First Health Network Insurance Coverage for Addiction Treatment
Explore First Health Group’s comprehensive provider networks for addiction treatment and mental health services. Get the support you need.
First Health Network Insurance Coverage for Addiction Treatment
Explore First Health Group’s comprehensive provider networks for addiction treatment and mental health services. Get the support you need.
First Health Group is a wholly owned subsidiary of Aetna. They provide national and regional preferred provider organization (PPO) medical networks to national and regional insurance carriers as well as employer groups and more. They also offer a national dental network and have solutions that help insurance plans reduce the cost of non network care.
First Health serves more than 260 clients who pay for healthcare and their 1.4 million members. They are able to use Aetna’s pricing power and credentialing process to provide access to high quality providers at an affordable cost.
Does First Health Cover Drug Rehab?
First Health Group doesn’t provide insurance coverage so they do not decide what services are covered or at what level. However most insurance plans are required to cover mental health and addiction treatment and First Health may provide the medical networks that you use to get care through your insurance provider.
First Health offers access to multiple provider networks, including a primary PPO network that has more than 5,700 hospitals and 52,000 other medical facilities. The networks provided by First Health will have professionals who can help you address addiction and mental health concerns.
Every insurance plan is different so be sure to verify your coverage details before you begin treatment. For example you may need to get a referral or preauthorization depending on your plan.
This is an ad and Banyan Heartland is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
5 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
I think I pissed off everyone that works here, but that's my stuff.
Some of the best people I'll ever meet, even if just briefly like the speakers, I met this summer at the Plymouth House.
Thank you specifically to David, to Adam, to Joe, to Hillary, to Carolee, to Tallya x a million, to the techs(Finn, Matt, Chelsea, Sam, Devin .. you really made me feel like it was okay when I was wigging out). And thank you to the monitors.
There is always more work to be done, but I am sober. I make my bed everyday. I am grateful.
ETA - thank you so much to the chefs, you pour your heart out and it shows. The boy from Alabama (Nate, I think?).. You are very talented, the boy that rocks the Atlanta gear, I was so impressed that you made donuts from scratch... But the female chef... Girl your knife skills and efforts are seen. It's a lot of work what yall are doing every day and I see you.
Jessica Serio
2 months ago
This place quite literally saved my life. I struggled for many years with substance abuse. I tried for several years to get clean on my own but was never successful. I have nothing but great things to say about the Plymouth House if you are serious about wanting to heal yourself. Detox and Rehab are never an easy decision. You know that you want to better yourself but the process is never an easy one. The staff and clinicians at PH are very understanding non judgemental. Some have been in the trenches at times which makes the care and help they offer much easier. The food is great and they are truly genuine across the board not to mention you couldn't ask for a more tranquil environment to heal yourself. No better place to assist you on your journey to recovery
Chad
3 months ago
The Plymouth House will always hold a special place in my heart and memory. It was my first treatment center and I am forever grateful for the respect and dignity I was treated with. I would love to come back and speak at an alumni meeting.
Best staff, best environment and best program I have ever been to! I can't recommend this place enough!
Tom Bednarik
1 month ago
Beyond anything I could ever expect. From admission to aftercare this facility is the best there is (and I have been a few places). If you have ever had a bad experience elsewhere.. then come here. I myself have been to a lux rehab..but it didn't have the program they provided here.
Scott Maeder
1 month ago
White Sands is an amazing facility. i had a life changing experience while going through their detox and rehab program. From the minute I checked in until the minute I checked out, I was treated with grace and dignity. The staff are amazing from the sweet ladies who clean our rooms…to the techs….the therapists….medical doctors….psychiatric doctors…case managers…the cafe ladies….the food was delicious…everyone was amazing. If you find yourself needing some help, this is the place for you. I had housemates from other States, because White Sands is so amazing.
Although I am rating Ashwood 5 stars I will be giving it a level of criticism. Skip to the end of this review if you want to see the cons.
In terms of outpatient facilities here in the valley. It is hands down one of the best. I was able to get into Ashwood's program immediately, no wait lists required. The staff is friendly and cooperative. Ashwood gives you the choice of doing mornings or nights. If your schedule is a bit complicated they are very willing to work with you on your schedule. Giving you the option to do some mornings and some nights is a huge help to a complicated schedule.
Ashwood provides you with a counselor you meet with once every other week. I found my counselor (and most other counselors in the facility) to be extremely helpful and willing to listen to my situation. If you make use of your time with Ashwood's counselors you will get great feedback and amazing advice.
