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.
I drove by Avenues yesterday and it made me reflect on how far I ve came since leaving there in November. Today marks 160 days in recovery and since leaving avenues, I ve moved into a new place, got a new job, got a new car, started repairing relationships, working on my steps and most importantly, I have all my babies back home. This week is spring break for my kids and I m able to take them on vacation. We re currently in Nashville for the next couple of days and I just get to enjoy my time with them. I know without avenues and all the amazing staff, I wouldn t be where I am today. There were so many awesome staff members that cared and took the time to talk, I know a few times I thought about leaving but glad I didn t and am glad everyone who talked to me. I wish I remembered all their names but I don t. I ve been to another avenues about a year and a half before going to this one and I have to say hands down this one(Clarksville) blows the other one out of the park. From the staff to the food to how the program is laid out, they care and will go the extra mile. I only wish I lived closer so that way I could work there once I hit my year. I will always remember the kind hearts of those that work here. This place got me my life back and I know my kids are thankful for that.
Jacqueline Hiatt
2 months ago
There are some amazing facilitators at avenues recovery in Clarksville who understand what I was going through and helped me understand what recovery was all about. Avenues helped me better understand myself and helped me make an aftercare plan so that i can remain sober. I recomend Avenuse to anyone who is serious about getting sober and staying sober.
Brandon Rexroat
2 months ago
I really enjoyed my stay. Top notch care from people that will demonstrate love during you first step towards sobriety.
I was admitted this time last year to this amazing facility and staff. Went through there process twice and glad to be Alumni. Still stay connected to my sober activities with Acqua. Much love to everyone involved!!
chris scull
4 weeks ago
Acqua was the perfect start to my recovery journey! I had never been through treatment before and had no idea what to expect but It turned into the best decision I’ve ever made. The house and grounds are beautiful and they matched me with one of the best therapists I’ve had in the many years I’ve been in therapy. I can’t express how much this place has changed my life. I will be one year sober in one week!
Mario
4 weeks ago
This place literally saved my life. I'm living a life i only dreamed about. Thanks Acqua! From a proud Alum!!!!
I have only done 2 IOP sessions so far. They are very informative. They are giving me the additional tools needed to recover. The facility and staff are awesome! Nothing but good to say about Ashwood.
Reed Conrad
2 months ago
Ashwood was such a great transition after rehab. The counselors are awesome and care about each client that comes in. The family counseling and groups they offer are extremely helpful for loved ones to learn about how to support addicts!Thanks guys, it had been such a pleasure being apart of AshwoodUpdate: 5 years strong and their team is still as supportive as they were at the beginning.
SoberLife: Great program and especially, great, caring, professional staff! They helped me so much. Highly recommended.
Tim Kazwell
9 months ago
Highly recommend. For addiction and mental health. My journey through soberlife has been such a blessing. The staff are very caring, intuitive, relatable & intelligent. I learned so much & really think the curriculum is top tier. They take your recovery seriously, motivating you to do the same. Core memories made here, so sad to leave but thankful for the experience of a lifetime.I never imagined being a week sober, now I am almost 6 months. Make the choice to heal, you deserve it.
Katriel Goodson
9 months ago
Sober life is the absolute BEST place to be if you are struggling. I went in 2020 and didn t complete, and they welcomed me back with open arms march of this year and I went through completion. I have had the opportunity to stay in their network by getting care at SD wellness for psychiatry. Over this holiday week I had forgotten about my refill of a medication I need, I got in contact with Dan from alumni since I forgot what their hours were for thanksgiving and Black Friday, and by today (saturday) I have my refill! I got a personal call from Dr Amaro and got squared away. I ve never found a medical group that listens, cares, and has better communication than here. I am so happy with this process and will always come back if I need it! Highly recommend!
Focus is a wonderful place to start your life over! Clean facility, great food, great staff!!
Jet Oxford House
2 months ago
I would highly recommend Focus treatment center. It has given me many tools to cope with life by lifes terms. The staff is great and i built a community to walk this journey of recovery with me.
