First Medical Health Plan Coverage for Alcohol & Drug Rehab
Explore First Medical Health Plan’s coverage for addiction treatment in Puerto Rico. Learn about plan options, provider networks, and mental health services.
First Medical Health Plan Coverage for Alcohol & Drug Rehab
Explore First Medical Health Plan’s coverage for addiction treatment in Puerto Rico. Learn about plan options, provider networks, and mental health services.
First Medical Health Plan is a health insurance company that covers people in Puerto Rico. They’ve been in operation since 1977. If you live in Puerto Rico, you may have an employer sponsored health plan through them.
If you’re a government employee, you may also get your health benefits through them. You can also sign up for their plans as an individual. In recent years, they’ve become one of four government health plan providers for the territory. The government health plan is also known as Plan Vital and includes Medicaid.
Does First Medical Health Plan Cover Addiction Treatment?
Many First Medical plans cover mental health and substance use treatment. They may cover services like inpatient and partial hospitalization as well as standard outpatient treatment.
Notably, some of their private plans limit you to one detox episode per year for a maximum length of 45 days. You’ll need to check the details on your specific plan before you commit to treatment.
Their provider network has several hospitals that may be able to give you inpatient drug treatment. Keep in mind you might need to get prior authorization before going. If your primary care provider refers you, they may be able to get the prior authorization for you. You may also be able to get it from the emergency room.
This place is ok. You have to realize this is Florida, so you are going to get cockroaches. Just ask staff for a fogger they are happy to get you one. I have had no problems with staff. Long days keeping you busy. Van rides get tiring. We do outings Everglades on a airboat was amazing all the Alligators was just coll. The best thing about this place is the LIV Program. Troy Adam Ericka, Daniel. Are the best we do all sorts of outings will miss them as going home soon. 🩷🐊
Trina Chambless
4 months ago
I have not personally had the experience of Recovery with Zinnia Health, but I do have friends that work there and I can not praise them enough as people. They are the hardest and kindest people who go above & beyond for their friends & patients!
sal jones
5 months ago
Amazing transition between there facilities, supportive environment and atmosphere.
AspenRidge has been an absolute game changer in my recovery journey. Straight out of residential treatment, I was able to start a 5-day a week IOP group. Over about 5.5 months, I slowly went down from 5 days, to 3 days, to 1 day a week. I benefited from the groups everyday I attended, and still today, more than half a year later. I am now 14 months sober as of August 28th, and loving every part of life. The skills, relationships, and knowledge I gained and continue to gain from AspenRidge have been invaluable. I will forever be grateful for them as a resource. I continue to stay connected via the Alumni program, and highly recommend this Treatment Center to all needing help.
Riss da Silva
11 months ago
This business is impressively educational concerning one's own mental and physical health!✨😌
CAUTION: Please, for your own wellbeing, DO NOT interact with JEREMY, who is a new therapist at AspenRidge...based on my experience with him, this man has PLENTY of his own mental health issues to deal with before he can reach out to help others😓😣🙁😞
Other than him, the clinicians who work there are all quite compassionate and empathetic!💫😁
Beautiful Facility, Staff was mostly friendly, professional & helpful. Most patients were nice; few bad apples; but expected. Learned a lot & really glad I went. I would highly recommend it to others. 👍😎 Martin
Martin Dodge
2 months ago
This place was amazing it really changed my life 70 days sober now
John Dasher
7 months ago
Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing.
Spring Gardens Recovery helped me finally get my life back after 20 years and I couldn't be more thankful!!
All of the staff were amazing, helpful, and so caring! Special shout outs to Laura, Bob, Ryan, Mrs Kay, Jenna, Dominique, Tyler, and chef Lisa!
Thank you so much to every one at SGR! I will be forever grateful for all of you guys did for me!!!
James Stagg
2 months ago
Spring Gardens saved my life. Wonderful staff, nurses, and chefs who genuinely care about the clients. Food is amazing, the place is very clean and provided a safe atmosphere. It felt like home to me. I learned a lot through every day groups and counseling. Their outpatient program is also outstanding. Thank you Spring Gardens!
Chase P
2 months ago
I want to express my deepest appreciation for Spring Gardens Recovery. The reason I am still in recovery today is due to the caring, understanding, and patience of the staff. The beds and pillows are comfortable, and the bathrooms are consistently clean, sterile, and sanitized.
