What Therapy Services Does Tricare Cover for Mental Health?

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Introduction


TRICARE is a vital healthcare program serving military personnel, retirees, and their families, offering a broad range of medical services to support their unique needs.

Within this framework, mental health support stands out as particularly crucial, acknowledging the intense pressures and challenges faced by those in the military community.

By providing access to mental health services, TRICARE plays a key role in ensuring the overall well-being of its beneficiaries, helping them to navigate the complexities of military life with strength and resilience.

This focus on mental health underscores a deep recognition of its importance in maintaining not just the physical, but also the emotional and psychological health of service members and their loved ones.


Tricare Therapists in Colorado Springs, CO

Tracey Lundy, LCSW

Tracey Lundy, LCSW

Colorado Springs, Colorado
(719) 452-4374
Bethany Cantrell, LPC

Bethany Cantrell, LPC

Colorado Springs, Colorado
(719) 602-1342
Naomi Kettner, LPC, NCC

Naomi Kettner, LPC, NCC

Colorado Springs, Colorado
(719) 452-4374
Mallory Heise, LPC, LAC

Mallory Heise, LPC, LAC

Colorado Springs, Colorado
(719) 602-1342
Dr. Michelle Palmieri, DSW, LSW

Dr. Michelle Palmieri, DSW, LSW

Colorado Springs, Colorado
(719) 602-1342
Barbra Styles, LPC, LAC

Barbra Styles, LPC, LAC

Colorado Springs, Colorado
(719) 345-2424
Jenifer Seas, LCSW

Jenifer Seas, LCSW

Colorado Springs, Colorado
(719) 452-4374
Kimberly Nefflen, LPCC

Kimberly Nefflen, LPCC

Colorado Springs, Colorado
(719) 602-1342
Cassondra Chagnon, LPCC

Cassondra Chagnon, LPCC

Colorado Springs, Colorado
(719) 481-3518
Alex Wiley, LPC

Alex Wiley, LPC

Colorado Springs, Colorado
(719) 452-4374

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Services That Tricare Covers for Mental Health


  • Individual Psychotherapy - Offering one-on-one sessions with a therapist to work through personal issues.

  • Group Therapy - Including family therapy and support groups for shared experiences and mutual support.

  • Cognitive Behavioral Therapy (CBT) - A treatment approach that helps in identifying and changing negative thought patterns and behaviors.

  • Substance Use Disorder Treatment - Covering outpatient, inpatient, and residential treatments for substance abuse.

  • Applied Behavioral Analysis (ABA) - For families dealing with an Autism Spectrum Disorder diagnosis, the emphasis is on enhancing particular behaviors.

  • Telehealth Services - Providing virtual therapy options for convenient access to mental health support.

  • Psychological Testing and Assessment - To help diagnose a patient and develop a treatment plan.

  • Emergency Inpatient Hospitalization - For acute psychiatric crises requiring immediate and intensive treatment.

  • Suicide Prevention Services - Including crisis hotlines and the Military Health System Nurse Advice Line for immediate support and intervention.

Outpatient Services


TRICARE provides comprehensive coverage for a variety of outpatient mental health services aimed at supporting beneficiaries through various challenges such as stress, depression, anxiety, and substance use disorders.

Among these services, individual psychotherapy stands out as a key component, offering a private setting for clients to work through personal issues with a therapist.

The coverage typically includes a certain number of sessions per year, though the exact duration and frequency depend on the individual's specific needs and the treatment plan recommended by their healthcare provider.

In addition to individual therapy, TRICARE covers a wide range of group therapy options, including family therapy and support groups.

Family therapy is designed to address issues affecting the family unit, providing a space for family members to communicate effectively and work through conflicts or challenges together.

The criteria for coverage include the therapist's assessment of the family's needs and the potential for therapeutic intervention to improve family dynamics.

Support groups, on the other hand, offer a collective environment where individuals can share experiences and find mutual support among peers facing similar challenges.

Cognitive Behavioral Therapy (CBT), another critical service covered by TRICARE, is recognized for its effectiveness in treating a variety of mental health issues, including depression, anxiety, and PTSD. 


Inpatient Services


Inpatient hospitalization for mental health under TRICARE provides essential support for individuals facing acute psychiatric conditions or substance use disorders, ensuring that beneficiaries receive the necessary care in a structured and supportive environment.

