You have served your country, you returned to civilian life, and you find yourself struggling with drugs or alcohol. You may be wondering, “Does my TRIWEST insurance cover rehab?” Yes, TRIWEST will cover VA addiction treatment services and some non-VA treatment centers like Tree House. In order to have your TRIWEST cover non-VA addiction treatment, you will need approval from the VA for what they call “community care.” If you have tried VA addiction services and feel you need something different, like Tree House, this article will guide you step by step.
Request a Substance Use Disorder Assessment at Your Local VA
Request a “Community Care” Referral to the non-VA center (Tree House Recovery PDX)
It really is that simple. I am going to help you understand each step of the process outlined above to get the absolute best care using your TRIWEST insurance outside the VA.
Before we start, it is important to recognize how far you or the person you are trying to help has come by recognizing there is an issue they want help navigating. Substance Use Disorder (SUD) can make anyone feel overwhelmed and lost. Navigating the healthcare system as a civilian is complicated enough, let alone knowing how to navigate through the VA system. At Tree House Recovery PDX, our goal is to help every single veteran struggling with SUD find access to quality treatment.
If you know you or your loved one is struggling with SUD and want to know if TRIWEST insurance will cover the treatment to overcome this struggle, take a look below at the kinds of SUD treatment TRIWEST covers.
If you have done VA addiction treatment and have not been successful in your recovery, don’t lose hope. Most people have to make 5.35 serious attempts at sobriety before they are successful in remaining sober.(1) TRIWEST and the VA support what they call “Community Care” treatment options. “Community Care” refers to non-VA centers in your local area. It’s also important to know that the facility must be a community care provider, like Tree House Recovery PDX, to qualify for TRIWEST coverage.
The First Step in this process is simple. You need to call into, or drive to the VA where you are registered and request a Substance Use Disorder Assessment. If you want to change the results you have been getting, we have to seek alternative solutions. Tree House Recovery PDX is a great option for you if you have not found success through the VA facilities that provide SUD treatment.
Immediate assistance through VA at this stage is simply setting up an assessment with your local VA and expressing your issue and desire to seek recovery from your SUD. Your Primary Care Physician (PCP) will likely be who you have to schedule the assessment with.
Once at the VA, you or your loved one will need to undergo the initial assessment before they can provide the appropriate suggestions for care and services for your situation. In most cases of SUD, especially the more severe cases, they will admit you to the necessary detox from the substances you are abusing. By taking this step, you will be on the path to healing.
Now, many Veterans have attempted to seek help through their local Veterans Affairs locations and have “failed” at their previous attempts at sobriety. That is okay. Although not ideal, there are ways you seek additional or alternative treatment to what the VA offers. If you want to try treatments that are outside of the VA facility, we highly encourage you to seek a “community care” referral. Knowing how to get a “community care” referral is the next step.
So, if you have gone to the VA and attempted treatment in the past without success, you qualify for requesting a “community care” referral. If you have a SUD and haven’t had success with the VA facilities, go and seek the initial assessment with your local VA where you are registered. Once you have gone to the VA, been assessed, request to your Primary Care Physician an outside referral to Tree House Recovery. If you have failed at treatment offered through the VA, you qualify for opportunities to seek what VA calls “community care” so long as you request it through your attending physician. In this current scenario, it would need to be a situation where “a Veteran is referred to a community provider when the Veteran and the referring clinician agree that it is in the best medical interest to see a community provider.” (3)
The referring clinician would be your Primary Care Physician (PCP), The community provider would be Tree House Recovery PDX outside the VA facility, and you would be the client.
As a veteran who has been through the system, you may be nervous about giving treatment another serious attempt. However, our Admissions Specialists know how to navigate this system and can walk you through every step to ensure you have access to the care you need to succeed in your journey. If you need help deciding where to start or get stuck on this path, don’t hesitate to get in touch with Tree House Recovery PDX for immediate assistance.
If you have authorization for an outside VA resource, you are almost through the steps of navigating treatment with your TRIWEST insurance. There are a few loose ends to make sure you tie up to ensure a smooth transition that we will cover in the final step.
Explaining to your PCP that you want to attend Tree House Recovery is a process that requires some collaboration between you, your PCP, and the admissions staff with THRPDX. Again, we need to show, “it is in the best medical interest” of the Veteran to seek community care through Tree House Recovery PDX. Aside from the benefits of community, the physical components, and the ongoing support post-treatment, THR PDX also offers therapies the VA believes are vital to recovery from SUD.
At Tree House Recovery PDX, we utilize all of the practical techniques recognized by the VA that are listed above. (4) Our fully comprehensive treatment focuses on a Mind-Body & Team approach to optimize your mental, physical and social fitness. To see more information on our therapeutic approach, click here.
One Last Thing to Consider
In addition to clearing the way for yourself logistically, we suggest you reach out to a Tree House Admissions Specialist (503) 850-2474 if you haven’t before reaching this final step. There are several things to consider, and if you are in the throws of your SUD, let our team do the heavy lifting for you. We are here and ready to help you at any point in time throughout these steps to help you and keep you from giving up hope that you can overcome this.
Tree House Recovery is a program that proudly accepts veterans with TRIWEST insurance. We work in collaboration with the Veteran, the VA, and their loved ones to help ensure a smooth transition of care from the first call until they have graduated from our program and enter their daily lives post-treatment. Our community-focused program provides that anyone who comes into our program gains access to a community of support that extends beyond treatment for life.
Tree House Recovery has treated many Veterans over the years. Two of our founders, George Coleman and Neil Trusso, are veterans themselves. Through their journeys, they have dedicated their lives to helping others, and that passion has translated directly into every Tree House Recovery PDX staff member. We are confident that we will help you in your attempt to seek treatment for yourself.
You’re not on your own. We are here to help you through this process. Our highly trained Admissions Specialists will help make this process as simple as possible while providing you with the support you need to navigate the steps above. Call us if you want help or need help figuring out where to start. We will take the time to make sure you have the support and guidance you need to put your SUD behind you for the rest of your life.
TREATMENT FOR VETERANS
Ready to conquer this battle? THR is here to help by making an individualized purpose-built treatment plan that works for you. Our treatment teams are trauma and SUD experts. The team uses proven methods that will resolve your struggles and help you regain control of your life. As a veteran, you have already proven your strength. Our approach will build your strength using evidence-based practices. We offer a Mind-Body & Team approach that will help optimize your mental, physical and social fitness
Our approach integrates the best available research, using evidence-based methods that work.