I extend my heartfelt gratitude to those who played a crucial role in my recovery:
Administration: Thank you, Sam (Samantha-CEO), Ryan (DOO), Simonne (DCS), and Eric, for ensuring I received the necessary care while I was at Spring Gardens. Eric, your support made my admission seamless.
Nursing Staff: Elizabeth (APRN), Kay, Dominique, Jena, and Dean, your smiles and kindness lifted my spirits. Your patience and gentle approach made all the difference.
Chefs: Thank you, Megan and Lisa, for preparing delicious meals. Lisa, your guidance on healthy food choices empowered us.
Therapists: Linda, Crystal, and Jessica, your attentive listening and support guided me through my healing process. Linda, your wisdom helped me navigate many challenges.
Spiritual Healer: Nicole, I am grateful for the newfound wisdom and healing powers you've helped me uncover. Thank you, Jersey.
Behavioral Health Technicians (BHTs): Neal (Lead), Beth, KC, Laura, Genna, Brad, Megan, Pier, Milcar, Amber, Bob, and Chantel, your unwavering support made my journey possible. You all deserve special recognition.
Notable recognition goes to Kasha; it was an honor to participate in Yoga with you. You made the experience both fun and inspiring.
If you or someone you care about is ready to embark on the healing journey, you've found a welcoming place to begin. Wishing you all the best on this path and know that you are not alone. Wishing you strength and support as you take this brave step.
#beonewiththemanatee
Trueself absolutely was the best decision I’ve made in along time. Out of all the treatment centers I’ve bn to this one has turned out to be the best of all and I’ve been to several luxury rehabs. This place is ran by people that has been in the exact same shoes as us they understand where we’ve been and r not teaching things they know nothing about like a lot of other rehabs. They help u to be a better person and to make better choices along with giving you the tools to stay clean! I absolutely love it thanx so much Trueself!
Sinful Clair
4 months ago
I've tried other recovery programs and this is the best one I've been to. The staff here really cares about your recovery.
To say this place is a Godsend is an understatement. From the cleanliness to the very nice staff to the amazing tasting food. 😋 I can say you have your pros and cons anywhere you go in life, and especially when dealing with recovery from drugs, alcohol, and or mental health issues. I would like to give a huge shout out to Ms. Ruth. She is a true Angel from seeing her very professional reaction to a very rude client, to making sure the clients are more than taken care of. I highly recommend this Recovery center and I'm looking forward to a huge future with this establishment!!!! God Bless Recovery Village of Palm Beach and everyone that makes this place run well!!!!
Troy Woolley
3 months ago
Pros: the therapist are stellar very knowledgeable personal and above average
Cons: IMO to many people are accepted that shouldn’t be. People transitioning from prison, extreme homelessness and repeat patience ( it’s called the Florida Shuffle ) with shady histories.
If you sincerely desire recovery and can buckle down looking past the drama this is a fantastic place for it. Just tell yourself it’s not forever and you’re there to recover and live an amazing life free of bondage. Stick with the people who are sincere. EMDR helped
Me tremendously jo jo is the best hands down. Again, all the therapist are very good
They also allowed me to have my Golden Retriever service dog with me who’s a legit service dog trained in DPT for the trauma I had endured; sever panic attacks. He helped many people there and I hope to share my success with others throughout our lives together
Bobby Buhl
3 months ago
Was my first time in treatment, what a wonderful community. The therapists, facilitators, doctors, nurses were all amazing. I felt so much love and support there and I am confident that I’ve been equipped with the tools necessary for continued sobriety
Our daughter is there for 3 weeks now and is showing more signs of improvement than we saw in years. Dr. Moran and the team really know what they are doing and have tools and desire to make a difference. Plus now we are more equipped then ever to keep on track for recovery once she comes back home, thanks to all education we received from FCRF. I finally have hope! I know if you are reading these reviews, you are desperate, same as I was a month ago. You don’t need to be, don’t wait! I recommend this place without reservation!
Update: it has been almost 2 months after my daughter left FCFR and it’s the healthiest 2 months we’ve seen in a long while. She hasn’t used any substances, found a part time job which she loves, graduated her failing semester with As and Bs and about to get her drivers license! It’s not all rainbows and butterflies, we still need to work hard daily on keeping things on track, but now the hope is getting more real every day!
