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.

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Addiction Centers That Accept First Health Network

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    Avenues Recovery Center at Clarksville

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    4601 Medical Plaza Way Clarksville, IN 47129
    4.8
    (100 reviews)
    Check iconClaimed
    2
    Top 10 Rehab In Indiana
    Avenues Recovery Center at Clarksville is a residential facility which offers drug and alcohol detox and inpatient rehabilitation services. Set on a sprawling 10-acre property and housed in beautiful, state-of-the-art premises, this modern yet warm establishment provides the perfect backdrop for clients to cleanse themselves of all substances and b
    View Website (930) 203-1947
    The clinicals were great smaller groups and the teachers have real life experience! Staff makes the place. Great food and you can vape!
    Zach Rumell
    1 month ago
    Great program and facility. The staff goes above and beyond!
    Savannah Tessmer
    1 month ago
    1st Time client, in which I'll be graduating this week and I'm going to a 6 month program at avenues complete in Philly. I've had a tremendous experience here in Clarksville Indiana God bless everyone.
    Michael Arnett
    1 month ago
    Avenues Recovery Center at Louisville IN 47129
    4
    The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 1 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 2 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 3
    1820 Colonial Blvd Fort Myers, FL 33907
    4.8
    (352 reviews)
    WhiteSands Alcohol & Drug Rehab Fort Myers in Fort Myers, Florida, is a drug rehab and recovery treatment facility that serves men and women who are experiencing struggles with a substance use disorder. Care is offered in an inpatient setting, and there's a continuum of outpatient services, including intensive outpatient treatment and day and night
    White Sand Residential stage is a Great Start to get your Sober Life Started All Staff are very nice and are passionate about the patients recovery from the therapist to Chiefs and even the maintenance crew I've been in all 3 stages Residential, Php , and sober living it's been a great experience and I've learned a lot and currently almost back on my feet it works only if you take it seriously
    Alkhabir
    1 month ago
    I just cannot say enough about the staff and facilities at White Sands Ft Myers - absolutely world class. Look, not everyone is “excited” to visit a treatment facility but in the case of White Sands Ft Myers you should be! You absolutely should be! It’s a priceless opportunity to spend 4 weeks of very intense very high quality time healing and focusing on becoming a better person, the best person you can be - everyone could benefit from 4 weeks in Ft Myers, absolutely everyone! It’s such a gift and I will remember my time there as some of the most important weeks of my entire life - and no, that is not an exaggeration! If you are considering treatment I can’t imagine there being a better choice anywhere in the US (not just Florida) than White Sands Ft Myers.
    Scott Schroeder
    2 months ago
    All around great experience. Counselors & therapists are amazing. All the staff is amazing. And they set you up with all the tools you need to maintain sobriety.
    Nicolas Fowler
    2 months ago
    WhiteSands Treatment Center FL 33907
    5
    5
    The facilities at WhiteSands Treatment Center in Fort Myers, FL 1 The facilities at WhiteSands Treatment Center in Fort Myers, FL 2 The facilities at WhiteSands Treatment Center in Fort Myers, FL 3 The facilities at WhiteSands Treatment Center in Fort Myers, FL 4
    3930 Fourth Ave Suite 300A San Diego, CA 92103
    4.9
    (45 reviews)
    0
    Top 10 Rehab In California
    Sober Life Recovery Solutions, located in San Diego, California, is an alcohol and drug rehab center that provides alcohol and drug rehab services to teens and adults through their partial hospitalization program, intensive outpatient program, and traditional outpatient program. They also support Veterans. Sober Life Recovery Solutions, located i
    SoberLife: Great program and especially, great, caring, professional staff! They helped me so much. Highly recommended.
    Tim Kazwell
    10 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
    11 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!
    Gabbie Pearce DeRose
    1 year ago
    Sober Life Recovery Solutions
    2
    The facilities at Sober Life Recovery Solutions in San Diego, CA 1 The facilities at Sober Life Recovery Solutions in San Diego, CA 2
    720 East Montebello Avenue Phoenix, AZ 85014
    4.4
    (103 reviews)
    Calvary Healing Center is a private substance abuse recovery center in Phoenix, Arizona. For over 60 years, they've helped clients find recovery through treatments focused on whole person healing. They serve adult clients. Calvary Healing Center is a private substance abuse recovery center in Phoenix, Arizona. For over 60 years, they’ve helpe
    All of the staff are super nice and helpful! It’s very clear how much they really care about you and are rooting for your success.
    Hannah Nicole
    2 months ago
    Calvary Healing Center will forever have a special place in my heart. The therapies that they provided went beyond my expectations. I have healed and grown in unexpected ways. Thank you universe for allowing me to come across Calvary. You all saved my life!
    Jamie Madrid
    2 months ago
    Healthy healing process for my life great community 🥰
    Maddie Love
    2 months ago
    Calvary Healing Center AZ 85014
    6
    6
    The facilities at Calvary Healing Center in Phoenix, AZ 1 The facilities at Calvary Healing Center in Phoenix, AZ 2 The facilities at Calvary Healing Center in Phoenix, AZ 3 The facilities at Calvary Healing Center in Phoenix, AZ 4

