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.
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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.
White Sands is the best treatment center. They truly care about every patient. The therapists are top notch and address every areas of concern. The entire staff has integrity , are kind , caring and honest while no one is watching. I took away the tools to help me fight this ugly disease. I pray I never have to return, but if I did they would welcome me with open arms. Thank you to everyone that assisted me with recovery.
MPS stevenson
5 months ago
Recovery is not a linear process and White Sands has been there to break my fall. There’s undoubtedly something special about it , like it’s got God’s anointing. Every single BHT/ counselor/ therapist/ doctor/ even the cleaning crew are the most pleasant and want the best for you. When a lot of the patients resolve to wanting to work here one day is a common trend you know they’re doing something right. I cannot say enough good about White Sands, and I’ve been given all the tools I need to not return! Those who are searching for their place to find treatment - your search has ended.
It was a bit intimidating at first, but everyone was welcoming and helpful (shout out to Ramana!) and with in a day or two I felt very comfortable. This was a tough but wonderful experience. I graduated December 11th, 2025 and I can truly say I miss going to group meetingst. I met a lot of great, wonderful and strong people within my journey at Northpoint and Ashwood. God bless!
Sherry Smith
5 months ago
Ashwood has been extremely helpful with my recovery. The counselors are great, always willing to help with support and any resources needed. I highly recommend them for guidance along your journey.
Dan Hall
5 months ago
NP Ashwood helped me transition from inpatient therapy to out and about in my daily life. I completed 28 days of PHP and then combined 12 weeks of IOP with going back to work. I have learned countless ways to cope, what my triggers are, how to be mindful in my daily life, and how to reroute when I catch myself in old habits. I highly recommend Ashwood to anyone who is leaving inpatient therapy or anyone who has a desire to change their life from the inside out. I have the longest sobriety time I’ve ever had and thanks to Ashwood and its alumni program, that time will keep adding up. Thank you Ashwood counselors and staff. You were my calm during the storm!
I had a great experience at their inpatient and outpatient programs. They have an In house chef and the food is outstanding. The rooms are comfortable. The counselors are caring and have deep knowledge about the recovery process and provide great classes daily. I had an all-around great experience, would highly recommend if you are struggling with addiction. Just go you got this!
Shaun Hargrove
5 months ago
CRC saved my life once again. I was here in August for 33 days. I gained so much knowledge of many coping skills, relapse prevention, what to do upon graduating. ...I unfortunately relapsed, consumed more alcohol than I ever have in my life for 7 days. It's like I went from 0 to 60. ...The problem was: I NEVER UTILIZED THOSE COPING SKILLS. I NEVER GOT A SPONSOR. I NEVER WENT TO OUTSIDE MEETINGS. I DID NOT PROGRAM. Granted, I attended their incredible aftercare program of 30 hours a week, once I left the 6 hour a day class - I DIDN'T PROGRAM! Upon graduating today, by the grace of God and CRC, I already have a sponsor, I've actually opened & read some of the Big Book, they are personally transferring me door to door to their aftercare. They are so many wonderful and grateful words that I could go on and on and about CRC. Without the dedication & guidance & sincere concern and knowledge from management, counselors and medical staff, I honestly don't believe I'd be here to write this. I will not give up. I'm happy today. And most importantly, I'm SOBER!
Cindy Elmer
5 months ago
Very informative about my addiction my recovery and my positive sobriety life.
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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.
This place saved my life! Every staff member is meant to be there and they all care about the clients that come in. They show you the problem and the solution and they show u through therapy and classes that recovery is possible. There is a solution to our problem and they excel at showing you. I would highly recommend focus treatment to anyone I come in contact with that is seeking help!
Codi Jourdan
2 days ago
Focus was the perfect facility for me during my recovery.
Picking up the phone and trying to find help for the first time was daunting. I knew I needed to change my relationship with alcohol, but I didn’t know where to start. After making multiple calls, I came across CMAR (Colorado Medicated Assisted Recovery). The first person I spoke to on the phone made me feel welcome and helped me begin my recovery journey.
