Partial Hospitalization Programs Covered by TRICARE in Dallas, Texas
Partial hospitalization programs (PHPs) are structured outpatient options that provide a comparable level of treatment to a residential center. Experts believe that PHPs are reasonable alternatives to inpatient care, considering certain factors. The clinic provides intensive PHPs to address the mental health difficulties faced by veterans and military personnel covered by TRICARE.
When you call us, our admission specialist can verify your TRICARE outpatient mental health coverage details and estimate potential out-of-pocket expenses. We work closely with your insurance provider and can connect you with our financial counselors to develop a financial solution if your coverage is insufficient to meet your needs. We understand that intensive outpatient therapy can feel overwhelming, but our team is here to support your mental health recovery and improve your quality of life.
What Is TRICARE’s Mental Health PHP Coverage in Dallas, Texas?
A Partial Hospitalization Program (PHP) is an outpatient rehab covered by TRICARE when it is medically necessary. PHP combines structured daily therapy with medical oversight, offering a supportive alternative to inpatient treatment. TRICARE-authorized facilities deliver PHP services for various mental health conditions. Prior authorization is required, and care can be covered for up to 60 days per year.
An extension to covered treatment is available for ongoing treatment goals with prior authorization. These PHPs include individual and group therapy, psychiatric care, and medication management, all provided as outpatient treatment. TRICARE considers PHP a viable step-down or step-up treatment level, depending on your symptoms, treatment goals, and family involvement. This helps balance effectiveness and cost, including premiums and deductibles in your policy. For Dallas-area beneficiaries, TRICARE PHP coverage ensures access to intensive, coordinated mental health support close to home.
Who Is Active Duty Military?
Active duty military personnel are currently serving full-time in one of the branches of the U.S. Armed Forces: Army, Navy, Air Force, Marine Corps, Space Force, or Coast Guard. These service members perform their duties on a full-time basis, which includes training, operational assignments, and potential deployments.
Unlike members of the National Guard or Reserves, who typically serve part-time unless activated, active duty personnel live on or near military bases and receive continuous military pay and benefits. They may be stationed in the U.S. or overseas and are available for service 24/7. Active duty military members are governed by the Uniform Code of Military Justice (UCMJ) and play a central role in national defense, humanitarian missions, and peacekeeping efforts around the world.
What Is a Veteran?
A veteran is an individual who has served in the United States Armed Forces and was discharged or released under conditions other than dishonorable. This includes those who served in the Army, Navy, Air Force, Marine Corps, Space Force, or Coast Guard, whether on active duty, in the Reserves, or the National Guard.
Veterans may have served during wartime or peacetime, and their length of service can vary. Once service ends, a person is considered a veteran regardless of whether they deployed or saw combat. Veterans may be eligible for a range of federal and state benefits, including healthcare, education, and housing assistance, depending on their service history and discharge status.
After adjusting for age, the rate of mental health conditions in Texas veterans is similar to veterans nationwide, but their suicide rate remains higher than the general U.S. population. A 2023 Texas State University report showed years of intervention efforts have not significantly improved veterans’ overall health, which remains worse than non-veterans, with higher rates of co-occurring conditions.
For younger veterans and service members, depression, eating disorders, and suicidal behaviors are the most frequently reported mental health concerns. Others may struggle with ADHD, OCD, personality disorders, bipolar disorder, or PTSD. Partial hospitalization programs (PHPs) have shown measurable improvement in young adults over short treatment periods. Experts see PHPs as a viable alternative to inpatient care. These programs support improved social functioning and may serve as an effective treatment model for military-affiliated individuals in need of structured care.
BreakThrough by BasePoint Accepts TRICARE PHP Insurance
Our free assessment with a licensed clinician will provide you with a recommendation for the appropriate level of care for young adults struggling with a mental health disorder. We can also check your TRICARE PHP coverage levels.
Call us today to schedule a same-day assessment at (972) 325-2633 or complete our inquiry form.
Breakthrough by BasePoint: Verify Insurance
Who Is TRICARE, the Insurance Provider?
