Adults with TRICARE coverage researching rehab options can verify their benefits at The Villa Treatment Center. Villa accepts members of most major insurance plans. Verification takes 15 minutes by phone or 24 hours by online form, and confirms what your plan covers and any other costs. To know more, call (818) 639-7160.
What is TRICARE?
TRICARE is the U.S. Department of Defense health care program for active duty service members, military retirees, National Guard and Reserve members, family members, and other eligible beneficiaries. The program serves more than 9.6 million people across the United States and overseas.
TRICARE is delivered through two regional contractors. TriWest Healthcare Alliance administers the TRICARE West Region (which includes California, 20 other states, and several territories) as of January 1, 2025. Humana Military administers the East Region. The January 2025 transition from Health Net Federal Services to TriWest created referral and authorization timing changes that are still being worked through, so allowing extra time for verification matters more than usual right now.
Behavioral health benefits, including substance use and mental health treatment, are part of standard TRICARE coverage under federal parity requirements, plus California’s SB 855 for plans regulated in-state. Villa accepts members from TRICARE Prime, TRICARE Select, and related TRICARE plan types.
TRICARE Prime vs. TRICARE Select for Rehab
The plan you have determines how you access rehab care. Two plans cover most California beneficiaries, and Villa accepts members from both.
- TRICARE Prime: care is coordinated through a Primary Care Manager (PCM) who provides referrals for specialty care, including substance use treatment. Prior authorization from TriWest is required for certain admissions.
- TRICARE Select: no PCM referral required. Prior authorization is still required for certain admissions.
Other TRICARE plans (TRICARE for Life, Reserve Select, Retired Reserve, TRICARE Young Adult) follow similar Prime or Select patterns. Verification confirms which plan applies to you and what it covers. To know more, call us at (818) 639-7160.
What TRICARE Plans Typically Cover For Rehab
Most TRICARE plans cover the addiction treatment services we provide. For more information about what your plan covers, call us at (818) 639-7160.
Villa accepts members from TRICARE Prime, TRICARE Select, and related TRICARE plan types.
Verification confirms the specifics of your benefits and any other costs.
Where additional steps may apply
- DEERS enrollment: your information must be current in the Defense Enrollment Eligibility Reporting System before coverage will process. Villa’s admissions team can help confirm your DEERS status as part of intake.
- Prior authorization: most TRICARE plans require prior authorization for certain admissions, handled through TriWest in the West Region. Villa’s admissions team submits the request on your behalf and walks you through the timing.
- PCM referral (TRICARE Prime members): Prime members typically need a referral from their Primary Care Manager before specialty care begins. Villa’s admissions team can help coordinate.
- Concurrent review: during longer stays, TRICARE may review continued care. Villa’s clinical team documents progress as part of standard practice.
How To Verify TRICARE Coverage At The Villa
Verification at The Villa takes 15 minutes by phone or 24 hours by online form. You’ll need three things to get started:
- Your TRICARE plan type (Prime, Select, for Life, Reserve Select, etc.)
- Your sponsor’s name and DoD ID number (or your own if you’re the sponsor)
- Your date of birth and DEERS-registered name for benefit verification
After verification, admissions walks through what your plan covers, any other costs, and the next steps in the admissions process. Same-week intakes are usually available across all levels of care.
How TRICARE Members Typically Pay For Rehab
Three financial pathways apply to most TRICARE members researching treatment at Villa. Verification walks through which apply to your situation.
- Use your TRICARE benefits. Most TRICARE plans cover addiction treatment under the behavioral health benefit, and Villa accepts members from TRICARE Prime, TRICARE Select, and related TRICARE plan types. Our admissions team handles prior authorization through TriWest, claims, and coordination with your PCM where applicable, so you can focus on recovery.
- Single-case agreement or point-of-service authorization. Negotiated with TriWest per-admission when specialized care isn’t locally available, or when a TRICARE Prime member needs care outside their usual referral path. Villa’s admissions team handles the request as part of intake.
- Self-pay rates and financing. Villa offers self-pay rates and payment plans, with treatment financing through My Treatment Lender. Admissions walks through the options on the verification call.
Frequently Asked Questions
Will TRICARE cover treatment at Villa?
Coverage depends on your specific TRICARE plan. Villa accepts members of most major insurance plans. Verification confirms what your plan covers and any other costs. To know more, call us at (818) 639-7160.
Who is the current TRICARE West Region contractor?
TriWest Healthcare Alliance has been the TRICARE West Region contractor since January 1, 2025, replacing Health Net Federal Services. The transition has had reported referral and authorization timing issues, so verifying your coverage with TriWest before admission is important. Villa’s admissions team handles TriWest coordination as part of intake.
Does TRICARE require prior authorization for rehab?
Most TRICARE plans require prior authorization for certain admissions. In the West Region, TriWest handles authorization. Villa’s admissions team submits the request on your behalf as part of intake and walks you through the timing.
Can TRICARE Prime members get care at Villa?
Yes. Villa accepts TRICARE Prime members. Prime members typically need a referral from their Primary Care Manager (PCM) and prior authorization through TriWest before specialty care begins. Villa’s admissions team helps coordinate the referral and authorization process as part of intake. To know more, call us at (818) 639-7160.