When you’re facing opioid use disorder, finding quality opioid residential treatment with TRICare coverage can feel overwhelming. You want to know exactly what services TRICARE will cover, how much you’ll pay out of pocket, and whether a center like The Hope House can meet your needs. In this guide, you’ll learn how Tricare covers detox, residential rehab, outpatient programs and medication-assisted treatment. You’ll also discover how The Hope House structures its tailored treatment programs—PHP, IOP, outpatient care and Suboxone-assisted therapy—to help you achieve lasting recovery.
Understand Tricare coverage
Navigating your Tricare benefits is the first step toward accessing comprehensive care. As a federal health plan, Tricare covers a range of services for substance use disorders, but eligibility, preauthorization and cost-sharing requirements can vary by plan.
Covered treatment services
According to data from American Addiction Centers, Tricare typically provides coverage for:
- Inpatient detoxification
- Residential rehabilitation
- Standard outpatient rehab
- Partial hospitalization programs (PHPs)
- Intensive outpatient programs (IOPs)
- Medication-assisted treatment (MAT) including Suboxone
Furthermore, an independent research team identified over 8,000 treatment centers in-network with Tricare, ensuring you have access to qualified providers nationwide [1].
Inpatient detox and rehab
If you require medical supervision to manage withdrawal, Tricare can cover inpatient detox services. Once stabilized, you may transition into a residential program that offers 24/7 support, therapy and peer engagement. To explore in-network detox options, see our guide on opioid detox program in network with tricare.
Outpatient programs: PHP and IOP
Tricare covers structured outpatient levels of care:
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Standard outpatient counseling
These step-down options let you maintain daily responsibilities—work, school or family—while receiving comprehensive care.
Medication-assisted treatment
Tricare typically covers Suboxone (buprenorphine-naloxone) and other FDA-approved medications for opioid use disorder, though preauthorization is often required. Without coverage, a generic month’s supply of Suboxone can cost up to $200 [2]. By using your Tricare benefits, you minimize out-of-pocket expenses.
Coverage requirements and costs
Understanding eligibility and cost-sharing helps you plan for treatment financially.
Preauthorization and eligibility
- Confirm that your Tricare plan includes substance use disorder treatment benefits
- Obtain prior authorization through your Tricare representative or treatment provider
- Verify that The Hope House is in-network for your specific Tricare region
Out-of-pocket expenses
While Tricare covers most treatment costs, you may encounter:
- Copayments or coinsurance for outpatient visits
- Daily facility fees for inpatient stays until your catastrophic cap is met
- Fee differences if you choose an out-of-network provider
Overall, Tricare’s benefits significantly reduce your financial burden compared to paying full cost.
Explore Hope House programs
The Hope House offers a continuum of care designed to meet you where you are on your recovery journey. Whether you need detox, residential rehab or outpatient support, your Tricare coverage will apply across all levels.
Residential care options
In a residential setting, you live on campus and participate in individualized treatment plans tailored to your needs. The Hope House residential program integrates:
- Medical detox supervision
- Evidence-based therapies (CBT, motivational interviewing)
- Peer support groups
- Holistic activities (yoga, mindfulness)
Your stay begins with a comprehensive assessment and a customized treatment schedule. For details on insurance-covered stays, see residential opioid rehab with tricare coverage.
Outpatient and step-down levels
After residential care or as a standalone option, you can taper into less intensive services:
Partial hospitalization program
A PHP provides 20+ hours per week of therapy and medical support while you return home evenings and weekends. This level bridges residential treatment and IOP.
Intensive outpatient program
In the IOP, you attend 9–19 hours of therapy weekly. Group counseling, individual sessions and skills training help you practice coping strategies in real-world situations.
Standard outpatient services
Regular outpatient care includes weekly or biweekly counseling, ongoing case management and relapse prevention planning. You’ll build a robust support network to maintain sobriety.
Medication-assisted treatment at Hope House
At The Hope House, MAT is a core component of your individualized plan:
- Suboxone induction and maintenance under medical supervision
- Integration of counseling and group therapy
- Regular medication reviews and dosage adjustments
By combining medication with behavioral therapies, you gain the “support necessary for lasting recovery.”
Individual and group therapy
Therapeutic modalities at The Hope House include:
- Cognitive behavioral therapy to address negative thinking patterns
- Dialectical behavior therapy for emotion regulation
- Family counseling to rebuild relationships
- 12-step facilitation and peer-led support groups
These interventions reinforce accountability, self-awareness and resilience.
Compare coverage options
To help you visualize how Tricare supports each level of care at The Hope House, review the table below:
| Level of care | Tricare coverage | Notes |
|---|---|---|
| Inpatient detox | Covered with authorization | Initial medical stabilization |
| Residential rehabilitation | Covered if criteria met | Includes room, board, therapies |
| Partial hospitalization program | Covered up to program limits | 20+ hours of weekly structured care |
| Intensive outpatient program | Covered up to program limits | 9–19 hours of weekly therapy |
| Standard outpatient counseling | Copay/coinsurance applies | Weekly or biweekly individual and group sessions |
| Medication-assisted treatment | Covered with preauthorization | Suboxone, Vivitrol and counseling |
| Family therapy and aftercare | Copay/coinsurance applies | Ongoing relapse prevention and support planning |
Choose treatment path
Selecting the right path means matching clinical needs with your insurance benefits and personal circumstances.
Assess your needs
Consider:
- Severity of withdrawal symptoms
- Presence of co-occurring mental health conditions
- Work, school or family commitments
- Prior treatment history and outcomes
Your assessment guides whether residential care or outpatient services will best serve your recovery.
Verify insurance benefits
Before you commit to treatment, confirm your Tricare coverage:
- Call your Tricare regional contractor or log in to your beneficiary portal
- Provide your plan details and dates of service needed
- Ask about preauthorization, copayments and your catastrophic cap
- Request a list of in-network providers and confirm The Hope House’s participation
By completing benefit verification, you avoid unexpected bills and ensure a smoother admission.
Benefit verification process
When you contact The Hope House admissions team, they will:
- Collect your insurance and demographic information
- Submit preauthorization requests on your behalf
- Inform you of any potential out-of-pocket costs
- Coordinate directly with your Tricare representative
This streamlined process helps you focus on recovery rather than paperwork.
Take next step
You don’t have to navigate opioid residential treatment with Tricare coverage alone. The Hope House offers a supportive environment, comprehensive care and individualized plans designed to maximize your insurance benefits and minimize your costs. Reach out today for a confidential consultation and begin your journey toward lasting recovery.