Now let's talk about the groups. This is where we get to the real meat and potatoes of Intensive Outpatient Programs. I did night IOP which was 3 days a week with each group lasting 3 hours. Groups are ran by the counselors at ashwood, and they provide 10 minute breaks at the top of each hour. There is a snack area that is always stocked with snacks. With that they coffee, water, and hot chocolate. Each group starts with a check in; name, sober date, drug of choice, feeling word, followed by a question of the day. From there you go into several therapy topics that the counselor will talk you through as the group progresses. I found a majority of the therapy topics discussed helped me greatly. The talking through the subjects, and group participation helped me immensely in my recovery. The handouts had a lot of great information, but I'm glad we did not dwell on them too long. I think group engagement and active teaching is a very good use of time in IOP. Not clinging to a handout at all times. IOP fosters an environment where you can freely share your feelings and beliefs. It is an amazing place to vent and work through your issues. There is plenty of time to get your two cents in each group. Counselors are also willing to stay and talk to you after IOP if there are any lingering topics you need to get off your chest. If you choose to open up and really work on yourself, this place will work for you. Overall Ashwood is a great pick for Intensive Outpatient programs.
Cons: Communication between staff is an issue that needs to be addressed. I was a week and a half into IOP when I was contacted for an orientation session with my counselor. Where I was told I was supposed to have my session the week I started IOP. One patient did not get some important paperwork for short-term disability for 2 weeks after checking in many times and only got it done when he directly complained about the shortcoming in group. During a lot of my time at IOP counselors were informed of any changes to curriculum or schedule last minute. If you are coming to IOP from Northpoint Recovery this is an important one. Topics and curriculum seem to be copy and pasted in Ashwood. Northpoint highly encourages you to go to IOP after their program. If you are encouraging people to stay in IOP especially after coming from Northpoint. There needs to be differences in the curriculum. The same topic can be discussed, but it needs to be taught differently when you move from one facility to another. This is one of the issues that makes the patient think they do not need IOP and they exit early. The curriculum needs work. We had time once during group where we discussed the other things that need to be talked about. Inner child, dealing with the past, and ACE's should be given more time in group. Coping skills, negative self talk, breaking bad habits, forming good habits, attachment styles and PTSD especially need more groups as well. The topics at ashwood are great, but they require more than just one group to talk through them. Lastly weekly check-in sheets become extremely repetitive. I flat out didn't answer some questions by the end of IOP. The questions should change
Noah Garza
2 weeks ago
Ashwood recovery is amazing... They gave me the tools to save my life... Today is the first day of the rest of my life.... soooo grateful!!! And I'll take another 24!!!!
Marathon Mommy
3 weeks ago
Ashwood Recovery truly changed my life. When I first came in, I was lost, broken, and unsure if I could ever get back on track. The staff didn’t just treat me like a patient they treated me like a person. They listened, cared, and pushed me to see my own strength when I couldn’t see it myself.
Every group, every counselor, and every moment there helped me understand that healing isn’t about being perfect it’s about showing up and trying again. I met people who reminded me that I’m not alone, and I left with tools that keep me moving forward every day. If you’re struggling or feel like you’ve hit rock bottom, Ashwood is the place that can help you rebuild. I’m deeply grateful for everything they’ve done for me.
This is an ad and Avenues Recovery Center at Clarksville is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
They helped me immensely.
Learned a lot about myself.
Charles Meadows
1 week ago
So grateful for avenues clarksville, they helped me start a journey that.i couldn't have been more grateful, they saved my life. Shout out to all the staff. 😍
This is where my sobriety journey began, though I did not complete my month here and stay sober I have now been sober for two and a half years and I would love to work for these guys one day.
Zachary Turner
1 month ago
The staff is all amazing
Cidnee Shopay
1 month ago
I was in Acqua October 2024 and the staff was amazing. They listened to what the clients had to say. The one thing Acqua offered that not a lot of the other places did is dual diagnosis. Not only do they treat addiction but the helped me get on meds that worked for me. I loved that I didnt get the 12 steps shoved down my throat. I liked my counselors and the staff helped me get everything lined out to go home in another state. I'm been sober for 9 months now.
Overall I had a good stay at focus. The tech’s and nurses were wonderful, and they genuinely care about the patients .There were some great sessions and classes by some very competent people.
Only reason I didn’t give a 5 star was because it was difficult to gain access to your cell phone. Cell phone usage needed to be approved and supervised by your counselor or another counselor. They do provide landlines for you to use daily, but given that our lives are on our phones with apps giving us access to our bank accounts, insurance portals, medical portals, and short term insurance, you really need access to your phone. Sometimes entering treatment isn’t planned, and there are outside personal situations that need to be taken care of. It was stated by a counselor that giving patients access to their phones interfered with their recovery, but I would argue that worrying about personal situations left undone by going inpatient unexpectedly is worse for recovery. I know I spent a lot of time worrying about trying to get things done and access to my phone. Luckily after several weeks in patient, I met a wonderful counselor that was an Angel. She allowed me the time to catch up on my phone, walked me through setting up my IOP and Dr.’s appointments for post discharge . Thank you V!!!!!!!
