inpatient care and outpatient services that are tailored to meet the needs of the individual and the necessity to treat mental health conditions and substance use disorders currently. Prior authorization is generally required, and beneficiaries should ensure that the program they choose is within TRICARE’s network to meet the plan’s standards for coverage.

TRICARE Coverage for Addiction and Mental Health Partial Hospitalization Programs (PHP) in Tennessee

Partial hospitalization programs (PHP) for addiction and mental health conditions offer an intensive and highly structured treatment environment for people who need more support than traditional outpatient care but who do not need 24/7 supervision. The programs typically run for several hours a day, five days a week, and provide therapy, counseling, and medical management to bridge the gap between inpatient and traditional outpatient care levels.

TRICARE insurance typically offers some coverage level for partial hospitalization programs. However, the level of your coverage depends on your insurance policy benefits and limitations. The admission counselors at Freeman Alcohol and Drug Addiction Center can help verify your insurance coverage and help guide you through any necessary prior authorization that’s needed before treatment can begin. We encourage you to call Freeman Substance Abuse Recovery Center at (615) 645-3677 to speak with one of our admission counselors who can answer your questions about treatment and schedule a free assessment.

TRICARE Coverage for Addiction and Mental Health Intensive Outpatient Programs (IOP) in Tennessee

An intensive outpatient program (IOP) offers a transition from a more intensive partial hospitalization program to traditional outpatient care and into the community. An intensive outpatient program provides a structured therapeutic and treatment schedule for individuals to receive care while allowing them to live at home. Care typically includes individual counseling, educational sessions, and support that focuses on relapse prevention, coping strategies, and community support groups. 

TRICARE insurance typically offers coverage for intensive outpatient programs (IOP) to beneficiaries as part of their commitment to ensuring mental health and substance use disorder coverage for active duty U.S. military personnel, veterans, and their families. However, the coverage on your policy is defined by your benefits and limitations. We encourage you to call Freeman Addiction Recovery Center at (615) 645-3677 to speak with one of our admission counselors. They can answer your questions about treatment, verify your insurance coverage, and help guide the process of prior authorization to ensure you receive treatment.

TRICARE Coverage for Addiction and Mental Health Residential Programs for Treating Addiction in Tennessee

Rehab centers that take TRICARE may also offer residential and inpatient programs with 24/7 comprehensive care in a live-in facility. These programs provide those who are recovering from addiction and mental health conditions with a structured and supportive environment that includes evidence-based and holistic approaches that are designed to promote recovery and wellness.

Inpatient and residential treatment offers individuals a focused setting away from daily life stressors, which helps support rehabilitation. Behavioral therapies can include cognitive-behavioral therapy, motivational interviewing, medical supervision, and activities that support recovery. TRICARE generally covers treatment for residential programs that treat addiction and mental health conditions. However, your coverage level is defined by your policy benefits and limitations. We encourage you to call Freeman Recovery Center at (615) 645-3677 so our admission counselors can help verify your insurance, answer your questions about treatment, and schedule an initial assessment when requested.

How Many Times Will TRICARE Cover Addiction and Mental Health Treatment in Tennessee (TN)?

The number of times that TRICARE covers addiction and mental health treatment is determined by your policy benefits and limitations. Your policy may limit the number of outpatient treatment sessions, inpatient admissions, or the type of behavioral therapies that TRICARE will pay for per year or per incident. TRICARE has a member services phone number that you can call to ask questions about your insurance policy.

However, when you call Freeman Substance Abuse Recovery Center at (615) 645-3677 or contact us online, you’ll receive far more information. Our admission counselors can verify your insurance coverage and help you understand the documentation needed for prior authorization. They can also answer questions about treatment, schedule a free assessment, and help streamline your admission process so you receive the care you need, when you need it.

How To Get TRICARE To Cover Rehab in Nashville, Tennessee (TN)

The best way to get TRICARE to cover rehab in Nashville is to work within the TRICARE system. By adhering to the rules and regulations for documentation to submit claims, there is a better chance that you will receive the maximum allowable benefits in your policy. TRICARE covers addiction and mental health treatment in Tennessee, but the coverage and exclusions are dictated by your individual policy.

 We encourage you to call Freeman Addiction Recovery Center at (615) 645-3677 or contact us online to learn more about your coverage under TRICARE insurance, the treatment available for substance use disorders and mental health conditions, and for help in gathering the necessary documentation to receive prior authorization for treatment.

Tennessee Military and Veteran Addiction and Mental Health Stats 

• In 2023, data from the S. Census Bureau showed there were 18 million veterans and 2.1 million active duty and reserve service members. Over 6% of the U.S. population has served or is currently serving in the military.
• Data show that 38% of retired military personnel have a code in their medical record for a common mental health
• The mental health disorder with the highest prevalence in veterans is depression, followed closely by alcohol misuse and anxiety. While the prevalence for those diagnoses ranged from 15% to 18%, the prevalence for post-traumatic stress disorder was 3%.
• Women veterans have a higher rate of common mental health disorders than their male counterparts.
• A 2015 survey of active duty personnel showed less than 1% across all service branches of the military enlisted and officers reported illicit drug use in the past year.
• According to the Armed Forces Health Surveillance Division, most of the diagnosed mental health disorders were attributed to adjustment disorders, such as anxiety and depression, and alcohol-related disorders.
• According to the Substance Abuse and Mental Health Services Administration, 26.2% of veterans had a mental illness or substance use disorder in 2020.
• Among veterans with a substance use disorder in 2020, 41.9% used illicit drugs, 70.1% used alcohol, and 12% used illicit drugs and alcohol.
• In 2020, among veterans with mental illness, 19.7% had one mental illness and 34% had a serious mental illness.
• In 2020, 5.7% of veterans 18 and older had a substance use disorder and a mental health condition, commonly described as a dual diagnosis.