TRICARE is a health care program for uniformed service members, retirees, and their families around the world. It is managed by the Defense Health Agency (DHA), a part of the U.S. Department of Defense. TRICARE was established in 1997, evolving from earlier military health programs to provide a more comprehensive, managed care system.
The mission is to deliver high-quality healthcare services while maintaining medical readiness for active-duty personnel. TRICARE offers a range of health plans, including TRICARE Prime, TRICARE Select, TRICARE for Life, and TRICARE Reserve Select. These plans cover medical, dental, and mental health care, as well as pharmacy services and support for special needs. TRICARE serves millions of beneficiaries worldwide and partners with private health care networks to ensure access to care both on and off military installations.
What Is TRICARE’s PHP Treatment Coverage?
TRICARE partial hospitalization program coverage in Dallas provides structured, intensive outpatient mental health care for beneficiaries. TRICARE covers PHP services when they are medically or psychologically necessary. This includes psychiatric evaluations, individual and group therapy, and medication management. Care is available in TRICARE-authorized facilities, with treatment typically delivered at least three hours per day, five days per week.
Prior authorization is required, with services initially authorized in up to 30-day increments. Extensions are permitted based on continued medical necessity. PHP offers a middle-ground alternative to inpatient hospitalization, supporting crisis stabilization, transition from inpatient settings, or intensified outpatient treatment. These programs are recognized as cost-effective and support improved social role functioning while involving family when appropriate.
Does TRICARE Health Insurance Cover Mental Health PHPs for Young Adults in Dallas?
TRICARE partial hospitalization program insurance in Dallas includes young adults through the TRICARE Young Adult (TYA) program for those aged 21–26 who purchase the plan after aging out of regular dependent benefits. PHP services are covered when medically necessary and delivered at accredited TRICARE-authorized facilities. Prior authorization is required, and treatment can be renewed based on medical necessity.
TRICARE plans include full mental health benefits matching standard TRICARE coverage. Young adult beneficiaries in Dallas can access PHP as a cost-effective, structured alternative to inpatient care, helping stabilize mental health while maintaining their daily routines. Coverage is available both in-person and over authorized virtual therapy programs when applicable.
Does TRICARE Health Insurance Cover Dual-Diagnosis Partial Hospitalization Near Me?
TRICARE covers dual‑diagnosis PHP treatment through Partial Hospitalization Programs (PHPs) designed for simultaneous mental health and substance use disorder care. These medically necessary services are offered at TRICARE‑authorized facilities and include comprehensive psychiatric evaluations, individual and group therapy, medication management, and structured support. PHP is a viable alternative to inpatient treatment, covering mental health and substance use issues.
TRICARE beneficiaries can access mental health and substance abuse PHP treatment when clinical criteria are met. This is called prior authorization. At BreakThrough by BasePoint, we provide specialized treatment to meet the unique needs of young adult veterans or active duty military personnel. Your program is customized to meet your needs. We understand that working with insurance companies can be overwhelming. So we work closely with TRICARE to streamline your admission process to a PHP for substance abuse and mental health care. Call us today to learn more about our programs and begin your recovery.
Does TRICARE Health Insurance Cover PHP Therapy and Counseling in Dallas, Texas?
TRICARE partial hospitalization program (PHP) therapy and counseling in Dallas, Texas, may be fully covered when it is medically or psychologically necessary. TRICARE covers structured PHP services from accredited and authorized facilities. This can include individual and group therapy, psychiatric evaluation, and medication management. You live at home while participating in intensive treatment, typically several hours a day.
PHPs are usually approved in 30-day increments, and extensions are granted based on continued necessity. This level of care serves as an effective middle ground between standard outpatient therapy and inpatient hospitalization. At BreakThrough by BasePoint, your customized day treatment program supports improved social functioning in a cost-effective outpatient setting. Call us today to learn more about how PHP rehab can help restore your quality of life.