I started in August 2024 and was guided to IOP, which included three sessions a week. I’ll never forget the first time I walked in—I was welcomed right away. James Jackman was the group therapist that day and made me feel comfortable from day one. He would later become my personal therapist, and I owe a lot to him for helping me through my recovery.
I came in wanting to change my relationship with alcohol, but I ended up working through so much more—my anxiety, childhood trauma, and the reasons behind my substance use. I learned more about myself and grew as a person in ways I never imagined.
After graduating IOP in three months, I decided to continue in OP for another year. Through CMAR, I’ve built a strong sober community and made many close friends. If you’re looking for help, this place is truly amazing.
Theodore Flaherty
6 months ago
Tremendous Agency that saved my family —
Clients feel valued not judged —highest respect and recommendation for their services.
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Very satisfied !!
My experience was amazing. all staff and therapist was very concerning, and caring..
I would recommend anyone who is considering Woodland recovery center It's a great decision. Hope to see you soon. !!
Kenneth Walker
6 months ago
The staff work very hard and care as much as they can doing it! The food is good thank you very much yall. The counselors are very good. The nursing staff is good as well and I always felt safe. I highly recommend this detox center.
I highly recommend Aspen Ridge to anyone who needs help with recovery. I have been in recovery for years, and Aspen Ridge is my favorite facility out there. Unlike many others, Aspens Ridge does NOT force any specific modality on folks, such as AA or NA. Many other rehab facilities are 12 step-based, which I haven’t found to be helpful. Aspend Ridge helps folks find the program that works before for each individual, such as SMART recovery, Dharma Recovery, or 12 steps. The therapists and instructors at Aspen Ridge are also all tremendously helpful and motivated. Highly recommended to anyone in need!
Brent Ellman
5 months ago
The programming at AspenRidge offers an array of services that can attract a variety of clientele seeking valuable clinical help to break the cycles of addiction for themselves and their families
Coastal was tough and fair…they prepared me for the real world!
The food is fabulous and the staff is wonderful!
peter haines
5 months ago
I just want to thank all of you from the bottom of my heart for the care and compassion you showed me during my stay .You helped me through one of the hardest times in my life with kindness, patience and understanding . Because of your support ,I found hope and strength again .I'll always be grateful for the way you helped me start this new chapter of my life . With love and gratitude you gave me freedom back from addiction to freedom after 15 years of being on opioids . Thank you for the true blessings I've received . Loretta
Loretta Slone
6 months ago
These people go over and above the gold standard of treatment in South Florida!
Manicured detailed excellence from the owners, chefs, medical staff, BHT's, and housekeeping!
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Okay let's start from the beginning back in January of 2025 I completely lost my mind due to alcoholism. I reached out the first steps and they help me not just once but twice get my life back together I lost everything and now 6 months later after my second shot going into first step recovery I will have 6 months clean as of the 26th of this month November. I want to give a special shout out to Jessica from first step recovery who helped me numerous times the facility in El Dorado hills is very clean. And they care I think that's what separates them from the others. Thank you so much for step recovery.
Justin Hill
6 months ago
I haven't gone here, but I would like to say that the intake specialist I spoke to when I called named Doug is an absolutely amazing man. He not only answered every question I had, but he also gave me sound advice and kind, supportive words that have really helped me in this process. Even after finding out that I would be attending a different facility, he has been there for me with support and help in any way he can and has kept up with me every day to see how things are progressing for me. Absolutely outstanding individual who clearly cares about people and is interested in their wellbeing and not just in getting them into the place he works for. Doug, you are a kind, caring, empathetic soul and have made a big impact on me and my journey through this process. Thank you for all that you do and will continue to do for people who need exactly the type of person you are on their side when they are arguably at their worst point in their lives.
Joel Fournier
6 months ago
First steps is one of the greatest places you could ever end up for recovery. This place was my home away from home for my stay of 90 days the great staff made me feel so welcomed as soon as I walked through the doors. To the amazing chef Darryn at the oak house cooking 5 star meals to the tech staff some of my favorite were David , Andrea , Jessica , Francisco , Char , and Angie some of the best and attentive staff! The experience was made even better by my counselor Zack p. I was so lucky to have him in my recovery this place is one of the best and I recommend it to anyone struggling with addiction you will not regret it
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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.
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