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Humana Tricare · In Network

Humana Tricare covers rehab. We are in network.

We are in network with Humana Tricare, the Tricare East administrator. If your card shows Humana Military or Tricare East branding, your benefits cover medically necessary detox and residential treatment at Pines. Humana commercial plans (ChoiceCare PPO, employer group) and Humana Medicare Advantage are not accepted. Service members with Tricare East: see Humana Military →

Verify Humana Coverage Speak With a Counselor
Commercial Group · Medicare Advantage Nationwide Network < 60 seconds
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
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HIPAACompliant
DEARegistered
Humana Plan Types

Every Humana plan, explained plainly.

Coverage depends on your plan type. Here’s what typically applies — and how it affects in-network vs out-of-network reimbursement for addiction treatment.

Humana ChoiceCare PPO Not Accepted

Humana commercial plans, including ChoiceCare PPO and employer group coverage, are not accepted at Pines. Humana Tricare (Humana Military) is — we are in network. If your card shows Humana Military or Tricare East branding, that is your pathway. See our Humana Military guide.

Humana HMO Not Accepted

HMO plans keep care inside a closed local network and require a primary care referral. Pines is not in those networks, so HMO plans are not accepted here. If you also carry a PPO, POS, or EPO plan — or Tricare, Humana Tricare, or VA Community Care — that is the pathway, and we can check it for you at no cost.

Humana Medicare Advantage Not Accepted

Medicare and Medicare Advantage plans are not accepted at Pines. If you carry secondary commercial PPO coverage, or Tricare, Humana Tricare, or VA Community Care Network, we can verify that instead. Call us and we will tell you where you stand in one conversation, without any obligation.

Humana HSA-Eligible Not Accepted

Humana high-deductible commercial plans paired with a Health Savings Account are not accepted at Pines. If you also carry a commercial PPO plan, or Tricare, Humana Tricare, or VA Community Care, that is the pathway, and we can check it for you at no cost. HSA funds can still be used toward treatment costs.

Humana Medicaid Not Accepted

Medicaid and Medicaid managed care plans are not accepted at Pines, and they generally do not extend to out-of-state residential treatment. If you have other coverage, or Tricare, Humana Tricare, or VA Community Care, we can verify that. If not, our team can talk through what other options exist.

Humana Gold Plus Not Accepted

Medicare and Medicare Advantage plans are not accepted at Pines. If you carry secondary commercial PPO coverage, or Tricare, Humana Tricare, or VA Community Care Network, we can verify that instead. Call us and we will tell you where you stand in one conversation, without any obligation.

What Humana Tricare Covers at Pines

Medical necessity, by ASAM standard.

Humana Tricare applies ASAM criteria for level-of-care determination. Coverage is authorized in stages as your clinical picture evolves.

Phase One

Medical Detox

Typically authorized 3–7 days depending on substance and withdrawal severity (CIWA-Ar for alcohol, COWS for opioids). Concurrent review extends coverage if withdrawal protracts. MAT covered when clinically indicated.

Phase Two

Residential Inpatient

Typically authorized in 5–7 day increments, 14–30 days for most patients with medical necessity. Co-occurring psychiatric conditions treated under the same authorization per Mental Health Parity rules.

Phase Three

Aftercare Coordination

Discharge planning confirms in-network step-down care — outpatient, IOP, PHP, sober living — through our partner network, matched to your Humana Tricare benefits and home location.

Your Cost — How It Works

Deductible. Coinsurance. Out-of-pocket max.

Humana Tricare plans pay for rehab through three levers: deductible, coinsurance, and out-of-pocket maximum. Once you hit your OOP max, your plan covers 100% of in-network covered services for the rest of the plan year.

Many patients arrive mid-year having met their deductible on other medical care. That can mean minimal — sometimes zero — out-of-pocket cost for treatment. Our financial counselors run your exact numbers before admission.

Get your Humana Tricare numbers in 60 seconds
Deductible
Annual, plan-specific$0–$8,000+ depending on plan. Met? Treatment costs you less.
Coinsurance
After deductibleTypically 10–30% of allowed amount until OOP max.
OOP Max
Annual ceilingOnce met, your Humana Tricare benefit covers the remainder of the year.
Not Accepted
Medicare AdvantageMedicare Advantage plans, including Humana Gold Plus, are not accepted at Pines.
Preauth
Required for inpatientOur admissions team handles it. You don’t call Humana. Typical turnaround: 24–72 hr.
Why Pines for HUMANA coverage

Physician-led, accredited, and built for unhurried care.

The choice of where to receive HUMANA coverage matters. Patients and families weigh credentials, environment, and continuity of care alongside cost and coverage. Here is what consistently brings people to our 18,000 sq ft private clinical campus in Pembroke Pines, Florida.

Physician-ledPsychiatrist Medical Director

Medical Director Sergey Litvinov, MD — a board-certified psychiatrist — directs clinical care. Every patient is reviewed by an attending physician, not a counselor signing off on a protocol.