Some positives were you had TV access, there were many outings such as meetings, adventure therapy, and recreation such as access to the YMCA across the street.
Thanks to all the staff !
K I
4 days ago
Focus is the best at what they do. Everything & everybody here will help you be successful. Whoever does the hiring here is spot on. I came through with a great group of people & had a good time doing it. Oh, & the food ... the food is spectacular. If you're ready ... this is the place for you.
T. Wright
1 week ago
I would recommend this place to anyone that’s serious about getting help. From the staff to the program itself, was nothing but AMAZING!!! The program most definitely saved my life!!!
This is an ad and Avenues Recovery Center at Fort Wayne is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This place has done amazing things for me Casey Fisher is the most amazing person she got me back in when needed and the staff is always there when you need someone I've had a chance at a new start cause of them I love this place and would recommend this place if you want a fresh and sober start thanks avenues and I will always appreciate your Support and loving staff ...
Grimm
3 days ago
The staff at Avenues Recovery Center is awesome. They have helped me with not only my addiction, but also being institutionalized. If you are struggling, call Avenues.
Zach Holden
3 days ago
The staffs great!These people really care here! I recommend this place to anyone struggling with addiction!
Good experience overall though short stay.Staff did everything to help out upon leaving to next level of care.
Brandon Morris
1 month ago
Woodland was a pleasant surprise for me. The staff there equipped me with the tools to prepare for life outside of a controlled environment. I would gladly recommend Woodland to anyone seeking help for addiction. Thanks Woodland.
Summerall33
2 months ago
I went here and I sent my husband here. We both loved every minute of this experience with woodland. The staff was the absolute best by far comparing to any other treatment center I’ve been to and I’ve been sober since. I love love this place!! True recovery starts here!
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
What Provider Networks Does First Health Group Offer?
First Health offers multiple provider network options to clients. Some are primary networks that can be used as a foundation for care while others are supplements that help improve a plan’s network and fill gaps in care. Along with these national networks, First Health offers regional networks in Michigan and the Midwest.
The main offering is the First Health Primary Network. It’s a PPO network with more than 993,000 professional providers across the country. It can be used by plans that want to have a single high quality network and by plans that have a local network and want to add national coverage through First Health.
They also offer First Health Complementary Network, which is a national network that helps insurance plans expand their primary network while still saving money on care. A plan can pay these providers through an in network arrangement or an out of network setup.
For non-US residents who come to the U.S. for care or are visiting the United States and need healthcare during their visit, the First Health International Network can help. Companies that offer travel insurance most often use this network.
The First Health Limited Benefits Network is available for clients who want to offer limited health coverage that doesn’t include major medical. This network can also be used for minimum essential coverage which only covers preventive services in the Affordable Care Act (ACA) and CMS requirements.
Finally the First Health Share Plan Network is available for cooperative health share plans where members pool money together to help pay for each other’s medical needs. These plans are not insurance and coverage is not guaranteed but the Health Share Plan Network can make it easier to offer members affordable providers.
Does First Health Cover Mental Healthcare?
There are a variety of mental health care options when you are diagnosed with a mental health condition. This can include various behavioral therapies such as cognitive behavioral therapy and dialectical behavior therapy as well as motivational interviewing. Other care options include medication management and lifestyle coaching to address changes like nutrition and mindfulness as well as exercise.
Mental health treatment can be administered as an inpatient or an outpatient and in individual or group therapy settings. Support is typically offered by psychiatrists or psychologist or licensed counselors. Mental health conditions may occur independently or as co occurring disorders. Treatment of co occurring disorders requires integrated and simultaneous care for both conditions to increase the potential for successful treatment.
Most healthcare plans provide coverage for mental health treatment as regulated by the Affordable Care Act. This is for individual mental health conditions or co occurring disorders. However there are exceptions so you must check your insurance coverage with the insurance company to determine your benefits. Since First Health does not provide insurance coverage they also do not make decisions about benefits and limitations.
What Inpatient Addiction Treatment Does First Health Cover?
Many insurance plans offer benefits for inpatient addiction treatment. First Health has a network of providers with whom your insurance plan collaborates to provide care. You must use a provider within the First Health network to receive in network benefits. Some insurance plans offer out of network benefits, but you typically pay more for deductibles and co-payments.
Insurance coverage focuses on providing medically necessary treatment. A treatment plan from your physician or completion of a comprehensive tool from the American Society of Addiction Medicine (ASAM) can help document medical necessity. The ASAM assesses your needs across six factors including emotional and behavioral issues and relapse risk as well as intoxication and withdrawal potential and readiness for change. The assessment helps clinicians determine the appropriate level of care.