    Avenues Recovery Center at Bucks

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    1753 Kendarbren Drive Suite 612 Jamison, PA 18929
    4.8
    (100 reviews)
    Check iconClaimed
    The Avenues Recovery Center at Bucks is located in Jamison, Pennsylvania. It is an outpatient drug and rehab center. They have partnered with luxurious sober living homes. TRICARE is accepted. Avenues Recovery Center at Bucks is a community-based, residential-style outpatient drug and alcohol rehab program offering partial hospitalization and inten
    View Website (215) 792-7305
    Life saving program filed with people that actually care. Amenities, good food, and everything you could ask for.
    Matthew Relaxed
    1 month ago
    This place saved my life, the greatest decision I ever made, can't thank avenues and their great staff enough!!!
    fredo milano
    2 months ago
    Committing to 6 months was a huge decision for me. But it was the best one I have made by far for my recovery. I can’t say enough about Avenues and the staff here. They have helped me to become a better person and find my place in this world. I was able to make lifelong friendships and have found a purpose in life. Thank you Avenues for everything!!!
    Madi Elise
    2 months ago
    5
    5
    The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 1 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 2 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 3 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 4
    446 Main Street Plymouth, NH 03264
    4.8
    (101 reviews)
    1
    Top 10 Rehab In New Hampshire
    Plymouth House is a drug and alcohol addiction recovery center in Plymouth, New Hampshire. The Plymouth House is a retreat that serves adult clients with a process rooted in health in the 12 step program utilized by Alcoholics Anonymous. They are a private facility with residential amenities. Plymouth House sits on 60 private acres near the Whi
    I arrived at Plymouth House in March 2025. I didn’t know what to expect. The staff are amazing, the food is great, and best of all you work on yourself. They are supportive through your whole stay and your team guides you there the process. I also had an aftercare person who helped me transition to a IOP and sober house to embark on my journey for long term sobriety. Plymouth house is a great Place to start and they are always there to help.
    Charles Cornell
    2 months ago
    This facility is outstanding. The staff truly care about your wellbeing and want what is best for you. The Plymouth House saved my life. I was terrified to walk through the doors for the second time after trying to do things my way, but I was welcomed back with open arms. This place no doubt has become a home to me. I am beyond grateful for The Plymouth House and highly recommend to all.
    Jillian Juris
    7 months ago
    Great staff, amazing facility and great program. Stayed 50 days and didn’t want to leave. Foods great, community is awesome, very thorough and great 12 step program. Would definitely recommend
    Mike Ytn
    9 months ago
    5
    5
    1821 E Clifton Rd NE Suite 1200 Atlanta, GA 30329
    3.7
    (36 reviews)
    Emory Wesley Woods Hospital is an integrated healthcare provider in Atlanta, Georgia. Their addiction center uses a multidisciplinary approach to address substance use for individuals over 14. Their specialty is the treatment of dual diagnosis. This is when someone simultaneously struggles with addiction and mental health disorders. Specialized rec
    I really appreciate the workers at this hospital. They are kind, accomodating and respectful. I didn't feel condescended to, nor treated like less of a human being. I felt that the workers set a tone of respect and dignity and support on the unit. The groups were awesome and very well facilitated. I felt like they weren't just there for a paycheck, that they actually cared about doing a good job. I would definitely go back there if I ever need mental health inpatient care.
    Leah Freeman
    8 months ago
    It was a safe place during my most suicidal years. I really appreciated the ability to isolate in my room, unlike other facilities that lock the rooms during the day. That was a necessity for me as an autistic person, in order to prevent overwhelm and truly feel safe. Therapy groups could be stressful, but I wasn't forced to attend which I really appreciate. When life feels so out of control, small things like that can go a long way
    Rivka Sawyer
    1 year ago
    I came to this center after a traumatic experience. These people made me whole again. I cannot say how much this place meant to me the 4 months I was there. Caring nurses, wonderful doctors and a cook who knew how to make hospital food palatable. I cannot recommend this place more!
    Michael Dillson
    1 year ago
    Emory Wesley Woods Hospital GA 30329
    2
    The facilities at Emory Wesley Woods Hospital in Atlanta, GA 1