Joint Commission accreditedGold Seal of Approval

Independent accreditation by the nation’s most recognized healthcare standards body. Surveyed against rigorous safety and quality standards.

LegitScript certifiedVerified addiction-treatment provider

LegitScript certification is the standard required by Google, Microsoft, and Meta to advertise addiction treatment. It signals an audited, transparent operator.

Co-occurring capabilityDual diagnosis from day one

Depression, anxiety, trauma, and ADHD frequently co-occur with substance use. Psychiatric assessment and care run in parallel with detox, not after.

In-network with major payersBCBS, UHC, Aetna, Cigna, Tricare

Most commercial and military plans are accepted. Verification is free, confidential, and typically completed in under 60 seconds.

Private 18,000 sq ft campus40-patient maximum

Private bedrooms, dedicated medical detox wing, therapy rooms sized for real clinical work, outdoor grounds. Not a strip-mall storefront.

Further Reading

Authoritative references and related resources.

Clinical authorities & sources. ASAM — Clinical Practice Guidelines · SAMHSA — National Helpline · CDC — Overdose Prevention

Related Pines resources. Medical detox · Residential inpatient · Dual diagnosis · Admissions process · Insurance carriers · For families

Humana Verification

Ready to verify? It takes a minute.

You need your Humana member ID, date of birth, and the subscriber’s name. That’s it. We handle the rest — confidentially, under HIPAA, with zero obligation.

Verify Humana Coverage
Humana Tricare · Tricare East
Humana Military (Tricare East) has a separate authorization flow. Verification < 60 seconds.
Humana & Rehab — FAQ

The questions we hear most, answered.

Does Humana cover rehab and detox?+
Humana Tricare does, and we are in network. If your card shows Humana Military or Tricare East branding, medically necessary detox and residential inpatient are covered. Humana commercial plans (ChoiceCare PPO, employer group) and Humana Medicare Advantage are not accepted at Pines. Call us and we will tell you which one you hold.
What’s the difference between Humana and Humana Military?+
Humana commercial plans cover individuals and employer groups. Humana Military is a separate division administering Tricare East for active-duty, retirees, and dependents in the eastern U.S. Tricare East cards typically show Humana Military branding. See our Humana Military guide for that specific pathway.
Does Humana Medicare Advantage cover residential rehab?+
Medicare Advantage plans are not accepted at Pines, including Humana Gold Plus. If you also carry commercial PPO coverage, or Tricare, Humana Tricare, or VA Community Care Network, we can verify that instead. Verification is free and there is no obligation.
Does Humana Tricare cover MAT?+
Yes. Humana Tricare covers medication-assisted treatment — buprenorphine, methadone, naltrexone — when clinically indicated. Coverage falls under the same parity rules as other medical care.
Do I need preauthorization?+
Yes — Humana Military requires preauthorization for residential inpatient. Our admissions team handles the paperwork directly. You don’t call Humana Military. Typical turnaround: 24–72 hours; urgent cases expedited.
What will I pay out of pocket?+
Depends on deductible, coinsurance, and OOP max. Many patients who have met their deductible pay little to nothing. Our financial counselors walk you through exact numbers before admission.
See all insurance carriers we accept →

Reviewed by Sergey Litvinov, MD — Medical Director and board-certified psychiatrist at Pines Recovery Life. Updated April 2026.

Authoritative references: SAMHSA · CMS Mental Health Parity · ASAM Criteria

Frequently Asked Questions

Does Humana Tricare cover rehab at Pines?

Yes, through Humana Tricare. Pines is in network with Humana Military, the Tricare contractor for the eastern U.S. region. Humana commercial plans (ChoiceCare PPO and employer group coverage) and Humana Medicare Advantage are not accepted at Pines. Verification is free and confirms exactly what your plan covers.

What is the difference between Humana commercial and Humana Military?

Humana commercial plans are private health insurance available to employers and individuals. Humana Military is the Tricare contractor that administers benefits for active-duty service members, retirees, and their families in the Tricare East region.

What levels of care does Humana Tricare cover?

Humana Military (Tricare East) typically covers medical detox and residential inpatient, the two levels of care we provide in house. Partial hospitalization, intensive outpatient, and outpatient care are coordinated through partner programs. Humana commercial plans are not accepted at Pines.

Will Humana Military require prior authorization?

Yes for residential treatment, and often for detox as well. Our utilization review team handles all authorization submissions on your behalf.

What are typical Humana Military out-of-pocket costs?

Out-of-pocket under Humana Military depends on your Tricare plan type, sponsor status, deductible, and cost-share. Tricare-administered plans typically carry lower out-of-pocket than commercial plans for in-network care. Our financial counselors confirm your exact numbers before admission.

How do I verify my Humana benefits?

Submit your Humana member ID online or call (855) 981-8935. Verification is confidential and typically completes within an hour.