Dallas Mental Health PHPs That Take TRICARE Insurance in Dallas, Texas
BreakThrough by BasePoint has several facilities in the Dallas area where our highly skilled mental health professionals provide specialized treatment for young adult veterans or active duty military. You can receive in-person treatment around Dallas or virtual therapy sessions throughout Texas. Call or contact us today for more information about how our programs can address your mental health challenges.
- Arlington, TX: 3900 Arlington Highlands Blvd Suite 237B Arlington, TX 76018
- Forney, TX: 713 W Broad St Suite 100 Forney, TX 75126
- Frisco, TX: 8275 Judges Way, Suite 100F, Frisco, TX 75036
- McKinney, TX: Virtual Mental Health Treatment
Arlington, Texas, is located between Dallas and Fort Worth and is known for its entertainment community. The city is home to major attractions like AT&T Stadium, Globe Life Field, and Six Flags Over Texas. Arlington also features diverse dining, shopping, and cultural venues, making it a dynamic destination for residents and visitors alike.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is nicknamed the “Antique Capital of Texas” and stands in eastern Kaufman County with a rich heritage dating to the 1840s. Its historic downtown blends charming, restored buildings with modern dining, shopping, and community events. Forney also supports strong local education, healthcare, and cultural assets, making it a suburban hub near Dallas–Fort Worth.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, lies roughly 30 miles north of Dallas in the northeastern corner of the Dallas–Fort Worth metroplex. Known for its charming, tree-lined historic downtown, the city offers green spaces, cultural venues like the McKinney Performing Arts Center, and attractions such as the Heard Natural Science Museum & Wildlife Sanctuary.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is a dynamic suburb north of Dallas–Fort Worth with top-tier sports and entertainment venues, including Toyota Stadium (FC Dallas), Riders Field (Frisco RoughRiders), and The Star at Cowboys headquarters. It also boasts cultural hotspots like the National Videogame Museum, Museum of the American Railroad, Stonebriar Centre, and extensive outdoor trails.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does TRICARE Insurance Cover Online PHPs in Dallas, Texas?
TRICARE covers online counseling or virtual therapy sessions within a (PHP) in Dallas, Texas, as part of its broader telemental health services. While PHP itself must occur in TRICARE-authorized facilities, TRICARE supports secure telemedicine, including live video and audio-only sessions. You’ll need prior authorization, just as you would for in-person PHP.
This integrated model allows beneficiaries to engage in virtual counseling and psychiatric support alongside their facility-based PHP. These hybrid services ensure continuity of care, convenience, and the clinical oversight required for effective treatment, with TRICARE covering these services when medically warranted. When you call BreakThrough by BasePoint, we help simplify your admission process so you can quickly begin your mental health day treatment center program.
Does TRICARE Cover Evening PHPs in Texas?
TRICARE does cover mental health in Dallas evening partial hospitalization programs as part of its behavioral health benefits. PHP services typically include at least 20 hours of structured care. Your program requires prior authorization that’s initially approved in up to 30-day increments. At BasePoint, we work with TRICARE to prior authorize further days as clinically necessary.
This flexibility allows you to attend intensive therapy outside typical working hours, making it easier to balance treatment with daily responsibilities like work or school. Whether you’re managing a mental health crisis, stepping down from inpatient treatment, or seeking an intensified care option, evening PHPs offer a viable and covered alternative under TRICARE. Call us today at 972-325-2633 for more information about our evening Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs).
Which Mental Health Disorders Are Covered by TRICARE PHP Plans in Dallas?
Partial hospitalization helps improve mental health by offering structured, consistent care that supports emotional stability, symptom management, and long-term recovery. TRICARE covers a range of mental health conditions under its PHP benefits. The following are examples of conditions commonly treated through this level of care, though this list is not exhaustive.
TRICARE-covered PTSD Partial Hospitalization Programs (PHPs) address the symptoms of Post-Traumatic Stress Disorder—a mental health condition triggered by experiencing or witnessing traumatic events. The programs provide intensive, structured therapeutic support, blending daily individual and group therapy, psychiatric evaluations, medication management, and trauma-focused modalities. The goal is to help stabilize symptoms, enhance coping skills, and promote recovery.
