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TRICARE West Health Insurance for Drug Addiction Treatment in Texas

 

 

TRICARE West health insurance for drug rehab in Texas helps Texas residents with coverage and access to drug rehab and treatment for all forms of drug addiction. TRICARE West health insurance in Texas does typically cover drug and alcohol rehab treatment. TRICARE is a health care program offered exclusively to service members, both acting and retired, within the United States Military. TRICARE West offers forms of behavioral health care coverage to help families and individuals struggling with drug addiction. The health insurance is managed by the United States Defense Health Agency or Military Health System. Drug addiction is a problem that many members of the military struggle with. Unfortunately, there is significant stigma attached that prevents those with addiction from asking for help.

The rehabilitation process for drug addiction involves multiple steps, and drug rehab programs in Texas offer all the necessary services. Initially, a patient will likely receive an assessment from the drug rehab center after arranging treatment through their health insurance provider. The assessment determines the best approach to treat an individual’s addiction. The first step with treatment is drug detox to manage withdrawal symptoms and ease withdrawal discomfort. The next phase of drug rehab involves attending a residential or outpatient drug rehab center in Texas. TRICAR West health insurance covers different options and lengths of time for drug rehab. It is also important for recovering addicts to consider aftercare support like 12-step meetings, peer support groups, or recovery programs through the military health services. 

 

How Does TRICARE West Health Insurance Cover Drug Rehab in Texas?

TRICARE West health insurance offers various plans to its members to cover drug rehab in Texas. Typically, the health insurance plan type determines what is covered and what type of drug rehab options are provided. TRICARE Prime is a mandatory plan for active-duty members of the military. The plan covers active duty and retired military members and their families. TRICARE Prime covers most forms of drug rehab and treatment. Other plan options include TRICARE Prime Remote, TRICARE Select, TRICARE Standard Overseas, and TRICARE for Life. When needing help for drug addiction, the first step is contacting the TRICARE health insurance provider and finding out what services are covered by health insurance.

For some TRICARE plans, the individual can opt to receive care from an out-of-network provider, but the costs are higher than using an in-network provider. Other TRICARE West plans for drug rehab in Texas require the individual to go to an in-network provider. In-network providers typically offer the least expensive coverage as rates are negotiated between the drug rehab center and TRICARE West. It is important to note that with some providers, the individual is expected to pay the entire cost of treatment upfront and wait several weeks for TRICARE West to reimburse. When an addict uses providers within the TRICARE network, they are only responsible for the costs that remain after TRICARE West pays the provider. 

 

What Type of Drug Rehab Does TRICARE West Health Insurance Cover in Texas?

The types of drug rehab in Texas that TRICARE West covers depend on the plan type that the individual or family has. In addition, it depends on the approval to receive treatment as TRICARE West reviews the case and specific needs to recovering from drug addiction. Typically, TRICARE West covers residential drug rehab, outpatient treatment, detox, medication-assisted treatment, partial hospitalization, and residential drug rehab in Texas. TRICARE West plans cover different forms of drug detox, depending on the severity of addiction and withdrawal symptoms. Some drug detox centers may require the individual to pay partial fees based on the specific insurance plan. TRICARE West also covers inpatient drug rehab in Texas if the individual meets the criteria for inpatient treatment.

Additionally, TRICARE West does cover intensive outpatient drug rehab if the person meets the criteria for treatment. Outpatient drug rehab is typically appropriate for people who need drug rehab without 24/7 oversight. TRICARE West health insurance in Texas typically covers many forms of psychotherapy for its members, like one-on-one therapy sessions and counseling. When determining what form of drug rehab is needed, an addiction assessment is a good place to begin. An assessment could happen through the insurance provider but is more likely to occur with an external health agency or drug rehab referral agency.

 

Family Intervention for Drug Addiction in Texas

It is challenging to help a loved one struggling with drug addiction. However, family intervention in Texas for drug addiction is the best option. A family intervention motivates the individual to seek help for alcohol or drug misuse. Someone struggling with drug addiction is often in denial about their situation and unwilling to seek treatment. In addition, they may not recognize the negative effects their behavior has on themselves and others. A family intervention presents the drug-addicted family member with a structured opportunity to make changes before things get even worse.

The best way to plan and organize a family intervention is by hiring a professional interventionist. During a family intervention, friends and family come together with the help of an interventionist to provide specific examples of destructive behaviors and their impact on the addict and their family. The intervention also offers prearranged treatment and rehabilitation through TRICARE West health insurance. With the help of the interventionist, the family can also set clear boundaries and consequences if the addict refuses help.

 

Health Insurance and Drug Addiction Trends in Texas

Health insurance plans provided by TRICARE West should be used to cover drug rehab in Texas. Within the state, approximately 54% of residents have private health insurance, 17% have Medicaid, 10% have Medicare, and 17% are uninsured. In 2018, 17.7% of residents in the state were without health insurance. In addition, 61.8% had private health insurance, and 29% had public health insurance. Drug addiction in Texas impacts people of all ages. According to the Texas Behavioral Health Barometer, among people aged 12 or older in Texas, between 2015 and 2017, 2.3% had an illicit drug use disorder—similar to the regional average but lower than the national average.

 

Sources-

https://www.ahip.org/wp-content/uploads/Texas_StateDataBook_2019.pdf

https://www.census.gov/library/stories/2019/11/state-by-state-health-insurance-coverage-2018.html

https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/Texas-BH-BarometerVolume5.pdf