TRICARE Rehab Center in Atlanta, GA

Types of Tricare Plans and How They Cover Rehab

Tricare offers several plan options that may cover services at MARR Treatment Center:

Tricare Prime

This managed care option provides the most comprehensive coverage with lower out-of-pocket costs:

• Requires referrals for specialty care

• Minimal or no deductibles

• Lower copayments

• Priority access to military treatment facilities

Tricare Select

This preferred provider option offers more flexibility:

• Choice of any Tricare-authorized provider

• No referrals are required for most services

• Annual deductible and cost-shares apply

• Higher out-of-pocket costs than Prime

Tricare Reserve Select

Available to Selected Reserve members and their families:

• Similar coverage to Tricare Select

• Monthly premiums required

• Annual deductibles and cost-shares apply

Tricare For Life

For military retirees and family members with Medicare:

• Serves as a Medicare supplement

• Covers Medicare’s coinsurance and deductibles

• May provide coverage for services not covered by Medicare

Tricare Young Adult

For unmarried dependent children who have aged out of regular Tricare coverage:

• Available in Prime or Select options

• Monthly premiums required

• Otherwise, similar benefits to standard plans

Key Tricare Benefits for Substance Use Treatment

Most Tricare plans cover a range of addiction services at MARR, including:

• Assessment and Evaluation

  • Initial assessments to determine the appropriate level of care are generally covered with minimal out-of-pocket costs under most Tricare plans.

• Medical Detoxification

  • Tricare provides comprehensive coverage for medically supervised withdrawal management when deemed medically necessary.

• Residential/Inpatient Rehabilitation

  • Coverage for residential treatment at MARR is often included under Tricare, though the specific duration depends on a medical necessity determination. Prior authorization is typically required.

• Partial Hospitalization Program (PHP)

  • This intensive daytime treatment option receives favorable coverage under many Tricare plans, sometimes featuring lower cost-sharing requirements than residential care.

• Intensive Outpatient Program (IOP)

  • MARR’s IOP services are generally well-covered by Tricare plans, often requiring only copayments or minimal coinsurance.

• Outpatient Counseling

  • Ongoing individual and group therapy sessions typically receive good coverage under Tricare plans, supporting long-term recovery.

• Medication-Assisted Treatment

  • Tricare covers clinically appropriate medications used in addiction treatment, such as those for opioid or alcohol use disorders.

MARR Treatment Center: Specialized Care for Military-Connected Individuals

Founded in 1975, MARR (Metro Atlanta Recovery Residences) has developed specialized programming addressing the unique needs of veterans and military families struggling with addiction.

MARR’s Treatment Philosophy

MARR approaches addiction recovery through a multifaceted strategy that includes comprehensive assessments to identify service-related factors contributing to substance use. Understanding the importance of individual experiences, MARR emphasizes trauma-informed care, particularly for those with combat backgrounds.

The center adopts a long-term treatment approach, allowing adequate time for meaningful change to occur. Additionally, its community-based recovery model fosters connections among peers, creating a supportive environment that promotes healing.

Recognizing the impact of addiction on military families, MARR incorporates family healing into its programs.

Furthermore, we address holistic wellness by considering the physical, emotional, and spiritual dimensions of recovery, ensuring a well-rounded approach to healing.Key Treatment Programs at MARR Covered by Tricare

Gender-Specific Residential Treatment

MARR offers separate men’s and women’s residential programs, recognizing that gender-specific issues often play significant roles in addiction and recovery.

The residential programs include:

• Comprehensive assessment and individualized treatment planning

• Individual therapy with licensed clinicians

• Group therapy addressing addiction patterns

• Life skills development

• Family therapy and education

• Medical and psychiatric care

Tricare often covers residential treatment. Initial authorization typically covers 21-28 days, with extensions based on medical necessity.

Intensive Outpatient Program (IOP)

For those who don’t require 24-hour care or are transitioning from residential treatment, MARR’s IOP offers structured support while allowing clients to maintain work or family responsibilities. Tricare typically provides favorable coverage for IOP services.

MARR’s Specialized Approach for Military-Connected Clients

For veterans and military family members, MARR provides specialized programming addressing:

Combat-Related Trauma

Many service members experience traumatic events during deployment that can contribute to substance use. MARR’s trauma-informed approach includes:

• Specialized assessment for military-related trauma

• Evidence-based trauma therapies

• Coping skills for trauma symptoms

• Safe processing of traumatic experiences

Military-Civilian Transition Issues

The transition from military to civilian life can be challenging. MARR addresses:

• Identity issues following military service

• Adjustment to civilian employment

• Changes in family dynamics after service

• Connection to veteran-specific resources

Peer Support from Veterans

MARR’s staff includes individuals with military experience and recovery expertise, providing understanding and guidance that resonates with military-connected clients.