Your addiction treatment may begin with medical detoxification. This is often provided in an inpatient or residential care setting where you receive 24/7 supervision and support. Medical detox may be accompanied by medication assisted treatment (MAT), including FDA cleared prescription medications to reduce symptoms of withdrawal.
Once addictive substances have cleared your body you transition into evidence based therapies that address addiction triggers and negative thought patterns as well as help you develop healthier coping strategies. These can include cognitive behavioral therapy and motivational interviewing as well as patient centered therapy. Your highly structured and customized treatment programs provide you with long term benefits that promote sobriety and sustainable recovery.
What Outpatient Rehab Does First Health Cover?
First Health offers a comprehensive network of providers for outpatient care. Using a provider within the First Health network helps maximize your insurance benefits but it’s important to contact your insurance company to get full details before starting treatment.
Outpatient therapy may begin with a partial hospitalization program (PHP) that provides a highly structured and intensive therapeutic environment during the day but allows you to return home in the evening. Many PHPs offer the same level of care as you receive as an inpatient and are ideal when you do not need 24/7 support and supervision.
An intensive outpatient program (IOP) has more flexibility than a PHP. Some centers offer IOPs during the morning or afternoon or evening hours to allow you to meet other family and work or school obligations. After a comprehensive evaluation to determine the necessary level of care you may be admitted into a PHP or an IOP to start your outpatient rehab.
As you progress through the program you usually graduate to a general outpatient treatment program that provides care once or twice weekly. Aftercare programs help provide support in your recovery journey. Aftercare can include weekly or bi monthly therapy along with 12 step community programs, vocational training and educational support.
Does First Health Cover Methadone & Suboxone (MAT)?
MAT is an effective strategy for both medical detoxification and ongoing treatment of opioid and alcohol use disorders. In the initial medical detoxification FDA cleared prescription drugs can help reduce withdrawal symptoms and prevent some life threatening complications associated with detoxification from certain drugs. MAT is also useful for ongoing treatment to reduce the risk of relapse and the risk of overdose.
Typical medications are methadone and buprenorphine as well as naltrexone and Suboxone. Methadone and buprenorphine are prescribed solely in opioid use disorder. They are opioid agonists — activating the same receptors as opioids without producing the euphoric high. Naltrexone is used in opioid use and alcohol use disorders to reduce the risk of relapse. Suboxone is a combination drug of buprenorphine and naltrexone.
MAT is generally combined with evidence based treatment to help you establish a solid foundation for long term recovery and then you can slowly stop using the medication support and live a fully substance free life.
Does Addiction Treatment Need to Be In Network?
The First Health network is a preferred provider organization (PPO). When your plan uses First Health providers you may also have coverage for out of network care as well. However using out of network providers increases your out of pocket expenses and will cost you far more than using an in network provider.
Most out of network providers do not file insurance paperwork. This means you pay the cost of care up front and must file the paperwork to your insurance plan to be a reimbursed at a lower rate. When you receive care from an in network provider you pay the co-payment up front and the provider completes the rest of the paperwork. You can maximize your insurance coverage by finding high quality in network providers for inpatient and outpatient addiction treatment.
How Long Will First Health Cover Rehab?
Your insurance provider limits the duration of your coverage for drug and alcohol abuse treatment based on medical necessity. First Health does not determine coverage benefits. An initial comprehensive assessment that includes the substance and severity of addiction as well as your home environment and any co occurring mental health conditions helps determine medical necessity. This information may also be used to determine if inpatient or outpatient care is required.
Most treatment centers have residential care programs that last 30 or 60 or 90 days. Outpatient treatment programs can last for a similar time. The length of your program is determined by your initial evaluation and by ongoing assessments to determine your progress. It’s important to embrace your treatment program and complete all the steps. This gives you the best chance at achieving sustainable long term recovery.
How to Verify Coverage With First Health
There are several ways to verify your coverage for drug and alcohol addiction treatment. First Health does not make decisions about insurance coverage so it’s important to verify your benefits and limitations directly with the insurance plan. You can contact their customer service or member services phone number or login to your online insurance account. These resources can provide you with information about what your insurance plan does and does not cover.
You also want to identify the healthcare providers and treatment centers that are in your plan’s specific network. Each insurance provider decides how they use the First Health network.
Most treatment centers can verify your insurance coverage and determine your estimated out of pocket expenses by speaking with your insurance provider. The treatment center requires the insurance provider’s name and the specific plan as well as your member or group plan numbers for accurate information.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Sponsored Helpline
800-784-1361
Alcoholism
Drug Addiction
Opioid Addiction
Substance Abuse
Dual Diagnosis
Adult Program
Military Program
Private Insurance
Self-Pay Options
Military Insurance
Mental Health And Substance Abuse
Program For Men
Program For Women
Sliding Scale Payment Assistance
Medicaid
Young Adult Program
LGBTQ Program
Financial Aid
Medicare
Financing