Outpatient rehab coverage by TRICARE includes treatment for PTSD in partial hospitalization programs when it's medically necessary. Services must be delivered by TRICARE-authorized and accredited facilities, require prior authorization, and are typically approved in 30-day increments. When you call BreakThrough by BasePoint, we coordinate your care with TRICARE to ensure you receive comprehensive, outpatient treatment with financial support.
Personality Disorders respond well to day treatment services that provide structured, intensive outpatient care when you are diagnosed with personality disorders, such as borderline, avoidant, or obsessive-compulsive personality disorder. PHP blends daily individual and group therapy, psychiatric evaluation, skill-building sessions, and medication management, coordinated within a therapeutic setting so you can live at home.
TRICARE outpatient mental health covers PHP treatment for personality disorders when the treatment is documented to be medically necessary. These services must be provided through TRICARE-authorized and accredited facilities. Care must be prior authorized through TRICARE. We understand that navigating insurance documentation can be challenging, which is why we do it for you. Call us today to learn more about the programs that improve your daily functioning and reduce delays in your admission process.
Depression in young adult veterans and active duty military responds well to a Partial Hospitalization Program (PHP) that offers structured, intensive outpatient treatment for major depressive disorder and persistent depressive conditions. The programs at BreakThrough by BasePoint combine daily individual and group therapy, medication management, psychiatric evaluations, and skill-building exercises as needed.
This helps stabilize mood, improve coping strategies, and prevent inpatient admission while you stay at home. TRICARE covers depression-focused PHPs when they are medically necessary. Coverage ensures access to comprehensive, outpatient-level intensive mental health care. Our partial hospitalization program center focuses on providing specialized treatment for young adults and the unique life stage challenges they face.
Symptoms of Obsessive Compulsive Disorder (OCD) respond well to focused Partial Hospitalization Programs (PHPs) that address the repetitive thoughts and behaviors of the condition. These cause distress and disrupt daily functioning at school, work, and home. PHPs provide a therapeutic mix of evidence-based treatment that allows you to receive comprehensive care while living at home.
TRICARE does include OCD-focused PHP services under several conditions. Your treatment must be medically necessary, prior authorized, and received in a TRICARE-authorized facility. This coverage ensures you have access to intensive treatment designed to reduce OCD symptoms and improve your daily functioning. When you call BreakThrough by BasePoint, we’ll answer your questions about our programs and can schedule a free and confidential assessment with treatment recommendations.
Trauma and trauma-related disorders can occur after experiencing or witnessing a traumatic event, such as abuse, violence, combat, an accident, or a natural disaster. Veterans and active duty military personnel do not have to experience combat to be diagnosed with a trauma-related disorder, like Post-Traumatic Stress Disorder (PTSD). Day treatment centers provide customized, trauma-focused interventions to stabilize symptoms.
The programs at BreakThrough by BasePoint help you develop healthier coping mechanisms while you live at home. TRICARE does provide coverage for trauma‑focused PHPs, extending the level of care needed to address trauma as an alternative to inpatient treatment. At BreakThrough by BasePoint, our evidence-based treatment supports your therapeutic efforts while you maintain daily functioning. We work closely with TRICARE to help you receive the trauma-focused treatment you need.
Dual diagnosis is the medical diagnosis when you have a mental health condition, and a substance use disorder. Day treatment benefits include addressing dual diagnosis conditions to improve your potential for addiction recovery. PHPs provide a comprehensive and structured treatment option when you are managing co-occurring disorders. Substance abuse day treatment is essential to achieve sustainable recovery.
TRICARE outpatient mental health and substance use benefits typically cover dual-diagnosis PHP services when medical necessity is established. The coverage applies to mental health and substance use disorder care and can be administered through a TRICARE-authorized day treatment for addiction and mental health center. We offer this type of integrated treatment option, which is a cost-effective, evidence-based alternative to inpatient rehab, promoting your stabilization, recovery, and improved daily functioning.
