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.
When reviewing possible treatment centers or checking plan compatibility, you can learn more about rehab options to explore providers that align with your coverage details.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
So I just want to leave a review based on such a supportive experience with staff. My daughter has been struggling up an down and all around, n I still am working on her to finally surrender, but I want to give a review on Charles. Charles is amazing, he has called me at 10:30 pm he has dealt with many messages, many I think today might be the day and than not, everyone knows what I talk about if they are familiar with addicts and their thought process and fear. I pray my daughter will finally surrender before it's to late, everyone close to my daughters have been dying left n right and they have lost children due to addiction, my grandchildren are now adopted out, my heart melts in heartbreak and the pain the whole family goes through is endless. So I just want to give a shout out to the amazing team and all their work while not giving up on us. They keep going out of their way to help me Everytime I reach out. Great people! Thank you so much! The detox White dove is Amazing and so kind as well. They too have been along for the ride and so kind and go out of their way to help me in anyway or questions while we just waiting on my daughters surrender. Thank you!
Jessica Cornia
1 month ago
I will forever be grateful for Wasatch Crest. They literally saved my life! They have done for me what I once believed was impossible. They gave me hope of a new life, free from substance abuse and relief from overbearing mental health issues. I personally want to thank both Jim and Nicolette Huffman for not only opening their doors to me within residential treatment, but also for believing in me and not giving up on me. They both really do care, are highly involved and truly develop love for each and every client who is fortunate to admit into the program. Wasatch Crest has one of the best clinical teams I have ever encountered, especially my therapist Rick Buxton CMHC. All of their staff was welcoming, helpful and professional. If you are looking for a residential treatment facility that is safe, filled with numerous therapeutic activities and specializes in trauma, Wasatch Crest is the place to get into. Thank you again for all this program has done for me.
Respectfully,
Derek P. Wasatch Warrior Alumni
Derek Perkins
3 months ago
This was my first time in residential treatment. I’ve struggled with alcohol/addiction for the majority of my life. I found real help here (for my mental health as well). I found real people here. It was honestly some of the best weeks of my life.
If any of my family or friends are struggling with drinking/using I will refer them here. This is a special place. A place that fosters cultivation of real personal growth. I’m currently in their IOP program after graduating residential, and it’s excellent aftercare.
This place changed my life. Of course it came with challenges; but the environment, culture, and staff here are all great. I’m the one who had to commit to recovery, but this is the place to do it.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Awesome staff enormous support team. I would recommend them to any and everyone. Great opportunity. I see emaculant growth in my future 🥰!!!!
Valentina Trussell
3 weeks ago
My time with Woodland this go around has been insightful as towards my recovery. I have learned some learned new coping mechanisms that I had not learned my last two times. And THEY WORK!! I have had to implement these new methods already and has been a LIFE CHANGING experience for me.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Outstanding outpatient experience after inpatient at Northpoint. Very thankful for my clinician Brian E. Also the entire staff all very knowledgeable and professional
David Ober
1 week ago
The help that I received at Ashwood was truly compassionate and empathetic. My individual needs and story were treated with acceptance, encouragement, validation, and tools to change and move forward. My counselor challenged me and pushed me when needed, and also gave me space to heal and process. I was also able to connect and form meaningful friendships with fellow group mates. Would highly recommend Ashwood if you are thinking about seriously pursuing sobriety.
Benjamin Klipfel
2 weeks ago
I did my PHP and my IOP aftercare here at Ash point. The counseling service were extremely detailed with helping me and acknowledging me every step of the way with my recovery. They taught me so many different coping skills, mental health and the ability to give me The strength for going forward and achieving sober, living the counselors, the staff, the groups, and the interaction with other individuals that are struggling with substance abuse, Ashwood saved my life and gave me hope for being the very best that I can. I recommend this to everyone out there that is seeking help to have a better life and believing in themselves I am currently working 12 steps attending AA and I have a sponsor without Ashwood. This never would’ve been made possible. I love each and every one of you and thank you for supporting me with everything that I have been blessed with my family my friends my fur babies can’t thank you all enough and of course my higher power.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I had a personal surgery done yesterday and I could not thank these amesome nurses,doctors and anesthesiologists enough. They were absolutely amazing in making sure I was comfortable and felt safe. The only nurse I can remember was Robyn. Thank you again Bryan west for having some of the best staff!!
