TriWest Health Insurance Substance Abuse Treatment Options

What Types Of Substance Abuse Treatment Does TriWest Cover?

TriWest Healthcare Alliance helps veterans access comprehensive substance use disorder (SUD) treatment through the U.S. Department of Veterans Affairs (VA) Community Care Network (CCN). While TriWest itself is not an insurance provider, it plays a critical role in connecting eligible veterans to accredited providers that deliver medically necessary addiction treatment services—from detox and inpatient rehab to telehealth and aftercare support.

1. Detoxification Services

TriWest covers medically supervised detox programs that help veterans safely withdraw from addictive substances. These programs include 24-hour clinical monitoring, medication support, and mental health supervision to ease withdrawal symptoms and reduce medical risks.

2. Inpatient Rehabilitation

Inpatient rehab involves 24/7 care in a structured residential environment. Veterans receive evidence-based therapies, psychiatric care, and wellness services designed to stabilize addiction and lay the foundation for long-term recovery. These programs are often recommended for those with severe SUD or co-occurring disorders.

3. Residential Treatment Programs

Residential rehab offers extended care in homelike settings with daily therapeutic activities, life-skills development, peer support, and holistic services such as meditation, yoga, and trauma-focused therapy. These programs cater to veterans seeking deep recovery immersion beyond acute stabilization.

4. Outpatient Services

Outpatient treatment is available for veterans transitioning from inpatient care or needing flexible recovery options. Sessions are held weekly or multiple times a week and include one-on-one therapy, group sessions, family counseling, and relapse prevention planning—all while veterans continue living at home.

5. Medication-Assisted Treatment (MAT)

TriWest supports MAT, which pairs FDA-approved medications such as Suboxone, methadone, or Vivitrol with behavioral therapy. MAT reduces cravings and stabilizes neurological function, increasing the likelihood of successful long-term recovery from opioid or alcohol addiction.

6. Aftercare and Peer Support

Ongoing recovery services like 12-step groups, alumni programs, and sober coaching are covered to help veterans maintain sobriety after formal treatment. These resources provide community connection, accountability, and support in navigating everyday challenges in recovery.

Does TriWest Cover Detoxification Services?

Yes, TriWest provides access to medically necessary detoxification services for eligible veterans through the VA Community Care Network. Detox is the initial and often most critical phase of substance use disorder treatment, helping individuals safely and effectively eliminate drugs or alcohol from their system under professional medical supervision.

• 24/7 Medical Monitoring: Detox programs offer round-the-clock care to manage withdrawal symptoms and ensure patient safety throughout the process.
• Medication Support: Clinicians may administer FDA-approved medications to reduce discomfort, prevent complications, and stabilize physical and psychological health during withdrawal.
• Mental Health Oversight: Licensed counselors and support staff provide emotional support to address anxiety, trauma, or mental health challenges that surface during detox.
• Accredited Facilities: Detox services are delivered in licensed centers that meet VA and TriWest standards for clinical excellence and veteran care.
• Integrated Care Transition: Upon completion, veterans are seamlessly referred to the next level of treatment—such as inpatient, residential, or outpatient rehab—to continue their recovery journey.

Does TriWest Cover Inpatient And Residential Rehab?

Yes, TriWest coordinates access to both inpatient and residential rehab for veterans who meet clinical criteria and have received a VA referral. These programs deliver intensive care for substance use and co-occurring mental health conditions in safe, accredited facilities under the VA Community Care Network.

• Comprehensive Supervision: Around-the-clock medical and psychological care is provided to monitor safety and stabilize veterans throughout the initial stages of recovery.
• Therapeutic Immersion: Programs are built around daily counseling, structured group therapy, cognitive-behavioral interventions, and skill-building workshops.
• Life-Skills Training: Veterans learn vital skills for reintegration, including stress management, communication, and job readiness support.
• Holistic Healing: Facilities may incorporate mindfulness, fitness, nutritional education, and alternative therapies that align with whole-person healing approaches.
• Discharge Planning: Veterans leave treatment with customized aftercare plans, including outpatient referrals, sober living recommendations, and ongoing therapy options.

Veterans must typically begin this process with a VA provider, who will assess treatment needs and initiate authorization for TriWest services.

What Outpatient Programs Does TriWest Cover?

TriWest-connected outpatient treatment options are ideal for veterans who require structured support without full-time residential care. These services offer clinical continuity for those transitioning from inpatient rehab or managing milder forms of addiction while maintaining work or family obligations.

• Intensive Outpatient Programs (IOP): Veterans attend multiple sessions weekly that include group therapy, individual counseling, and relapse prevention education—providing robust care without full hospitalization.
• Partial Hospitalization Programs (PHP): PHPs deliver full-day treatment and clinical supervision while allowing veterans to return home each night. These programs serve as a bridge between inpatient and outpatient care.
• Standard Outpatient Therapy: Offered once or twice a week, this flexible care level includes talk therapy, case management, and trauma-informed support for those in stable recovery stages.
• Telehealth Services: TriWest supports remote therapy sessions to ensure accessibility for veterans in rural areas or those with limited mobility, increasing convenience and reducing care gaps.
• Peer Support and Alumni Services: Veterans can join support groups such as AA, NA, or SMART Recovery, and participate in alumni programming that promotes long-term connection and accountability.

Does TriWest Cover Partial Hospitalization Programs (PHPs)?