How to Check TRICARE Health Insurance Plan Coverage at BreakThrough by BasePoint
At BreakThrough by BasePoint, we work closely with TRICARE Health Insurance and can quickly and easily check your coverage for PHP addiction treatment and mental health care. When you call us at 972-325-2633, our admission specialist can verify your insurance coverage and estimate potential out-of-pocket expenses.
TRICARE offers comprehensive coverage to ensure that veterans and active duty military personnel receive the care and treatment they need. Day treatment for addiction or mental health conditions helps you develop healthy coping strategies, addresses underlying conditions that trigger drug use or mental health symptoms, and promotes a better quality of life. Understanding your mental health costs is a priority when you’re considering PHP rehab.
This includes key insurance terms, so you can work with TRICARE to maximize your benefits. TRICARE uses an underwriting process to assess the risk associated with ensuring veterans and active duty military. This information is sent to an actuary who calculates the probability of loss and liability and then sets premiums. When claims arise, the information is sent to an insurance adjuster who evaluates the loss and determines the appropriate settlement to the provider.
At BreakThrough by BasePoint, we’re committed to transparency and helping you make informed, cost-conscious decisions. Call us today to learn more about how we can streamline your admission process and help you begin your mental health recovery journey.
How to Get TRICARE to Pay for Mental Health PHPs in Dallas, Texas
The best way to get TRICARE to pay for mental health PHP in Dallas, Texas, is to understand claims approval. Partial hospitalization program coverage begins with requesting and obtaining prior authorization. We recognize that navigating insurance documentation can be overwhelming, so we work on your behalf to simplify the process. Call 972-325-2633 today to learn how we can help.
We verify your eligibility, obtain necessary referrals, and submit documentation that demonstrates medical necessity for care. We can provide TRICARE with a customized treatment plan including an outline of your daily therapy hours, psychiatric oversight, and expected duration. We file authorizations and coordinate with TRICARE, so your PHP rehab and counseling are covered. Our team manages the paperwork and communication so you can fully focus on your mental health recovery and not on administrative burdens.
How Many Times Will TRICARE Health Insurance Pay for Partial Hospitalization Programs in Dallas, Texas?
TRICARE will fund Partial Hospitalization Programs (PHPs) in Dallas based on medical necessity, rather than a fixed number of times per year. Your PHP treatment is authorized in 30-day increments, with unlimited renewals provided that continued care meets clinical criteria and prior authorization is secured each time.
That means there’s no cap on the number of times you can receive PHP drug treatment or care for mental health conditions. The only requirement is that each month of treatment is approved and medical necessity is documented for this level of care. TRICARE evaluates your ongoing needs, reviews progress, and extends coverage accordingly. As long as the 30 days are justified under care guidelines, TRICARE continues to provide PHP support throughout your recovery.
Call BreakThrough by BasePoint today. Our admission specialist can begin meeting your needs by verifying your coverage and scheduling a free assessment with treatment recommendations. We recognize this may be a difficult step, but we are here to walk with you every step of the way.
- When data accounted for age differences, the suicide rate for veterans in Texas was not different from the national rate and was higher than the national general population suicide rate.
- In 2023, Texas State University reported that despite years of effort, veterans' health outcomes have not improved, with worse overall health than other Americans and co-morbidities higher than non-veteran levels.
- A 2023 study demonstrated there were significant effects and improvements of intensive-level PHP delivered to young adults over a brief period.
- The most frequently reported mental health conditions in young adults include depression, eating disorders, and suicidal behaviors. Other mental health conditions that can also occur include attention deficit hyperactivity disorder, obsessive-compulsive disorder, personality disorders, bipolar disorder, and post-traumatic stress disorder.
- Research has found that PHP treatment is a reasonable alternative to residential care, improving social role functioning, and is recommended to improve results.
- Experts believe that PHPs are reasonable alternatives to inpatient care when certain factors are considered, such as symptoms, cost, and family interactions. PHP improves social role functioning, which suggests programs can fulfill different functions within the mental health care system.