TRICARE INSURANCE

Using TRICARE Care Mental Health Insurance to Cover Treatment at Skyland Trail

The Skyland Trail treatment programs are in-network with most plans offered by Humana Millitary / TRICARE East:

Total treatment costs depend on the level of care required and the number of days needed to complete treatment. Most clients use some combination of private pay and insurance benefits to cover the costs of program fees and professional services. Pre-authorization from Tricare East is required.

Humana Military TRICARE East for adolescent mental health services

Help for Military Families

Skyland Trail is pleased to offer residential mental health services for military families and their children living in Georgia and throughout the southeast. Our partnership with Humana Military / TRICARE East will enable our military service members with adolescents and young adults struggling with mood and anxiety disorders to receive residential mental health services close to home.

Skyland Trail in Atlanta may be good fit for families living near military bases throughout the southeast, including:

  • Fort Benning, Fort Gordon, Fort Stewart, Hunter Army Airfield, Naval Submarine Base Kings Bay and Robins Air Force Base in Georgia
  • Redstone Arsenal Army Base, Fort Rucker and Maxwell Airforce Base in Alabama
  • Military facilities in Jacksonville, Florida
  • Military establishments near Beaufort, South Carolina

By meeting the exacting TRICARE standards for quality care, our Georgia-based adolescent residential treatment program and treatment program for adults deliver expert psychiatric care with a holistic approach to wellness for the families of active duty personnel, members of the National Guard, Reserve, and Veterans of the Armed Forces.

Will TRICARE cover adult mental health residential treatment or day treatment program fees?

Effective April 1, 2022, the Skyland Trail adult residential treatment program is in-network with Humana Military / TRICARE East for young adults ages 18 to 20 only. The Skyland Trail adult day treatment program is in-network with Humana Military / TRICARE East for young adults ages 18 to 26 who are covered dependents and adults18+ who are primary beneficiaries.

Will TRICARE cover adolescent mental health residential treatment program fees?

The adolescent residential treatment program at Skyland Trail is in-network with most plans offered by TRICARE East. Clients typically participate in the residential level of care for 12 weeks. TRICARE East may or may not authorize treatment for the full recommended length of stay at the residential treatment level of care. Note that TRICARE requires a referral from a medical or mental health professional for authorization.

How do I know what my TRICARE East plan covers for mental health treatment programs?

Skyland Trail provides up-front financial counseling for each client and family. As with other health treatment, understanding how insurance companies authorize benefits can be difficult. Insurance does not typically cover the entire cost of the program or the recommended length of stay for a full recovery. Our financial counselors can help you estimate your overall financial responsibility. As part of the admissions process, a financial counselor will contact TRICARE East to thoroughly analyze your plan and benefits. The financial counselor will provide you with an estimate of your insurance benefits and out-of-pocket costs.

How quickly can you provide an estimate of benefits and costs?

As part of the admissions process, a financial counselor will contact TRICARE East to thoroughly analyze your plan and benefits. This one-to-one conversation with a benefits manager at TRICARE East takes more time than a quick one-size-fits-all benefits check on the internet. The financial counselor will provide you with a thorough and individualized estimate of your insurance benefits and out-of-pocket costs within two business days. We want you to have all the information you need to make an informed decision. We do not want you to experience any surprises related to your financial responsibility on the day of admission.

How much does it cost to verify my TRICARE East benefits and begin the admissions process at Skyland Trail?

Financial counseling is complimentary and is provided at no cost to clients and families applying for admission to the residential and day treatment programs. While our financial counselors are developing a financial estimate, our admissions team is working with your former behavioral health providers to obtain medical records. After a medical records review, if the potential client meets clinical criteria, you will receive a clinical admissions assessment that also is provided at no cost.

Our admissions team will request preauthorization for the admitting level of care from Humana Military / TRICARE East. Usually preauthorization is requested on the day of admission. Please note that authorization is not a guarantee of payment. In all cases, the initial benefits estimate you receive is based on the expectation of coverage and estimated payment by TRICARE East for the costs of treatment.  The actual amount owed by the financially responsible party will depend on the payments Skyland Trail receives from TRICARE East and may vary from initial estimates.  All fees and financial obligations are ultimately the responsibility of the financially responsible party. We will make every reasonable effort to obtain payment from contracted insurance companies; however, if the insurance company does not pay Skyland Trail the cost of treatment, the financially responsible party will be billed for outstanding amounts due.