Insurance

TRICARE and VA Community Care Coverage for Addiction Treatment in New Hampshire

We work with TRICARE for active-duty and retired military families and are an approved VA Community Care provider for New Hampshire veterans. Here is how each one typically covers outpatient addiction treatment, and how to get a straight answer about your own coverage in one call.

New Hampshire coverage

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What happens when you call

One call starts everything. Here is what to expect.

  1. You call, we answer

    The admissions line is answered 24/7. A real person picks up, no menu and no callback queue.

  2. Benefits check within minutes

    We check your insurance with the carrier at no cost and tell you what your plan covers.

  3. A short clinical assessment

    A clinician talks through what is going on and matches you to the right level of care.

  4. You start

    We schedule your first day, same day in many cases, at the office closer to you.

What we will ask: your name, a callback number, which state, and only if you have it, your insurance card.

What TRICARE and the VA typically cover

Two different doors for military families and veterans

TRICARE and VA Community Care are separate programs with separate rules, and people often carry both. TRICARE is the health plan for active-duty service members, retirees, National Guard and Reserve members and their families. New Hampshire sits in the TRICARE East Region, administered by Humana Military. VA Community Care is how the Department of Veterans Affairs pays for care from a community provider like us when the VA cannot provide it itself in a reasonable time or distance. It starts with your VA care team, not with an insurance card.

TRICARE covers substance use disorder treatment across the outpatient levels of care we offer: partial hospitalization, intensive outpatient, standard outpatient therapy and medication-assisted treatment. The plan you have changes how you get there. TRICARE Prime generally needs a referral from your primary care manager before specialty care. TRICARE Select lets you contact a network provider directly for outpatient care, though some levels still need authorization from Humana Military before they begin.

VA Community Care works from a referral. When the VA refers a veteran to us, the referral spells out the care that is approved and for how long. There is no separate insurance approval to chase. Our job is to deliver the care, keep the VA updated, and ask the VA for more when the treatment plan calls for it.

We verify your benefits, or your VA referral, in one call and explain what applies before anything is scheduled.

Levels of care

Levels of care military families and veterans use at our Londonderry center

Every level is outpatient, which suits people who are still working, still serving, or raising a family. Detox, when it is needed first, is arranged by referral to a partner facility.

Prior authorization and copays

Referrals and authorizations, in plain terms

Admissions handles the phone calls and the paperwork. Here is what usually happens.

  1. 01

    TRICARE Prime: referral first: Ask your primary care manager for a referral to substance use treatment. Once it is in Humana Military's system, we can schedule your assessment.

  2. 02

    TRICARE Select: call us directly: No referral is needed for outpatient specialty care. Partial hospitalization generally needs authorization from Humana Military before it begins, and some intensive outpatient arrangements do too. We request it as part of intake.

  3. 03

    TRICARE cost shares: Prime enrollees generally pay little or nothing for network care. Select members pay a yearly deductible and a cost share per visit that depends on their group and sponsor status.

  4. 04

    VA Community Care: start with the VA: Ask your VA care team for a community care referral for substance use treatment and name Clear Steps Recovery in Londonderry. We schedule you once it arrives. Veterans typically owe nothing for approved community care, though some VA copays apply depending on priority group.

TRICARE and VA Community Care are both listed among the plans accepted at our New Hampshire program, at 1D Commons Dr, Units 21 & 22, Londonderry, NH 03053, off Route 102 at I-93 Exit 4, about 15 minutes from Manchester and 30 minutes from the Manchester VA Medical Center. We are also an approved VA Community Care provider for Massachusetts veterans and work with TRICARE at our Needham, MA center, so call if you live closer to Boston.

Our Veterans and Trauma-Exposed Professionals program runs inside any level of care, with clinicians who understand the culture and the reasons people wait to ask for help.

One thing we say plainly: we are not in network with Medicare at this time. TRICARE For Life members, whose primary coverage is Medicare, should call anyway. Admissions can point you to options, and FindTreatment.gov lists programs that accept Medicare.

Where you are covered

Our Londonderry, NH center serves military families and New Hampshire veterans

TRICARE and VA questions

TRICARE, VA Community Care and rehab in New Hampshire: common questions

Short answers here, and a real one for your coverage when you call (603) 769-8981.

Does TRICARE cover IOP in New Hampshire?
TRICARE covers intensive outpatient treatment for substance use disorders when it is medically necessary. Prime members need a primary care manager referral first. Select members can contact us directly.
Does TRICARE cover PHP, partial hospitalization?
Yes, partial hospitalization is a TRICARE-covered level of care for substance use disorders, and it generally needs authorization from Humana Military before it starts. Our clinical team sends the assessment and treatment plan and manages the reviews.
How does VA Community Care pay for rehab at Clear Steps?
Your VA care team sends a referral through the VA's Community Care Network that names the approved care and its length. We schedule you once it arrives, deliver the care and keep the VA updated.
Can I use TRICARE at Clear Steps as a Reservist or National Guard member?
It depends on your status and the plan you are enrolled in, such as TRICARE Reserve Select. Call and we will check your eligibility with Humana Military before your first visit.
Do you take Medicare or TRICARE For Life?
We are not in network with Medicare at this time, and TRICARE For Life pays after Medicare. If that is your coverage, admissions can point you to options, and FindTreatment.gov lists programs that accept Medicare.

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Most insurance accepted. Your name and a number is all we need. Admissions checks your benefits with the carrier at no cost and calls you back with what your plan covers. Admissions line answered 24/7.

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