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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Look no further! SoberLife/Healthy-U provides an amazing mix of treatment modalities administered a variety professionals with a remarkable range of experiences to assist you in getting to the place you want and deserve.
Atown Smith
6 months ago
I have struggled with alcohol abuse for the last three years and this was the ONE place out of 23 treatment centers that finally worked. Nobody ever thought they would see me sober, but today I can say I am, thanks to Sober Life. I was a frequent relapser, just barely making it by, and when I decided to seek treatment through Sober Life a whole new world opened for me. The team at Sober Life cares. I felt valued, I felt empowered, understood and heard. After being in and out of so many treatment centers I found myself fatigued, but through my process with Sober Life I actually wanted to continue my program as long as I could. I WANTED to be there and I've learned a life I never knew possible thanks to the team there. I can say that this program likely saved my life, and showed me a new life that I could never have imagined. The support and understanding was beyond belief. I felt so safe there. I've made friendships with a lot of my peers from groups as well. Which I never wanted to do before. Recovery can be difficult to begin, scary to start, but Sober Life feels SAFE. I'm not the type to write reviews, but I know how hard I struggled and for anyone reading this or questioning a start, I highly recommend this team. I am eternally grateful for my experience there.
Jennifer Segura
11 months ago
Sober life has been one of the best experiences in my life! I came in not really sure what I wanted out of treatment and scared to really connect with people and have them see me in my weaker moments. All of the staff at sober life loved me through these issues and helped me get to a place where I felt safe and comfortable enough to communicate what was really going on with me, and gave me the tools I needed to be able to deal with things as they came up on a daily basis. Anytime I was a little off or lost any amount of momentum, they noticed immediately and did whatever they could to make sure I continued my progress and that even though addiction is a lonely disease, it became a lot easier to believe I wasnt alone and recovery is possible. It wasn't complicated at all, they handle the insurance stuff for you so you can focus and prioritize your recovery over anything else. Kimberly, Dan, Ashley, and Kelley have all been huge grounding stones in my recovery, showing up every time and helping me make solutions out of chaos. Having all of these amazing, kind, and extremely dependable people in my life has kept me steady and also taught me what having people around who genuinely love you, want the best for you, and who celebrate your achievements and help you through your downfalls looks like. Like any recovery program, you have to want it and put in your own effort, but they make the weight just lighter enough that it seems much more attainable.
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 was went here and I like to thank everyone and all the medical staff and people in the blue t shirts that helped me calm down and see things in a different perspective. Thank you!
Corey Feldman.
2 weeks ago
Terrific alcohol & Drug treatment center. Educational, helpful, understanding and constantly surprising me with their kindness, courtesy and experience. Everyone that works at White Sands Treatment Center actually deeply cares about your success to achieve a meaningful future as a sober and responsible citizen.
Libby
3 weeks ago
White sands is an amazing place if you truly have the desire to reshape your life. Everything from the groups, the food and the staff - amazing
I can’t speak highly enough about Ashwood Recovery. They truly helped save my life. Every group session and every exercise they had us complete was integral to my recovery. Heather and Shiloh were my primary counselors and they helped guide me during my most difficult times. Romana and the rest of the front desk staff always made me feel welcome as well. I made life long connections with people and am eternally grateful for their support. THANK YOU ASHWOOD!!!
Emilio Ramirez
1 month ago
Life changing experience for me. If someone wants to change for the better i recommend Ashwood for php or intensive out patient. Great place to continue working on oneself for continued sobriety.
Ryan
2 months ago
Amazing counselors and friendly community. You truly feel like you belong and are very cared about.
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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.
Jordan Drumiler
1 month ago
I don't even know where to start...
In my darkest of times, when I felt so lost, hopeless, and worthless and I felt like the world was better off without me, I walked into these doors. And it felt like home. I felt warmth, love, and a sense of security. I had people surround me, and walk with me through some of the worst things in my life. And they showed me how to look inside and find what it was at my core that had left me feeling so empty. They showed me how to fill it with self love, forgiveness, understanding, and confidence. And I have used every moment of my time there as stepping stones and a foundation in everyday of my life since. I truly wouldn't be alive today without this place and all of the staff.
Cursti Baxter
1 month ago
Loved the place, clean facility, residential has a great gym, sober living house was awesome. Helped me and worked with me. Absolutely loved the camaraderie that was built there And the overall experience
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
1 month 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
6 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.
I arrived at Focus in May and had no idea what I was about to walk into.
I was primarily on the ED unit during my stay, and all I can say is it was tough, hard, vulnerable work, yet worth it despite the challenges. I had good days and bad days, but the people who most impacted my stay were Jenny H, Dayshawna, Reichal G, Hannah S, Jenny M, Michelann, Lydia, and Graham.
