TriWest Rehab in Austin, TX
If you are a veteran in need of rehab in the Austin, TX area, Prairie Recovery accepts your TriWest insurance coverage. If you’re struggling with addiction, Prairie Recovery can provide comprehensive treatment for drug or alcohol addiction and any underlying mental health concerns.
What is TriWest?
TriWest Healthcare Alliance is a partner company of the Department of Defense and the Department of Veterans Affairs (VA), administering benefits for veterans. Traditionally, veterans receive care through the VA’s network of medical facilities. However, there are times when the VA requires community providers to deliver services to its veterans. TriWest helps connect veterans with healthcare providers in their communities when VA facilities aren’t readily available or can’t provide the necessary care.
TriWest also manages networks of healthcare providers and processes claims for veterans who access care through these programs. Their focus is on ensuring that veterans have access to quality and timely healthcare services. This involvement streamlines the process of getting needed healthcare to veterans outside of traditional VA facilities.
To use TriWest, you must meet one of six criteria:
- Utilizing the TriWest Community Care Network is the optimal medical choice for your healthcare needs.
- Specific standards won’t be met if you try to receive care at a local VA facility or provider.
- There isn’t a full-service VA facility near you.
- You qualify for the Veterans Choice Program because you’re grandfathered in based on the distance eligibility rule.
- You aren’t able to receive the necessary services at a local VA facility.
- The current medical service line doesn’t meet the standards for quality set by the VA for medical services.
What’s the Difference Between TriWest and TriCare?
TriWest and TriCare are both associated with healthcare for military personnel and their families. However, they serve specific roles and cover different geographical areas. The differences are:
- TriCare
TriCare is the Department of Defense’s comprehensive healthcare program for active-duty service members, retirees, and their families. It is the overall health program.
- TriWest
TriWest insurance isn’t a traditional insurance company. It’s a network of community care providers. The participating providers are required to cover rehab, but there are specific qualification requirements and restrictions. TriWest is also the company that manages TriCare benefits in certain areas of the United States, primarily in the Western region.
Does TriWest Cover Rehab Treatment?
TriWest covers a variety of healthcare services for veterans and military members, including:
- Urgent, emergency, and primary care
- Behavioral health and mental health–Providers in the TriWest group do cover mental health services. While TriWest offers numerous behavioral and mental health options, many of these services may be partially covered under VA health benefits. Different methods of behavioral health treatment include cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). Some limitations and restrictions may apply.
- Vision and dental care
- Reproductive health
- VA Community Care Network (CCN)–The CCN provides healthcare services to veterans when the VA is unable to meet their needs.
- Case management–TriWest provides case management for people with complicated health requirements.
- Substance use disorder (SUD) treatment–TriWest covers a range of addiction treatment choices. This includes residential rehab, outpatient treatment, and medication-assisted treatment (MAT) through the provider network.
Does TriWest Cover Medications?
Treatment plans for substance use disorders may include medications. Some SUDs respond well to medications, including alcohol use disorder (AUD) and opioid use disorder (OUD). Medications may be covered through the TriWest provider network.
What Does TriWest Not Cover?
Because TriWest isn’t a health plan, there aren’t any specific services that aren’t covered. Instead, confirming what your TriCare or VA health benefits cover is essential when deciding on a provider who is a member of the TriWest network. You should also know that TriCare and VA health benefits won’t cover unapproved or unproven mental health treatments.
What States Does TriWest Serve?
Currently, the states and locations that are part of the TriWest Healthcare Alliance include:
- Alaska
- American Samoa
- Arizona
- California
- Colorado
- Guam
- Hawaii
- Idaho
- Montana
- New Mexico
- Nevada
- Northern Mariana Islands
- Oregon
- Texas
- Utah
- Washington
- Wyoming
Don’t Wait. Reach Out.
According to the VA, there are many ways for veterans or family members to reach out if a veteran is struggling and needs immediate help. The VA wants veterans to know that they aren’t alone and that healthcare professionals are available to provide support immediately. The “Don’t Wait. Reach Out” campaign is a valuable resource that connects veterans and their loved ones with resources and tools tailored to their specific needs, whether they seek immediate assistance or wish to research options at their own pace.
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Prairie Recovery Offers TriWest Rehab Services in Austin, TX
The Prairie Recovery Center in Austin, TX, is proud to be part of the TriWest community of providers to veterans and their families. Prairie Recovery Center can provide these programs to treat substance use disorder:
- Drug detox and alcohol detox–Depending on the substance and the severity of the addiction, a medical detox may be necessary to prepare the individual for a treatment program.
- Residential Rehab–Also known as inpatient treatment, this program is the highest level of care. Individuals live at the treatment facility in a safe and supportive environment, away from people and surroundings that may trigger a relapse.
- Intensive Outpatient Program (IOP) –People in an IOP live at home and attend treatment sessions at the facility several times a week. IOP is suitable for individuals with a less severe addiction, who have a supportive home situation, or have completed a higher level of care.
Behavioral and Mental Health Treatment
- Individual and Group Therapy – Our professionally licensed therapists are experienced in addiction treatment. They offer personalized attention that targets the individual’s specific challenges. The one-on-one attention fosters confidence and trust, enabling the exploration of underlying issues.
- Dual Diagnosis–Many veterans suffer from PTSD as a co-occurring condition, and Prairie Recovery Center has a dual diagnosis program to treat both disorders simultaneously. Participating in group therapy enables members to receive guidance, understanding, and support from their peers.
If you or a loved one is struggling with a mental health issue, SUD, or both, we are here to help you. Don’t wait–it won’t get better on its own. Reach out–contact us today.
