Using TRICARE Benefits for Residential Mental Health Programs
When you need more help for mental health than bi-weekly or even weekly therapy sessions allow for, where can you turn? Following all of the processes and understanding what TRICARE covers can be hard to navigate in the midst of a mental health crisis. Does TRICARE cover inpatient mental health?
TRICARE insurance does cover inpatient mental health and may not require pre-authorization if you have a true psychiatric emergency where you are a danger to yourself or others. Continued treatment may require approval and a plan to transition to outpatient care.
Icarus Behavioral Health is proud to offer services to those with TRICARE insurance, and we can help you navigate the complex world of your insurance benefits. Keep reading to learn more about what to expect from your health insurance policy and benefits and how to get proven support for mental health ar Icarus in New Mexico.
Do You Need a Referral for Mental Health Treatment?
If you or a family member needs mental health treatment, some policies will require a referral for both inpatient and outpatient services. Fortunately, this isn’t typically the case with TRICARE coverage. The specifics depend on your policy and plan, but most varieties only require referrals for outpatient care of substance use disorders.
Priority is given to those who seek mental health treatment at a military health system, but Icarus is a great option when this isn’t available.
When in doubt, give Icarus a call to verify your insurance benefits and find out what you need to receive treatment. We can help you take the first steps necessary to ensure that TRICARE covers the services required to successfully return to your family members, loved ones, job, and more.
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What is Covered by TRICARE for Inpatient Mental Health?
There are rarely any one-size-fits-all solutions when it comes to your mental health. No matter what concern you may be facing, here is what you should know about TRICARE coverage for your inpatient care of mental health concerns.
Emergency Services for Mental Health Care
When you feel like you might be a danger to yourself or others, it’s time to seek emergency services for your mental health. The good news is that psychiatric emergencies are covered by TRICARE without a need for pre-authorization. All you have to do is pick up the phone to call Icarus and find out your treatment options.
TRICARE coverage includes whatever you may need to stabilize yourself, including medication-assisted treatment and detox services (for those with a substance use disorder).
Keep in mind that you don’t need pre-authorization to seek help initially, but you will need approval for a long-term stay in an inpatient facility. Admission for an emergency should be reported quickly so that a plan can be put in place for your long-term care, and the team at Icarus can help with this process.
Non-Emergency Services for Mental Health Care
However, not everyone who requires mental health care is going to qualify for emergency services. If you struggle with post-traumatic stress disorder, eating disorders, or major depression, you may need more intensive treatment options than what outpatient services permit.
This military health system also covers non-emergency services for psychiatric concerns. The goal of inpatient treatment should be to accurately diagnose, assess, and treat you so that you can return to your daily responsibilities or segue into outpatient services.
While TRICARE covers inpatient treatment, you do need pre-authorization and will need to meet some of these criteria:
- Risk of harm to yourself or others
- Need intensive medication-assisted treatment
- Need psychological treatment
- Difficulty or inability to function in day-to-day responsibilities
- Inability to maintain functioning with only outpatient services
- Need around-the-clock care in a hospital setting
Costs for inpatient mental health services may vary so be sure to call Icarus today to see what your policy will cover when it comes to inpatient and residential treatment options.
Outpatient Services to Transition from Inpatient Care
Of course, most people can’t immediately transition from inpatient back to life as it was before their time in residential treatment. You will likely need some degree of support for mental health care ongoing. An outpatient treatment program is also covered by TRICARE, often for longer periods than inpatient would be covered.
This can include individual therapy, therapy with family members, group therapy, and more. You could transition to either partial hospitalization or intensive outpatient for more support following an inpatient stay at Icarus Behavioral Health.
These programs are often covered for longer periods than inpatient services under TRICARE.
Is Icarus Behavioral Health the Right Fit for You?
Many prospective clients want to know whether the treatment they receive at Icarus Behavioral Health is going to be the right fit for their mental health care. While we offer substance use disorder treatment, we are also proud to offer robust mental health care under TRICARE coverage.
Some of our services include the treatment of trauma, behavioral disorders, and mood disorders. All of these services are commonly sought by those within the military health system with TRICARE insurance.
We have a skilled team of professionals who are adept at diagnosing and offering intensive treatment for every individual in our program. If you or a loved one on your insurance plan needs help, let Icarus offer the services at whatever level is required.
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Verify TRICARE Benefits and Get Help at Icarus Today
When you’re ready to seek help for your mental health, don’t delay another day. Find out what TRICARE covers on your unique policy by calling Icarus Behavioral Health in New Mexico today. With a quick and confidential phone call, we can verify your insurance benefits and let you know out-of-pocket costs for treatment.
This is also the first step toward seeking pre-authorization under your TRICARE insurance plan for non-emergency care, a process we can help you navigate successfully.
Our enrollment team is ready and waiting to welcome you into our treatment program. Reach out to us today to learn more about our programs and services to help you achieve long-term success with your mental health care!