Ryan Davis
2 months ago
Focus is a wonderful place! I was scared when I arrived and the staff answered all of our questions. The rooms were nice and clean and the staff was amazing. Everyone there made me feel cared for and answered any questions I had. All the Dr's, nurses, counselors are great and really care for you. I would recommend this place to anyone.
I was 34years old and I was losing my family and everything else with it. This treatment center provided me with all the tools and a running start on my journey in recovery. Today I'm happily and proudly 3+ years sober. This facility saved our lives.
Laura Talbot
2 months ago
My experience at Wasatch Crest was nothing short of a miracle. I was hesitant, perhaps even resistant to treatment centers when I checked into the house. My perspective was quickly changed. The quality of care that came from the staff and the entire organization was spectacular. I have nothing but gratitude, respect, and endless compliments for this treatment center. Truly a life saver!
Cole Finlinson
2 months ago
So I am now officially Alumni, having said that is like a million words. I can't thank everyone enough I have been out of treatment for 8 day's. Attended 23 Aa meeting's and continue to work on my sobriety, I have mended things with my wife. Because of the way I learned how to communicate, so the staff is incredible, understanding, I have learned to fill the voids that kept me using, still gaining momentum, thanks a million to the owner's and staff, Ed,Stephen, sage,incredible admissins,Becky, house leader,Troy,case manager, Derek,my therapist, Jordan,Ronny Gena, Michelle or red, and Teresa i love you all
California recovery center literally saved my life. There are very few times In your life when you can say this with absolute conviction, and this is one of them. The Intake process was handled with absolute care and concern for my circumstance. The staff took care of my insurance and was able to get in the day after I made contact. I called other facilities and the first thing that they wanted to talk about was money, which was a huge turn off. CRC Isn t a giant facility with tons of people where you can get lost in the shuffle and that was exactly what I was looking for. All of the counselors at CRC Know what it s like to go through addiction and as a person trying to recover that made all the difference. It wasn t theory to them. Meals were prepared by an on-site chef who actually got me to eat my veggies Which is a miracle in itself. The senior staff were also wonderful In making sure everything ran smoothly. The facilities are comfortable, clean, and maintained Daily. The med staff are all Rockstars!! I could go on and on About what Crc did for me, but it wouldn t do them enough justice. If you need help, and ready to do the work, This is the place for you
Patrick Kenney
7 months ago
California Recovery Center saved my life. Their curriculum allowed me to focus on myself..healing physically, mentally, emotionally and if you choose..spiritually.It gave me the start I needed into this new way of life..one day at a time!
Suzy Levy
7 months ago
After looking into 6-7 different places to take my mother I was getting frustrated. When I contacted California Recovery Center what first caught my attention was how understanding and helpful Rachel was. She was the woman that assisted me with finding help for my mom. It s never easy being In the situation of getting help for yourself or others, so when it feels like a person wholeheartedly wants to help yourself and your family it makes all the difference. That s my experience with CRC. I felt like from the start they wanted to help and my mom felt the same way after talking to them. I highly recommend you give them the chance to help you as well
Amazing staff great family type environment.....thanks for helping me take my steps towards my life in recovery...... Sobriety is a date recovery is for a lifetime
Charlie Thrasher
2 months ago
I highly recommend woodland recovery to anyone struggling with addiction, they are dedicated to helping people over come addiction. They staff are helpful and helpful during your stay.
Renee Breeden
2 months ago
Absolutely the best Treatment Center in North Mississippi. They honestly care about the patients.
The staff here honestly really cares about everyone in their program. The therapist s were amazing. Excellent housing and accommodations. Could not ask for a better experience, literally saved my life.
Ken Anderson
2 months ago
Absolutely wonderful experience. Love y'all
Austin Crook
5 months ago
Zinnia overall was a great experience! I encountered many strengths and a few faults. The faults came under scrutiny in the upper management role. I completely understand that Zinnia is a wellness facility and a business. The personal experience, to me was wellness was priority one, in the case of facilitators, techs and nurses. This was not the case in the roll of Director of Operations at the Singer Island facility. This individual showed little compassion and it was obvious that business outranked wellness.Regards,Bob S. Colorado
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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.
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