    Avenues Recovery Center at Fort Wayne

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    2626 Fairfield Avenue Fort Wayne, IN 46807
    4.8
    (101 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Indiana
    Situated in Fort Wayne, Indiana, Avenues Recovery Center is a modern, hotel-like addiction treatment facility. They offer a full continuum of care from inpatient detox, residential, medication-assisted treatment (MAT), outpatient and aftercare programs. They have a 95% long-term sobriety success rate. Avenues Recovery Center at Fort Wayne is a 10
    View Website (260) 235-5900
    Avenues helped save my life they were so personable and helpful and made sure I had somewhere safe to go when I left there and the Avenues alumni is absolutely amazing I would recommend to anybody who is struggling with their addiction who is seeking help this is a wonderful place
    Reagan Schorey
    1 month ago
    Avenues helped me out so much the staff were helpful and my therapist Ms. Linda was awesome. If you need a rehab come here.
    Hannah Fairley
    1 month ago
    Avenues has a great place for me and my recovery. The staff is excellent and the food is good. The whole atmosphere is good for some one trying to get clean. I also would like to thank Lee, Travis, Kelsey, Nick, and the whole nursing staff!
    Roger Krontz
    1 month ago
    6
    6
    Avenues Recovery Center at Fort Wayne IN 46807 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 1 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 2 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 3

    Avenues Recovery Center at Metairie

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    4933 Wabash Street Metairie, LA 70001
    4.9
    (425 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Louisiana
    Avenues Recovery Center at Louisiana is a luxury rehab in Metairie, Louisiana. With medical detox, inpatient treatment, and sober living options, you’ll benefit from a tranquil environment to focus on recovery. They welcome adults seeking care for addiction and co occurring disorders. Avenues Recovery Center at Louisiana is a residential facility
    View Website (504) 603-3060
    I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
    Edward Woods
    1 month ago
    Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
    Jessica Sciortino
    1 month ago
    Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
    Johnny Lab
    1 month ago
    5
    5
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 1 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 2 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 3 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 4

    Banyan Heartland

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    1237 E 1600 North Rd Gilman, IL 60938
    4.3
    (100 reviews)
    Check iconClaimed
    4
    Top 10 Rehab In Illinois
    Banyan Treatment Centers Gilman is a private drug rehab center specializing in treating drug and alcohol abuse in Watseka, Illinois. This addiction treatment center provides individuals with fully customized and uniquely comprehensive levels of care to help with recovery. Banyan Treatment Centers Gilman is a private drug rehab center specializing
    View Website (855) 913-1797
    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
    2 months ago
    My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
    Kenneth Smith
    3 months ago
    Great program for those struggling!
    Darek Horan
    6 months ago
    6
    6
    Banyan Treatment Centers Gilman IL The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 2 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3
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    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.

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