Does TRICARE cover residential treatment programs?
Quick Answer
TRICARE covers residential treatment for mental health, substance abuse, and eating disorders when medically necessary and authorized.
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Key Takeaways
- 24/7 structured care covered
- Authorization required
- Multiple conditions covered
- Regular reviews determine duration
Detailed Answer
Residential treatment provides 24/7 structured care in a live-in facility.
When Covered
- Mental health conditions
- Substance abuse disorders
- Eating disorders
- Other conditions requiring 24/7 care
- When less intensive care insufficient
Authorization Required
- Clinical evaluation first
- Provider submits request
- Medical necessity reviewed
- Prior authorization mandatory
Types of Programs
- Psychiatric residential treatment
- Substance abuse residential
- Eating disorder treatment centers
- Adolescent treatment programs
Coverage Limits
- Continued stay authorization needed
- Regular progress reviews
- Step-down to less intensive care
- Coverage until medical necessity ends
Finding Providers
- TRICARE provider directory
- Regional contractor referral
- MTF recommendation
- Network facilities preferred
Related TRICARE Terms
Related Questions
Does TRICARE cover substance abuse treatment?
TRICARE covers substance abuse treatment including detox, outpatient counseling, intensive outpatient, residential treatment, and medication-assisted treatment.
Does TRICARE cover eating disorder treatment?
TRICARE covers eating disorder treatment including outpatient therapy, nutritional counseling, medical management, and residential treatment when medically necessary.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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