What Is TriWest Insurance?
TriWest Healthcare Alliance is the official contractor for the TRICARE West Region as of January 1, 2025. In partnership with the Department of Defense (DoD) and the Department of Veterans Affairs (VA), TriWest serves more than 9 million beneficiaries across 26 western states, providing military personnel, veterans, and their families with access to quality health care.
Key facts about TriWest / TRICARE West:
- Serves military members, retirees, veterans, and their dependents
- Covers behavioral health treatment, including inpatient, outpatient, and detox services
- Works with authorized, accredited providers like Pacific Bay Recovery
- Focused on improving access to high-quality care for military communities
By working with TriWest, Pacific Bay Recovery ensures that those who have served — and their families — can receive life-saving treatment without unnecessary barriers.
Does TriWest Cover Mental Health and Substance Use Treatment?
Yes. TriWest insurance covers a wide range of behavioral health and addiction treatment services, making it easier for military families to access care. At Pacific Bay Recovery, we align our programs with TriWest benefits so patients can receive the highest level of care with minimal out-of-pocket costs.
Covered services may include:
- Inpatient & Residential Rehab – 24/7 care for those with severe addiction
- Partial Hospitalization Program (PHP) – Full-day therapy with evening return home
- Intensive Outpatient Program (IOP) – Flexible, structured therapy several times a week
- Outpatient Counseling & Therapy – Ongoing individual, group, and family sessions
- Detox & Withdrawal Management – Medically supervised detox for alcohol, opioids, benzos, and more
- Medication-Assisted Treatment (MAT) – Evidence-based treatment for opioid and alcohol use disorders
- Dual Diagnosis Treatment – Integrated care for mental health and substance use disorders
- Telehealth Options – Virtual counseling for patients who cannot attend in person
Coverage levels may vary based on military status, plan type, and medical necessity. Our team works directly with TriWest to handle pre-approvals and ensure you receive all services you’re entitled to.
What Is The Insurance Verification Process At Pacific Bay Recovery?
Verifying your TriWest insurance coverage is the first step toward treatment. At Pacific Bay Recovery, we make the process simple and stress-free:
Get in Touch
The first step is to reach out to our admissions team. You can do this by phone, email, live chat on our website, or by completing our online contact form. Whether you are seeking treatment for yourself or on behalf of a loved one, our team is ready to assist.
Submit Your Insurance Details
Next, you will provide your TriWest insurance information. This typically includes the name of the policyholder, policy number, group number, and the type of plan. Providing accurate details ensures a smooth and accurate verification process.
Coverage Verification
Our admissions specialists will contact TriWest directly to confirm your benefits. This includes determining coverage for services such as detox, inpatient rehab, outpatient programs, therapy sessions, and medication-assisted treatment. We make sure all potential treatment options under your plan are explored.
Benefit Confirmation
After verifying your coverage, we provide a detailed explanation of your benefits. This includes which treatment services are fully covered, any co-pays, deductibles, or out-of-pocket costs, and important plan limitations you should be aware of.
Financial Planning
If your plan includes co-pays or other cost-sharing responsibilities, our team will review payment options with you. This can include self-pay arrangements, payment plans, or other flexible solutions to help ensure care is accessible.
Customized Treatment Planning
Finally, based on the verified coverage, our admissions team will collaborate with you to design a personalized treatment plan that maximizes your TriWest benefits. This ensures you receive the full spectrum of care available under your insurance plan while focusing on your recovery goals.
