First Health Network Insurance Coverage for Addiction Treatment
Explore First Health Group’s comprehensive provider networks for addiction treatment and mental health services. Get the support you need.
First Health Network Insurance Coverage for Addiction Treatment
Explore First Health Group’s comprehensive provider networks for addiction treatment and mental health services. Get the support you need.
First Health Group is a wholly owned subsidiary of Aetna. They provide national and regional preferred provider organization (PPO) medical networks to national and regional insurance carriers as well as employer groups and more. They also offer a national dental network and have solutions that help insurance plans reduce the cost of non network care.
First Health serves more than 260 clients who pay for healthcare and their 1.4 million members. They are able to use Aetna’s pricing power and credentialing process to provide access to high quality providers at an affordable cost.
When reviewing possible treatment centers or checking plan compatibility, you can learn more about rehab options to explore providers that align with your coverage details.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Very happy to have attended Ashwood it was a wonderful experience and I learned a lot about myself and how to manage my addiction and different emotions. Thank you to all the counselors for being so supportive.
Jadon Gutierrez-Jolley
2 weeks ago
Absolutely love this place!!! Staff is awesome and genuinely care!! Ive been to multiple treatments during in my addiction and i have never gotten as much out of it as I did at Ashwood. I made amazing connections there and the support is great. Would 10 out of 10 recommend this place to those that are struggling! RECOVER OUT LOUD!!!
Brianne Davidson
2 weeks ago
Ashwood was just what I needed. I knew I had to make a change and that I could not do it alone. I had no idea how to put my foot down and start the healing process that would empower me long term recovery.
It is a long journey but I feel fully equipped now to step into the rest of my life. The counselors, especially Heather, Brian and Trevor really impacted me with their wisdom and compassion.
The great team here was super welcoming and helped me grow. I miss coming in on a regular basis, but I will stay connected with alumni.
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.
Very nice hospital and staff was very courteous . It made my experience great
Carla Cervantes
3 weeks ago
I had a personal surgery done yesterday and I could not thank these amesome nurses,doctors and anesthesiologists enough. They were absolutely amazing in making sure I was comfortable and felt safe. The only nurse I can remember was Robyn. Thank you again Bryan west for having some of the best staff!!
S Thompson
3 weeks ago
Thank you to every staff members for your help with the care of our family members.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Best treatment facility in Lincoln, I've been there 2x and I have very close friends & family that have been in recovery since they completed treatment there. I wish they took medicare or medicaid though...
a p
4 years ago
My husband went through the independence center over 30 years ago. He did relapse after the first 3 months but he did not attend any aftercare or AA. Within a year he started going to AA and has been sober for almost 35 years. My son has also been through the independence center twice with varied success. He has had relapses but maintained sobriety for the majority of the time. He has used the tools he learned there to get sober again after relapsing without having to reenter treatment. The program will work for you if your honest with yourself and do the work. Good luck and god bless!
Judy Diller
4 years ago
When you are ready, you are ready. I did three rehabs in the span of three summers and I’ve been sober a year and a half since going to the Independence Center.
The ENTIRE staff wass genuinely interested in my recovery. Of course it’s up to me how honest I want to be with my counselor, Chaplin and myself (and God), but their unwavering encouragement doesn’t hurt and it didn’t. The facility is much better than others I’ve been to in Nebraska and they keep the distracting extracurricular horseplay to minimum. They have a great culture and alumni in the A.A. and Lincoln communities.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My experience at palmetto has changed my life for the better and has extremely improved my outlook on life. I’m so thankful for this program and it’s faculty for saving my life!
Shea Aucoin
3 weeks ago
I am a Law Enforcement professional who just finished 101 days of inpatient treatment at Pametto. I found the staff to be very knowledgeable and professional. The accommodations were great. My counselor and small group have changed my life. I consider what I have experienced to be a miracle of mental and spiritual health, and I feel confident in my recovery moving forward. Thank you palmetto!