Yes, Partial Hospitalization Programs (PHPs) are covered by TriWest for qualifying veterans when recommended by a VA provider and deemed medically necessary. These structured, non-residential programs are designed for veterans who require intensive clinical care without overnight stays.

• Daily Clinical Care: PHPs typically offer 4–6 hours of therapy and psychiatric services per day, five to seven days a week, combining group therapy, medical monitoring, and skill-building workshops.
• Behavioral Health Integration: PHPs include dual-diagnosis support and medication management to treat both addiction and co-occurring mental health disorders.
• Community-Based Access: These programs are available through VA-approved facilities within TriWest’s Community Care Network, allowing for localized treatment options.
• Referral and Authorization: A VA provider must initiate a referral, and TriWest will coordinate approval and enrollment with eligible PHP providers.
• Continuity of Care: Veterans transitioning from inpatient treatment may use PHPs as part of a stepped-down care plan before entering outpatient or aftercare services.

To initiate PHP services, veterans should consult their VA provider to determine eligibility and begin the referral and authorization process through TriWest.

What Is Medication-Assisted Treatment (MAT) and Does TriWest Cover It?

Medication-Assisted Treatment (MAT) is an evidence-based recovery approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders, particularly those involving opioids and alcohol. For veterans, MAT plays a critical role in managing withdrawal symptoms, reducing cravings, and lowering the risk of relapse.

Common Medications Used in MAT:

• Methadone: An opioid agonist that alleviates withdrawal symptoms and curbs cravings.
• Buprenorphine (Suboxone): A partial opioid agonist with a lower potential for misuse.
• Naltrexone (Vivitrol): An opioid antagonist that blocks the euphoric effects of opioids and alcohol.

TriWest facilitates access to MAT through the VA Community Care Network (CCN), covering both the prescribed medications and accompanying behavioral therapy when deemed medically necessary. Veterans typically need a referral from their VA provider, and prior authorization is often required.

Key takeaway: MAT is a covered and vital part of TriWest’s substance use treatment services, offering medical stabilization and long-term recovery support tailored to veterans’ needs.

Does TriWest Cover Aftercare and Peer Support?

Yes, TriWest recognizes the importance of continued care after formal treatment and covers a range of aftercare and peer support services designed to reinforce recovery. These services help veterans maintain sobriety, build supportive networks, and navigate life beyond rehab with confidence and resilience.

• Alumni Programs: Many facilities offer alumni groups where veterans can stay connected, attend events, and receive ongoing encouragement from peers and staff.
• 12-Step and Non-12-Step Groups: Veterans have access to community-based recovery groups like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or SMART Recovery.
• Sober Coaching and Mentorship: One-on-one coaching and peer mentorship programs help veterans stay accountable and supported in early recovery.
• Family Support Services: Aftercare may include family counseling, education workshops, and relationship rebuilding to strengthen the veteran’s support system.
• Referral to Outpatient Services: As part of a structured continuum of care, aftercare planning often includes referrals to ongoing therapy, outpatient programs, or sober living arrangements.

Aftercare planning typically begins before discharge from treatment. Veterans should speak with their VA provider or case manager to ensure ongoing services are included in their care plan through TriWest’s network.

Where Can I Find TriWest In-Network Providers for Addiction Treatment?

Locating in-network providers is essential for veterans who want to receive substance use disorder (SUD) treatment through TriWest with minimal out-of-pocket costs. Fortunately, several resources and steps can guide you through the process of finding approved care providers.

• 1. VA Referral: Start by speaking with your VA primary care provider. They will assess your treatment needs and, if appropriate, issue a referral for community-based SUD services covered by TriWest under the VA Community Care Network.
• 2. TriWest Provider Directory: Use the official TriWest Provider Directory to search for in-network addiction treatment providers. The directory allows you to filter by location, specialty, and available services to find the best match for your needs.
• 3. TRICARE West Region Resources: If you are located in the TRICARE West Region, visit the TRICARE West website for details about covered services, eligibility requirements, and provider search tools tailored to your area.
• 4. Contact TriWest Customer Service: For personalized support, reach out to TriWest’s customer service team. They can help verify your benefits, confirm in-network provider status, and guide you step-by-step through the care access process.

By following these steps, veterans can confidently identify treatment providers who are equipped to offer the clinical and supportive care needed for sustained recovery.

Ready to Begin Treatment with TriWest Coverage?

If you or a loved one is a veteran seeking substance use disorder treatment covered through TriWest, Carrara Treatment offers premier recovery in a confidential, luxury environment. As a VA Community Care Network-approved provider, Carrara specializes in treating veterans with compassion, clinical excellence, and customized care.

From detox to outpatient programs and long-term aftercare, Carrara’s treatment plans integrate trauma-informed therapy, psychiatric care, and wellness practices—designed to meet the unique needs of military service members. With multiple serene facilities across Los Angeles, Carrara provides the gold standard in healing and privacy.

• The LA Carrara House – Private, modern care in the heart of Los Angeles.
• The Hollywood Hills Carrara House – Discreet, personalized treatment with stunning views and top-tier amenities.
• The Malibu Beach House – A tranquil coastal escape for rest, recovery, and renewal.

Contact Carrara Treatment today to verify your TriWest coverage and begin your journey toward lasting recovery in a setting that values dignity, honor, and holistic care.