Also, special shoutout to the nursing staff- April and Christi, thank you for everything💜
Natalie H
1 week ago
Wonderful experience. I highly recommend Focus. Food, groups, counseling, beds, snacks, coffee, outings, staff, I could go on...!
tracy Beal
2 weeks ago
Focus saved my life,it's the very best place to go for treatment the staff is AWESOME the place is clean and they really care about you I would definitely recommend this place over ANYWHERE!!!! THANK YOU FOCUS FOR HELPING ME GET MY LIFE BACK TOGETHER I LOVE EACH AND EVERYONE OF YOU
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Acqua Recovery is nothing short of a life-changing experience. From the moment I stepped through the doors, I was welcomed by a warm and supportive environment that immediately put me at ease. The staff at Acqua Recovery are truly exceptional; they are not just professionals but compassionate individuals who genuinely care about your journey to recovery. Their dedication to seeing you succeed is palpable, and it makes all the difference in the world.
What sets Acqua Recovery apart is the diverse range of therapies they offer. Whether you're looking for traditional methods or innovative approaches, they have something for everyone. From individual counseling sessions to group therapy and holistic treatments, each option is designed to cater to your unique needs. The variety of therapies available allowed me to explore different avenues of healing, ultimately leading to a more comprehensive recovery.
The atmosphere at Acqua Recovery is one of hope and transformation. The staff encourages you to push your boundaries and embrace new ways of thinking and living. They provide not only the tools for recovery but also the motivation to implement them in your daily life. I found myself surrounded by a community of individuals who were on similar journeys, and this camaraderie made the process even more enriching.
In conclusion, Acqua Recovery has been a beacon of hope in my life. The combination of dedicated staff, a wide array of therapeutic options, and a nurturing environment has completely transformed my outlook on recovery. I am forever grateful for the support and guidance I received, and I wholeheartedly recommend Acqua Recovery to anyone seeking a positive change in their life.
Julian davis
4 months ago
still sober had an amazing time loved going to Topgolf and Shea and Sham and Jody were amazing can’t wait to come back for alumni had an amazing view
Alexander Hovious
4 months ago
I’ve referred some of my closest family, friends and other professionals to Acqua and had an amazing experience across the board. They have an incredible team and make treatment truly accessible for everyone. Highly recommend!
If you are struggling with sobriety & need a sense of community, structure & guidance then this is the place for you. I originally knew I needed help but what I've gained from this facility goes far beyond what I ever thought possible. Not only am I sober but I've learned life skills to stay sober, to navigate life with all the hardships that are sure to come. My counselors & therapist have left a life long impression on me, incredibly grateful for the way they pour into each of us in an effort to genuinely see us succeed in life. The staff here is incredibly helpful, kind, understanding & welcoming. On my 1st day signing paperwork I felt at ease with Edith, I was in tears & she just made me feel so comfortable & reassured me that I was in the right place. She was absolutely right, this was the best decision I could've ever made for myself, my family & my future. If you're wanting to change your life for the better & actually start LIVING, I HIGHLY recommend CMAR. This was the ABSOLUTE BEST INVESTMENT I'VE EVER MADE FOR MYSELF & the future I've always wanted, forever grateful to CMAR.
Amber Joy
2 months ago
Fantastic company
Lars
2 months ago
Edith is the first beautiful face you see and she's so welcoming. The whole staff is insightful and they care. They understand where you are and have been and it has made my recovery process from addiction and mental health reachable and to a place where I know I can recover! I recommend this place for everyone!!!
Great experience, the therapist and staff were top notched. Excellent food. Great environment. Thank you
Kevin Kiefer
1 month ago
I was at this facility in 2023. Katie was so helpful to me and every single staff member was very supportive and accommodating to everyone. I highly recommend APN to anyone struggling with mental health and other issues related to it. I’ve been clean since I was there for my month long treatment.
kaitlyn meyer
1 month ago
I liked it. The therapists were great and actually care and listened. It’s a nice place with beautiful views. I would recommend this place for sure.
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Very good treatment facility but needs improvement on communication with family members when something happens I had to go to the hospital an it took 7 hrs for someone to answer the phone when my wife was calling trying to find out how I was an she is my emergency contact but other than that it's great
James Imel
1 month ago
Woodland was great!! Really nice & loving staff! They actually care about you & do everything they can to help you! The teachers are amazing! I absolutely loved it! Anyone needing help I definitely recommend woodland. ❤️
Lacey Walton
2 months ago
I was very satisfied with my Experience at Woodland Recovery.. I learned alot and many tools to continue my Recovery and life .. Thank You so Much ..
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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.
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.
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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