MITCH GRANT
1 month ago
If you are really ready to get sober, I would highly recommend going to Palmetto Addiction Recovery Center.
J. D
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I have used this medical facility since 1993. The vast majority of my experiences there have been positive. Easy access and on time appointments. Staff are knowledgeable, courteous, professional and treat me with the utmost respect. I would recommend the Louis A Johnson VA Medical Center to any veteran who needs medical services.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I came to White Sands a shell of a person and was losing hope that life would ever get better. From the moment I was greeted in the parking lot- I was welcomed and treated like a person and not a number. I not only got a chance to get some clean time before going out into the world, but the therapy and the groups they offer really dig deep into the actual issues of why we started using in the first place. I highly recommend the core skills program- its life changing. Many of the people working there are in recovery and it was absolutely mind blowing to me how well I was treated the entire stay. Many of my peers including myself have been to other treatment facilities and never got the kind of care you will recieve here. Even the food is made from scratch and prepared with love. The housing is very comfortable and clean and the whole campus is well cared for. The activities they have for us when we have down time are a lot of fun- pickle ball and can jam were my favorites. They even offer massage and chiro visits. This was an excellent experience overall. Thank you for helping me get back up and ready to tackle what comes next on my journey.
geddis armageddis
2 weeks ago
Janette is an amazing support. She truly cares about my well being and is ALWAYS there to help me with anything. She is by far the best case manager I have ever seen or been in this position with.
Teresa Krupa
2 weeks ago
I can’t say enough about this place! White Sands was like home away from home. All of our needs and wants were met with a smile and a caring voice. All of the counselors absolutely love their job and you can see it when they interact with the patients. The techs were very compassionate and did all they could to make our stay more comfortable and enjoyable. The therapists take their time and really get to know you and help you through your struggles. The community is the heart of the program. The more involved you become with others the more you learn along the way. Make sure to take part in the extracurricular activities such as: corn hole, pickleball, uno, karaoke and ping pong, it really does help make it feel more like a summer camp and less like rehab. Finally, Janette one of the case managers goes ABOVE and BEYOND to make sure that EVERYTHING is just right.
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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.
The staff made me feel welcome and treated me better than family in some instances. The food was phenomenal and Matt, C.C. and Nathan helped me see the goal instead of the obstacles. God is working with that program if you want it go get it.
Leslie Davenport
2 weeks ago
I recently stayed 30 days at Focus / Chattanooga, TN and hated to leave. Great people there that respected you plus the community was welcoming and counselors excellent. I especially enjoyed the yoga and meditation classes in the morning that got you feeling relaxed and mentally motivated for the day. They brought you to outside AA/NA/ CR meetings plus hosted them in house and the YMCA is across the street if you’re want exercise. The food was delicious (with real silverware) so watch your weight. Books to read, movies to watch so it was a healing time for me. I would recommend Focus for anyone in need. Michael Morales
Michael Morales
2 weeks ago
Great staff. Clinical and techs. They really care and want to help.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff at AspenRidge put a lot of effort into their groups and really try to teach a variety of topics that are relevant to a diverse population. You can tell that they really care about people. AspenRidge does some fun climbing groups and hikes. There is also case management that will help you with a lot of resources and just take you our for coffee or something to talk and get to know you. You can't make everyone happy. I would encourage people to pay attention to all of the good reviews about this place.
Heather
1 month ago
This place is great! I feel welcomed and appreciated everyday that I am here by everyone.
Erica Banuelos
1 month ago
Great groups!!! Professional staff and awesome therapists!!
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.
Private InsuranceSelf-Pay OptionsMedicaidFinancial Aid
Great empathetic staff and caring devoted counselors! Definitely recommend for anyone struggling with a substance or dealing with a mental health crisis!
Michael Albrecht
1 week ago
Awesome people,
Jaymz TurnBull
1 week ago
The people that work for moonlight recovery never gave up on me. Truly helping me save my life. They truly have shown me that they care. I send my thanks and much love to them all.
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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.
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Frequently Asked Questions
Does First Health Cover Drug Rehab?
