Select Page

TRICARE West Health Insurance for Drug and Alcohol Detox Facilities in California



TRICARE health insurance in California covers active duty service members, retirees, veterans, and their families. TRICARE health insurance plans provide coverage for drug and alcohol detox programs in California. The extent of coverage depends on the plan, and TRICARE offers varying levels of plans and coverage. Fortunately, when members use providers within the TRICARE network, they are responsible for the costs remaining after TRICARE pays the drug detox provider. TRICARE typically covers most forms of drug detox. A variety of plans are offered like TRICARE Prime, Prime Remote, Select, Standard, Reserve Select, and Retired Reserve. TRICARE prime covers active duty and retired military members and their families–coverage is for most drug detox forms.

TRICARE select is another option, and members have additional choices in providers but pay higher costs. Drug detox is usually covered, whether a medical detox or a standard detox option. Drug detox is the first step in treating drug or alcohol addiction. The purpose of detox is to ease withdrawal discomfort and manage withdrawal symptoms. Typically, the severity of withdrawal and associated symptoms determine what drug detox is needed. Following drug detox, the next step involves attending a residential or outpatient drug rehab center in California. Well-rounded addiction treatment is necessary to address all aspects of addiction. It is also important for families to consider aftercare support, whether a sober living home, 12-step support groups or other forms of peer support. 


How Does Private Health Insurance Cover Drug Detox in California?

For many of the TRICARE plans, a member can opt to receive care from an out-of-network provider, but the costs are higher than using in-network providers. Other plans require the member to use in-network providers, which are the least expensive option. When someone chooses a non-network provider, this is the highest out of pocket expense. Typically, the steps involve contacting the TRICARE service provider in California and finding out what drug detox programs are covered. Also, the family should contact drug detox programs in California and find out if they accept health insurance. Usually, through health insurance, there are co-pay options or a deductible. Other circumstances involve paying everything up-front and being reimbursed upon completion of drug detox.

When searching for drug detox programs in California, there are different options for families to consider. Initially, the first step is going through the TRICARE West health insurance provider. However, many families opt for an addiction assessment, and this could be done through a state or private healthcare provider or a drug rehab referral agency. The purpose of an addiction assessment is to determine the extent and severity of addiction and find the best possible drug detox programs in California. During the assessment process, the family finds out how health insurance covers the cost of drug detox. Also, the drug detox center works with the family providing payment options and explaining what is covered by the health insurance plan. 


What Type of Drug Detox Does Health Insurance Cover in California?

TRICARE health insurance covers different drug detox forms, whether outpatient detox, partial hospitalization programs, medication-assisted treatment, opioid detox, and standard detox programs. Certain drug detox programs in California are in-network, and others are out-of-network. In-network drug detox programs are at a lower cost than those out of the service network. Medically supervised detox uses medication and medical supervision to manage withdrawal symptoms and cravings for patients withdrawing from alcohol or opioids. Standard detox programs covered by TRICARE health insurance manage less severe addiction problems. Medication-assisted treatment and opioid addiction programs are specific to opioid addiction and addiction involving prescription drugs. Drug detox is the first step in treating drug or alcohol addiction, and it should not be avoided before drug rehab.


Family Intervention for Drug Addiction in California

After a family has found a drug detox program and drug rehab center in California through their TRICARE health insurance provider, they may want to consider organizing a family intervention. Family intervention motivates a drug addict to seek help for drug or alcohol addiction. It is challenging watching a loved one struggle with addiction. A family intervention provides a more focused approach with help from a professional interventionist. Someone who struggles with drug or alcohol addiction is often in denial about their addiction and usually refuses to accept help. An addict may not recognize the negative effects caused by their addiction and what it is doing to them and their family. A family intervention presents an opportunity for the drug-addicted family member to get the help they need before the addiction becomes worse.

Family intervention in California is a carefully planned process with the help of a professional interventionist. A family intervention involves family members and friends who are close to the addict. During a family intervention, specific examples of destructive behavior are given, demonstrating the impact the addiction has had. In addition, it offers prearranged drug detox and drug rehab with the help of TRICARE health insurance. The family interventionist also helps the family spell out what each person will do if their drug-addicted loved one refuses drug rehab. When organized properly and carefully planned, family intervention is an effective process.


Health Insurance for Drug Detox and Drug Addiction Trends in California

Drug and alcohol addiction impacts many veterans, active duty service members, and retirees living in California. Unfortunately, too many addicts cannot get into drug detox programs or receive proper medical help because of the cost. TRICARE health insurance helps make the process much easier. There are over 1.8 million veterans in California, yet 7.4% are unemployed, and over 12,000 are homeless. In California, alcohol accounted for more nonfatal emergency department visits than all other drug addictions. Moreover, the number of heroin-related emergency department visits in the state more than tripled between 2006 and 2017. Most of the California population has health insurance, and the number of uninsured has dropped from 17% to 7.1%.



United States Census Bureau. Veteran Statistics California. https://www2.census.gov/library/visualizations/2015/comm/vets/ca-vets.pdf

California Health Care Foundation. Substance Use in California: A look at addiction and treatment. October 2018. https://www.chcf.org/wp-content/uploads/2018/09/SubstanceUseDisorderAlmanac2018.pdf

California Health Care Foundation. How Many In your Area are Covered by the Affordable Care Act. September 2020.  https://www.chcf.org/publication/how-many-your-area-are-covered-affordable-care-act/