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TRICARE Reserve Select Mental Health Coverage Guide

TRICARE Reserve Select (TRS) is a premium-based health plan for Selected Reserve members and their families who are not on active duty. It provides comprehensive coverage including mental health services.

For Military Servicemembers & Families

TRICARE provides comprehensive mental health coverage for active-duty servicemembers, retirees, and their dependents. You do not need a referral for outpatient mental health visits with a TRICARE-authorized provider.

How to Verify Your Mental Health Benefits

Before your first appointment, verify your specific benefits so you know what to expect. Here is a step-by-step process for TRICARE Reserve Select members:

  1. Call 1-800-874-2273 and have your member ID card ready.
  2. Ask to speak with the behavioral health benefits department.
  3. Ask: "What is my deductible for outpatient mental health services, and how much have I met?"
  4. Ask: "What is my copay or coinsurance for an in-network therapy session?"
  5. Ask: "Do I have out-of-network benefits, and what is the reimbursement rate?"
  6. Ask: "Is prior authorization required for outpatient therapy?"
  7. Ask: "Is there a session limit per year?"
  8. Ask: "Are telehealth sessions covered at the same rate as in-person?"

Know Your Rights: Mental Health Parity Act

Federal law requires TRICARE Reserve Select to cover mental health services at the same level as medical and surgical benefits. If you are denied coverage, ask for the denial in writing and reference the Mental Health Parity and Addiction Equity Act.

Want to keep track of all these details? Use our free benefits verification worksheet to organize your coverage information.

Finding an In-Network Therapist

Search TRICARE Reserve Select's provider directory directly: Find a therapist in your area

Tips for Using the TRICARE Reserve Select Directory

  • Filter by "Behavioral Health" or "Mental Health" specialty.
  • Check that the provider is accepting new patients before calling.
  • Confirm the provider is in-network for your specific plan (not just TRICARE Reserve Select generally).
  • Look for providers who specialize in your specific concern (anxiety, depression, trauma, etc.).

Types of Providers Covered

Psychiatrist (MD/DO)Psychologist (PhD/PsyD)LCSWLPC/LCPCLMFTLicensed Clinical Social Worker (Independent)

Telehealth Coverage

TRICARE Reserve Select covers telehealth therapy sessions, so you can meet with a therapist from home via video or phone.

Couples & Family Therapy

Family therapy covered.

Understanding Your TRICARE Reserve Select Coverage

Available Plan Types

PPO

Prior Authorization

No referral required for in-network care. Prior auth may be needed for intensive services.

Substance Use Treatment

TRICARE Reserve Select covers substance use disorder treatment, including outpatient counseling, intensive outpatient programs, and inpatient rehabilitation.

Common CPT Codes for Therapy

These are the billing codes your therapist will use when filing claims with TRICARE Reserve Select:

CPT CodeDescription
90791Psychiatric diagnostic evaluation
90834Individual therapy (45 minutes)
90837Individual therapy (60 minutes)
90847Family / couples therapy (with patient present)
90846Family therapy (without patient present)
90853Group therapy

How to Get Reimbursed (Out-of-Network)

If you are seeing a therapist who is not in TRICARE Reserve Select's network, you may still be able to get reimbursed. Here is how:

  1. Pay your therapist directly at the time of your session.
  2. Request a superbill from your therapist after each session. This is a detailed receipt with the information TRICARE Reserve Select needs to process your claim.
  3. Submit your claim to TRICARE Reserve Select using one of these methods:
  4. Wait for processing. Most claims are processed within 30 days. You will receive an Explanation of Benefits (EOB) showing what was covered.

TRICARE Reserve Select Claims Note

Claims process is similar to TRICARE Select. File through your regional TRICARE contractor.

What Your Superbill Should Include

  • Therapist's name, credentials, NPI number, and tax ID
  • Date of service
  • CPT code (e.g., 90834 or 90837)
  • ICD-10 diagnosis code
  • Amount charged
  • Your name and date of birth

TRICARE Reserve Select tip: File claims through your regional TRICARE contractor. TRS has a separate premium from other TRICARE plans.

Save Money on Therapy with TRICARE Reserve Select

Use Your HSA or FSA

Therapy is an eligible expense for Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax dollars to pay for copays, coinsurance, and out-of-network therapy costs, effectively saving 20-35% on your therapy expenses.

Ask About Sliding Scale Fees

Many therapists offer reduced rates based on your income. If you have a high deductible TRICARE Reserve Selectplan or high out-of-pocket costs, ask your therapist about sliding scale options. Some therapists will also offer "single-case agreements" with TRICARE Reserve Select at a negotiated rate.

Frequently Asked Questions About TRICARE Reserve Select and Therapy

Yes. TRICARE Reserve Select is required by the Mental Health Parity and Addiction Equity Act to cover mental health services at the same level as medical/surgical benefits. TRICARE Reserve Select covers outpatient mental health for Selected Reserve members and their families. Coverage mirrors TRICARE Select with cost-sharing after deductible.

Visit TRICARE Reserve Select's online provider directory to search for in-network therapists by location and specialty. You can also call member services at 1-800-874-2273 for help finding a provider.

Yes, TRICARE Reserve Select covers telehealth therapy sessions. This means you can see a licensed therapist from the comfort of your home via video or phone.

You can submit out-of-network claims to TRICARE Reserve Select through their online portal. You will need a superbill from your therapist that includes the required CPT codes, diagnosis codes, and provider information.

No referral required for in-network care. Prior auth may be needed for intensive services.

Family therapy covered.