First Health Group doesn’t provide insurance coverage so they do not decide what services are covered or at what level. However most insurance plans are required to cover mental health and addiction treatment and First Health may provide the medical networks that you use to get care through your insurance provider.
First Health offers access to multiple provider networks, including a primary PPO network that has more than 5,700 hospitals and 52,000 other medical facilities. The networks provided by First Health will have professionals who can help you address addiction and mental health concerns.
Every insurance plan is different so be sure to verify your coverage details before you begin treatment. For example you may need to get a referral or preauthorization depending on your plan.
What Provider Networks Does First Health Group Offer?
First Health offers multiple provider network options to clients. Some are primary networks that can be used as a foundation for care while others are supplements that help improve a plan’s network and fill gaps in care. Along with these national networks, First Health offers regional networks in Michigan and the Midwest.
The main offering is the First Health Primary Network. It’s a PPO network with more than 993,000 professional providers across the country. It can be used by plans that want to have a single high quality network and by plans that have a local network and want to add national coverage through First Health.
They also offer First Health Complementary Network, which is a national network that helps insurance plans expand their primary network while still saving money on care. A plan can pay these providers through an in network arrangement or an out of network setup.
For non-US residents who come to the U.S. for care or are visiting the United States and need healthcare during their visit, the First Health International Network can help. Companies that offer travel insurance most often use this network.
The First Health Limited Benefits Network is available for clients who want to offer limited health coverage that doesn’t include major medical. This network can also be used for minimum essential coverage which only covers preventive services in the Affordable Care Act (ACA) and CMS requirements.
Finally the First Health Share Plan Network is available for cooperative health share plans where members pool money together to help pay for each other’s medical needs. These plans are not insurance and coverage is not guaranteed but the Health Share Plan Network can make it easier to offer members affordable providers.
Does First Health Cover Mental Healthcare?
There are a variety of mental health care options when you are diagnosed with a mental health condition. This can include various behavioral therapies such as cognitive behavioral therapy and dialectical behavior therapy as well as motivational interviewing. Other care options include medication management and lifestyle coaching to address changes like nutrition and mindfulness as well as exercise.
Mental health treatment can be administered as an inpatient or an outpatient and in individual or group therapy settings. Support is typically offered by psychiatrists or psychologist or licensed counselors. Mental health conditions may occur independently or as co occurring disorders. Treatment of co occurring disorders requires integrated and simultaneous care for both conditions to increase the potential for successful treatment.
Most healthcare plans provide coverage for mental health treatment as regulated by the Affordable Care Act. This is for individual mental health conditions or co occurring disorders. However there are exceptions so you must check your insurance coverage with the insurance company to determine your benefits. Since First Health does not provide insurance coverage they also do not make decisions about benefits and limitations.
What Inpatient Addiction Treatment Does First Health Cover?
Many insurance plans offer benefits for inpatient addiction treatment. First Health has a network of providers with whom your insurance plan collaborates to provide care. You must use a provider within the First Health network to receive in network benefits. Some insurance plans offer out of network benefits, but you typically pay more for deductibles and co-payments.
Insurance coverage focuses on providing medically necessary treatment. A treatment plan from your physician or completion of a comprehensive tool from the American Society of Addiction Medicine (ASAM) can help document medical necessity. The ASAM assesses your needs across six factors including emotional and behavioral issues and relapse risk as well as intoxication and withdrawal potential and readiness for change. The assessment helps clinicians determine the appropriate level of care.
Your addiction treatment may begin with medical detoxification. This is often provided in an inpatient or residential care setting where you receive 24/7 supervision and support. Medical detox may be accompanied by medication assisted treatment (MAT), including FDA cleared prescription medications to reduce symptoms of withdrawal.
Once addictive substances have cleared your body you transition into evidence based therapies that address addiction triggers and negative thought patterns as well as help you develop healthier coping strategies. These can include cognitive behavioral therapy and motivational interviewing as well as patient centered therapy. Your highly structured and customized treatment programs provide you with long term benefits that promote sobriety and sustainable recovery.