Coverage for these services is contingent upon the medical necessity of the hospital stay, which typically involves situations requiring immediate and intensive intervention, such as severe depression, suicidal ideation, or management of withdrawal symptoms from substance use.

The conditions for coverage and the duration of the inpatient stay are determined based on the individual's specific needs, with the aim of stabilizing the patient's condition to a point where they can safely transition to less intensive levels of care.

This approach underscores TRICARE's commitment to providing timely and appropriate treatment to address serious mental health challenges.

TRICARE extends its coverage to include residential treatment programs, offering a longer-term care option for beneficiaries grappling with psychiatric conditions that demand a 24-hour therapeutic environment but do not necessarily require the acute medical interventions of inpatient hospitalization.

These residential treatment centers specialize in providing comprehensive psychiatric care, integrating various therapeutic modalities to address complex mental health issues.

Eligibility for these programs is predicated on a thorough assessment of the individual's condition, ensuring that the level of care aligns with the severity and nature of their psychiatric needs. 


Specialized Therapies


TRICARE provides comprehensive coverage for individuals dealing with substance use disorders, offering a wide range of treatment options to meet the diverse needs of its beneficiaries.

This includes outpatient services, where individuals can receive treatment while continuing with their daily lives; inpatient services, for those who require more intensive, round-the-clock care; and residential treatments, which offer a structured environment conducive to recovery over a longer period.

These varied options ensure that TRICARE beneficiaries have access to the appropriate level of care for their specific situation, promoting effective treatment and recovery from substance use disorders.

Additionally, TRICARE extends its coverage to include Applied Behavioral Analysis (ABA) for families with an Autism Spectrum Disorder diagnosis, recognizing the importance of early, specialized intervention in supporting developmental progress.

ABA therapy is an engaging and hands-on method aimed at enhancing particular behaviors, including social interaction, communication abilities, reading, educational skills, and adaptive learning skills.

These adaptive skills cover a wide range of everyday tasks and competencies, such as fine motor skills, personal hygiene, grooming, household tasks, time management, and vocational skills.

TRICARE has embraced the digital age by providing coverage for telehealth services, offering virtual therapy options as a convenient and effective alternative to traditional in-person sessions. 


Emergency Mental Health Services


TRICARE provides essential coverage for emergency mental health services, ensuring that beneficiaries facing acute psychiatric crises have access to immediate care.

Emergency inpatient hospitalization is a critical component of this coverage, offering a lifeline to individuals experiencing severe mental health emergencies that pose a risk to themselves or others.

The process for accessing this care involves either presenting to an emergency department or being referred by a healthcare provider, with the aim of stabilizing the individual's condition in a safe, therapeutic environment.

This level of care is considered medically necessary when the severity of the mental health condition requires intensive treatment and monitoring, thereby qualifying for coverage under TRICARE's emergency mental health services.

In addition to emergency hospitalization, TRICARE recognizes the importance of suicide prevention services as part of its comprehensive approach to mental health care.

These services encompass a range of covered interventions, including crisis hotlines, which offer 24/7 support to individuals experiencing suicidal thoughts or behaviors.

The Military Health System Nurse Advice Line is another vital resource, providing access to professional guidance and referrals to appropriate care. 


Get Matched to the Right Provider

Complete this questionnaire to discover service providers that match your requirements! No need to provide contact information.


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Disclaimer

Please note that the information provided in this blog post about the mental health services covered by TRICARE is based on the most current information available to us. 

While we strive to keep our content accurate and up to date, we strongly recommend consulting directly with your TRICARE provider to confirm coverage specifics before scheduling any appointments.


Conclusion


The provision of mental health services through TRICARE is a testament to the understanding that the well-being of military members, retirees, and their families encompasses much more than physical health alone.

Access to these services is not just a benefit—it's a crucial support system designed to address the unique psychological challenges faced by those who serve and have served.

As such, anyone within the TRICARE network experiencing mental health concerns is strongly encouraged to seek help and utilize the resources available to them.

In doing so, they're not only taking steps toward personal healing but also reinforcing the foundation of resilience and strength that defines the military community. 


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July 14th, 2024

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