The Admission Process: From Tricare Verification to Treatment

Getting Started with MARR: Initial Assessment and Insurance Verification

When you reach out to MARR, their admissions team is ready to help you every step of the way. First, they’ll conduct a confidential assessment to really understand your needs.

We’ll also ask for your Tricare insurance information to check what benefits and coverage you have. Don’t worry; we will clearly explain your financial responsibilities and get all the necessary authorizations from Tricare.

This process usually takes about 24-48 hours, so you’ll have a clear idea of the financial side before you start treatment.

Understanding Medical Necessity and Authorization

Like most insurers, Tricare requires that your treatment be deemed “medically necessary” to qualify for coverage. Our clinical team collaborates closely with Tricare’s care managers to document what makes your treatment necessary.

We consider factors like the severity of your addiction, your previous treatment history, any risk factors, and any co-occurring medical or psychiatric conditions you might have.

Throughout your treatment journey, MARR’s utilization review specialists keep in touch with Tricare, providing regular clinical updates to ensure you continue to receive coverage as you progress in your recovery.

Addressing Co-Occurring Disorders with Tricare Coverage

Research indicates that military service members and veterans experience higher rates of co-occurring mental health conditions alongside substance use disorders—particularly post-traumatic stress disorder (PTSD), depression, and anxiety. MARR specializes in treating these dual-diagnosis cases.

Integrated Treatment for Co-Occurring Disorders

MARR’s approach to dual diagnosis includes the following:

• Comprehensive psychiatric evaluation

• Medication management when appropriate

• Specialized therapy addressing both addiction and mental health

• Integrated treatment planning

Tricare provides coverage for the treatment of co-occurring disorders when clinically indicated, recognizing the importance of addressing these conditions simultaneously.

Why Choose MARR for Military-Connected Individuals

Accreditation and Quality Recognition: MARR maintains accreditation from the Joint Commission, meeting rigorous standards for quality and safety. Tricare recognizes this accreditation as a mark of excellence, often streamlining the authorization process.

Specialized Military Cultural Competence: MARR’s staff receives training in military culture and the unique challenges faced by service members, veterans, and their families. This cultural competence creates an environment where military-connected clients feel understood.

Focus on Long-Term Recovery: Unlike short-term programs, MARR emphasizes extended care and continuing support, which research links to better outcomes. Their approach includes:

• Minimum 90-day treatment recommendations

• Structured aftercare planning

• Alumni community involvement

• Ongoing recovery monitoring

Impressive Success Rates: MARR tracks outcomes and reports that clients completing their recommended treatment plan maintain sobriety at rates significantly above national averages.

Understanding Your Financial Responsibility

Even with Tricare insurance, patients should be prepared for some out-of-pocket expenses, which may include:

• Annual deductible amounts (vary by plan type)

• Copayments for specific services

• Cost-shares (percentage of costs you share with Tricare)

MARR’s financial counselors provide transparent information about expected costs based on your Tricare plan before admission.

When Coverage Has Limitations

If your Tricare plan doesn’t cover all recommended services, MARR can help navigate alternatives:

• Appeal processes for denied claims

• Payment plans for out-of-pocket expenses

• Connection to veteran-specific resources

• Guidance on other financing options

Continuing Care and Tricare Coverage

Recovery extends far beyond initial treatment. MARR emphasizes continuing care, and Tricare offers coverage for extended services:

Structured Aftercare Programs

After completing primary treatment, MARR provides ongoing support through:

• Regular outpatient sessions

• Recovery check-ins

• Alumni community engagement

• Relapse prevention planning

Tricare often covers many of these continuing care services, supporting long-term recovery.

Veteran-Specific Resources

MARR connects military-connected clients with specialized resources:

• VA healthcare services

• Veteran support groups

• Veteran service organizations

• Employment assistance programs

Transitional Living Options

While Tricare typically doesn’t directly cover housing costs, MARR offers structured transitional living environments. Your Tricare plan may partially cover the therapeutic services received during this phase.

Start Your Recovery Journey with MARR

Addiction is a progressive condition that rarely improves without proper intervention. While concerns about insurance coverage are valid, they shouldn’t prevent seeking life-saving treatment.

MARR Treatment Center’s partnership with Tricare creates an accessible pathway to quality Atlanta care for military service members, veterans, and their families.

Contact MARR today at (678) 805-5100 to learn how your Tricare insurance can help cover the costs of quality addiction treatment in Atlanta, Georgia.