S Thompson
1 week ago
Thank you to every staff members for your help with the care of our family members.
Michael D
1 week ago
Great nurses!! Food court had great food. Fantastic experience
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I work closely with the team at Acqua Recovery Center and have had the opportunity to work with their team on many occasions. They consistently do an incredible job communicating, coordinating care, and genuinely putting the needs of each client first. Their team is professional, compassionate, and easy to work with, and I always feel confident knowing someone is going to be well taken care of when they are headed to Acqua. I’m grateful to have such a solid treatment partner in the recovery community and would absolutely recommend them to anyone looking for quality care.
Hanna Niles
1 month ago
Acqua recovery deserves to be recognized for its excellence in addiction and mental health treatment. As an operator of a different treatment center we work closely with Acqua in an effort to support and help as many struggling individuals as possible. I have always been extremely impressed with the work they do up there in Midway. Great work from their entire team. Thanks for all you do!
Micah Niles
1 month ago
Great place and staff! It’s like a productive vacation.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Best treatment facility in Lincoln, I've been there 2x and I have very close friends & family that have been in recovery since they completed treatment there. I wish they took medicare or medicaid though...
a p
4 years ago
My husband went through the independence center over 30 years ago. He did relapse after the first 3 months but he did not attend any aftercare or AA. Within a year he started going to AA and has been sober for almost 35 years. My son has also been through the independence center twice with varied success. He has had relapses but maintained sobriety for the majority of the time. He has used the tools he learned there to get sober again after relapsing without having to reenter treatment. The program will work for you if your honest with yourself and do the work. Good luck and god bless!
Judy Diller
4 years ago
When you are ready, you are ready. I did three rehabs in the span of three summers and I’ve been sober a year and a half since going to the Independence Center.
The ENTIRE staff wass genuinely interested in my recovery. Of course it’s up to me how honest I want to be with my counselor, Chaplin and myself (and God), but their unwavering encouragement doesn’t hurt and it didn’t. The facility is much better than others I’ve been to in Nebraska and they keep the distracting extracurricular horseplay to minimum. They have a great culture and alumni in the A.A. and Lincoln communities.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I have used this medical facility since 1993. The vast majority of my experiences there have been positive. Easy access and on time appointments. Staff are knowledgeable, courteous, professional and treat me with the utmost respect. I would recommend the Louis A Johnson VA Medical Center to any veteran who needs medical services.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The experience was unlike anything I could have imagined. The staff was fantastic and took great care of everything and everyone in the detox and recovery home.
Shane Holzer
4 months ago
This place was amazing!! It 100% saved my life and Jenn was amazing!? I really feel like I got the best care an addict could hope for! I would and will recommended Denver recovery center to anyone who needs help!!
Kimberlie Cook
10 months ago
I gave Denver Recovery five stars because they were really helpful and really took care of me. And was great on the path of my sobriety. And my rock out was amazing.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Free goes beyond addiction and helps you to explore the reasons for your addiction. Most places treat the symptom but at Free they treat the symptom and the problem as long as you're open and honest with yourself.
michael rose
1 week ago
Fbts is a great place to get a fresh start at life. Very helpful and I highly recommend.
Percy Novelozo
2 weeks ago
I am due to be picked up tomorrow and praying they still do ive been pretty indecisive and recovering from a major assault having my face literally ripped open 4x in a year has seriously escalated my DUAL ADDICTION CO DEPENDENCY WAS THE CULPRIT MY POINT IS IVE BEEN THRU TREATMENT BUT NEVER IN MY WILDEST DREAMS HAVE I SEEN A PLACE LIKE THIS THE WATER HAS ALWAYS BEEN MY SAFE PLACE HAPPY PLACE I AS BE FIRE ER GRATEFUL FOR THE OPPORTUNITY
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great staff. Clinical and techs. They really care and want to help.
John Ben Pectol
1 week ago
Simply put it will change your life... staff couldnt be more professional or more supportive of everyone there!
Nathan M
2 weeks ago
The hardest and best decision I ever made was deciding to go to Focus. I can honestly say going there totally changed my life and I am now almost 6 months sober. The staff and everyone there are great, I wouldn't be where I am right now without them. I am sober, happy, healthy, strong, and in a good spot with my mental health. I am finally figuring out who I am and I am actually deciding that I like that person! Thank you Focus for all you do and all you have done and continue to do for me!
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Frequently Asked Questions
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.
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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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