TRICARE Detox In Fort Lauderdale, FL

For those in the throes of active addiction, finding the best treatment center can feel like an uphill battle. Fortunately, at the Retreat of Broward, we work with most major health insurance providers — including TRICARE — to make our detox in Ft. Lauderdale as accessible as possible to those in need. 

TRICARE provides civilian healthcare benefits to U.S. military personnel, retirees, and their dependents. All TRICARE-eligible beneficiaries have access to mental health and substance use disorder benefits. At the Retreat of Broward, we work directly with TRICARE insurance, which covers most/ of our professional detoxification services. Read on to learn more about options for TRICARE detox in Ft. Lauderdale, Florida. 

What is TRICARE Insurance?

TRICARE is the U.S. military’s healthcare program. While it includes healthcare providers and facilities—delivered in military medical treatment facilities—it essentially functions as government-managed, single-payer health insurance.

TRICARE enrollees and beneficiaries have a choice of plan options depending on military status and place of residence. This does not apply to active-duty service members who pay zero out-of-pocket costs for coverage. Managed by the Pentagon’s Defense Health Agency, TRICARE’s various coverage plans provide healthcare for millions of current and former service members and their dependents. 

Types of TRICARE Insurance 

There are several different types of TRICARE insurance. At the Retreat of Broward, we work with all types of TRICARE insurance, remaining committed to keeping our detox in Ft. Lauderdale as accessible as possible to those in need. 

TRICARE Prime

TRICARE Prime resembles a typical civilian HMO (health maintenance organization), where users are assigned a primary care manager who parcels out referrals to specialty caregivers. The out-of-pocket costs of medical services depend on the enrollee’s military service status. For instance, active-duty military and their dependents enrolled in TRICARE Prime pay no medical fees so long as they follow referral rules. Military retiree families pay some out-of-pocket costs.

TRICARE Select

TRICARE Select resembles more of a civilian PPO (preferred provider organization). Enrollees in TRICARE Select can select their primary care manager and self-refer to specialist caregivers. However, some medical appointments have out-of-pocket costs. Again, how much enrollees pay depends on military service status.

TRICARE Reserve Select

TRICARE Reserve Select is a plan for traditional National Guard members and those in the National Reserve. Enrollees must pay a monthly premium; otherwise, it resembles TRICARE Select.

TRICARE Young Adult

TRICARE Young Adult is an option for unmarried adult children who have aged out of regular TRICARE coverage. The plan provides both medical and pharmacy benefits. TRICARE Young Adult comes with two main options: Prime and Select. These plan options closely resembled TRICARE Prime and TRICARE Select (listed above). Out-of-pocket costs associated with these plans are based on the sponsor’s military status and where the care is given.

Do I Need a Referral for Addiction & Mental Health Services?

When looking for a substance use disorder treatment program that TRICARE covers, or when looking for a TRICARE mental health provider, obtaining a referral from a primary care physician is beneficial. Some TRICARE enrollees may need a referral for certain office-based outpatient services. In most situations, pre-authorization is not required for outpatient addiction treatment or mental health treatment.

However, active-duty service members should always seek non-emergency mental health care at military facilities when available. It is recommended that TRICARE beneficiaries contact their regional contractor to find out if their therapist or counselor requires a physician referral before obtaining their services. 

Does TRICARE Cover Detox in Fort Lauderdale?

Most TRICARE plans provide comprehensive treatment for substance use disorders, including emergency and inpatient hospital services. In other words, yes — detox is covered as part of TRICARE’s inpatient (emergency and nonemergency) services. That said, TRICARE only reimburses the cost of care if the enrollee visits a TRICARE-authorized provider—either an authorized hospital or a dedicated substance use disorder rehab facility.

For those seeking treatment for substance use disorder, TRICARE covers the following:

• Residential addiction treatment
• Inpatient services (emergency and non-emergency; this includes detox)
• Intensive outpatient programs (IOP)
• Partial hospitalization programs (PHP)
• Opioid treatment programs (OTP)

Medication-Assisted Treatment

Medication-assisted treatment (MAT) is a therapeutic approach to addiction treatment. It combines prescription medication and mental health therapies to treat a substance use disorder. TRICARE-authorized physicians, physician assistants, and nurse practitioners may provide MAT services. To do so, they must have a special certification from the Drug Enforcement Agency to prescribe buprenorphine medications like Suboxone.