What Outpatient Rehab Does First Health Cover?
First Health offers a comprehensive network of providers for outpatient care. Using a provider within the First Health network helps maximize your insurance benefits but it’s important to contact your insurance company to get full details before starting treatment.
Outpatient therapy may begin with a partial hospitalization program (PHP) that provides a highly structured and intensive therapeutic environment during the day but allows you to return home in the evening. Many PHPs offer the same level of care as you receive as an inpatient and are ideal when you do not need 24/7 support and supervision.
An intensive outpatient program (IOP) has more flexibility than a PHP. Some centers offer IOPs during the morning or afternoon or evening hours to allow you to meet other family and work or school obligations. After a comprehensive evaluation to determine the necessary level of care you may be admitted into a PHP or an IOP to start your outpatient rehab.
As you progress through the program you usually graduate to a general outpatient treatment program that provides care once or twice weekly. Aftercare programs help provide support in your recovery journey. Aftercare can include weekly or bi monthly therapy along with 12 step community programs, vocational training and educational support.
Does First Health Cover Methadone & Suboxone (MAT)?
MAT is an effective strategy for both medical detoxification and ongoing treatment of opioid and alcohol use disorders. In the initial medical detoxification FDA cleared prescription drugs can help reduce withdrawal symptoms and prevent some life threatening complications associated with detoxification from certain drugs. MAT is also useful for ongoing treatment to reduce the risk of relapse and the risk of overdose.
Typical medications are methadone and buprenorphine as well as naltrexone and Suboxone. Methadone and buprenorphine are prescribed solely in opioid use disorder. They are opioid agonists — activating the same receptors as opioids without producing the euphoric high. Naltrexone is used in opioid use and alcohol use disorders to reduce the risk of relapse. Suboxone is a combination drug of buprenorphine and naltrexone.
MAT is generally combined with evidence based treatment to help you establish a solid foundation for long term recovery and then you can slowly stop using the medication support and live a fully substance free life.
Does Addiction Treatment Need to Be In Network?
The First Health network is a preferred provider organization (PPO). When your plan uses First Health providers you may also have coverage for out of network care as well. However using out of network providers increases your out of pocket expenses and will cost you far more than using an in network provider.
Most out of network providers do not file insurance paperwork. This means you pay the cost of care up front and must file the paperwork to your insurance plan to be a reimbursed at a lower rate. When you receive care from an in network provider you pay the co-payment up front and the provider completes the rest of the paperwork. You can maximize your insurance coverage by finding high quality in network providers for inpatient and outpatient addiction treatment.
How Long Will First Health Cover Rehab?
Your insurance provider limits the duration of your coverage for drug and alcohol abuse treatment based on medical necessity. First Health does not determine coverage benefits. An initial comprehensive assessment that includes the substance and severity of addiction as well as your home environment and any co occurring mental health conditions helps determine medical necessity. This information may also be used to determine if inpatient or outpatient care is required.
Most treatment centers have residential care programs that last 30 or 60 or 90 days. Outpatient treatment programs can last for a similar time. The length of your program is determined by your initial evaluation and by ongoing assessments to determine your progress. It’s important to embrace your treatment program and complete all the steps. This gives you the best chance at achieving sustainable long term recovery.
How to Verify Coverage With First Health
There are several ways to verify your coverage for drug and alcohol addiction treatment. First Health does not make decisions about insurance coverage so it’s important to verify your benefits and limitations directly with the insurance plan. You can contact their customer service or member services phone number or login to your online insurance account. These resources can provide you with information about what your insurance plan does and does not cover.
You also want to identify the healthcare providers and treatment centers that are in your plan’s specific network. Each insurance provider decides how they use the First Health network.
Most treatment centers can verify your insurance coverage and determine your estimated out of pocket expenses by speaking with your insurance provider. The treatment center requires the insurance provider’s name and the specific plan as well as your member or group plan numbers for accurate information.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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