Rehab Centers in San Jose That Accept TRICARE

What addiction treatment does TRICARE cover in San Jose?

TRICARE covers medically necessary addiction care in San Jose at several levels: withdrawal management, residential treatment, partial hospitalization, intensive outpatient, office-based outpatient care and opioid treatment with medications. San Jose listings that report TRICARE also describe their own services, so match those services to what your plan covers.

Common starting points are outpatient programs in San Jose and residential care in San Jose. Some programs also treat co-occurring mental health conditions. Others offer telehealth sessions, which can help families who move between duty stations.

Each TRICARE plan has its own first step. Prime members usually need their primary care manager to send a referral, while Select members typically skip that for outpatient visits. Residential and partial hospitalization stays often need authorization ahead of time. Network providers bill TRICARE directly, and an authorized non-network program can still be covered at a higher cost to you.

Programs on this list are urban and close to the light rail and bus lines run by the Santa Clara Valley Transportation Authority. Their median distance to Mineta San Jose International Airport is 3.6 miles. Mount Hamilton is within 25 miles of each program listed, at a median of 9.5 miles, and the Guadalupe River is a median of 8.2 miles away.

Do I need a referral or prior authorization for rehab in San Jose?

The answer depends on your plan, and higher levels of care usually need approval before admission.

• TRICARE Prime enrollees generally need a referral from their primary care manager.
• TRICARE Select and TRICARE Reserve Select usually do not need a referral for outpatient visits. Residential care and partial hospitalization commonly need prior authorization.
• TRICARE For Life works alongside Medicare for retirees: Medicare pays first and TRICARE pays second. For those retirees, Medicare-accepting programs in San Jose are worth comparing.

Network status changes your cost-share. Network providers bill TRICARE directly. Non-network providers that are TRICARE-authorized can still be covered, but you may pay more and sometimes file the claim yourself. Ask the regional contractor and the admissions team about network status. For background on the benefit, see how TRICARE works for addiction care.

Active duty service members

Active duty members usually start substance use care through their military treatment facility or primary care manager, not by contacting a civilian program directly. Family members and retirees follow the plan rules above. If you have concerns about command notification, ask your service’s own program about its policy before you begin.

What options do San Jose veterans and retirees have?

Veterans who are not enrolled in TRICARE can use VA health care instead.

• The San Jose VA Clinic at 5855 Silver Creek Valley Place lists addiction and substance use care.
• The main VA Palo Alto locations are on Miranda Avenue in Palo Alto and Willow Road in Menlo Park.
• The Superior Court of California, County of Santa Clara, runs a Veterans Treatment Court.
• Programs that serve former service members appear among veterans rehab options in San Jose.

Gaps in coverage are often handled through Santa Clara County. The County of Santa Clara Behavioral Health Services Call Center at (800) 704-0900 connects callers with alcohol and drug treatment. In a crisis, call 988 and press 1 for the Veterans and Military Crisis Line.

For programs elsewhere in the state, see TRICARE rehab across California. To see every treatment type in the city, go to all San Jose listings.