10 months update: FCFR has truly been a game changer for us! Now my daughter is just a difficult (normal) teenager, but the disaster and desperation is so far behind, it’s almost hard to recall how it has been. Now she is committed to getting better and going on with her life, and that’s the most important part. Of course there will be ups and downs, but the terror of being constantly afraid for her and of her is far behind and I never ever want to go back. If we ever go back (it gives me anxiety to even write those words), we know who to call.
One last thing. There are a lot of comments about lack of tender, love and care at the facility. TLC FCFR does not provide indeed. But they provide something better: treatment THAT WORKS. I’m sure every story is different, but I’m also sure a lot of people have experienced the same thing I did: TLC does not treat psychiatric illness.
Vlada Bazylevska
11 months ago
I love the school. My daughter can read and write her name. Very happy with the school
Roselie Civil
1 year ago
Angella was very resourceful.Gave me so much information to make my informative decision to choose their facility for my husband.
Beautiful Facility, Staff was mostly friendly, professional & helpful. Most patients were nice; few bad apples; but expected. Learned a lot & really glad I went. I would highly recommend it to others. 👍😎 Martin
Martin Dodge
2 months ago
This place was amazing it really changed my life 70 days sober now
John Dasher
7 months ago
Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing.
My time here was life changing thanks to all the staff
arnoldwoodard
2 months ago
The staff and food is great highly recommend for treatment!
Icebirg O
2 months ago
The medical and tech staff are FABULOUS! Brian the chef is phenomenal. Andy leaves a little to be desired…Love Shaniqua, she’s an angel! All in all a happy experience so far! Thanks guys!
Thank you for your service. All the personnel of the hospital south miami.very professional.As a renal patient I have been in many hospitals,California and Florida and LARKIN HOSPITAL has been excellent since the first visit last year there will be more than five stars if I had to name every employee...ALL OF YOU ARE JUST GREAT!!!! 👍😃
Guillermo Gonzalez
2 months ago
It has been an excellent experience. The caring staff of Larkin are second to none. My nurse, Pavlo went over and above. He helped me in the moments that I really needed him. He was fast and efficient..He planned ahead and would change my dressing before my line would fail. He is an excellent person. The Patient experience girl Lisbeth is always willing to chat and help, is so profesional and caring. Staff have been in general in 2nd floor outstanding. We are so fateful. Anabel, Ana, Ileana Soraida, Maria, Andres. So many !
Rolando Calderin
2 months ago
My young daughter was Baker Acted here and we had a good experience with this hospital. Everyone that works at this hospital was knowlegeable, professional and helpful. I also thought that their Family Therapist was excellent and did a good job addressing issues occurring in our family. The only downside is that the building itself is quite old and doesn't feel up to date. I prefered Nicklaus Children's Hospital in comparison.
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Frequently Asked Questions
Does First Medical Health Plan Cover Methadone & Suboxone (MAT)?
First Medical plans generally cover all the medications that are used to treat opioid addiction and alcohol misuse, including methadone and suboxone. If MAT is the right treatment for you, you’ll have to get your daily medication dose at a clinic while participating in evidence based treatment there.
The FDA approved medication used in MAT helps manage cravings so that you can avoid relapses and even overdose during treatment. This allows you to focus on recovery and lay a solid foundation for your future. Over time you’ll taper off the medication support so you can live fully substance free.
Make sure to review your specific plan to find out the coverage details before you start treatment.
What Are First Medical Health Plans?
Some of First Medical’s plans are PPO plans. PPO stands for preferred provider organization. In this type of plan, you get the best coverage if you stay in their provider network, but you do have the freedom to see a provider who is outside their network. Your individual plan will specify what they will cover if you go out of network.
Their Plan Vital offering functions like a Health Maintenance Organization (HMO). They require you to stay within their network. You can check online to see if a provider is in their network. You also have to get a referral from your primary care provider for specialist care, but not for your mental health providers.
As long as your mental health providers are part of their network, you can see them without a referral.
First Medical plans are available for government employees, individuals, and families. Private companies can also get insurance plans to offer their employees.
Where Does First Medical Health Plan Operate?
First Health’s network has providers you can see throughout the island of Puerto Rico. This is true of First Health’s private plans as well as their government sponsored plans through Plan Vital.
In the past, if you had a Plan Vital plan you would have to stay within a region of the island. This is no longer true. Regions were eliminated in 2021 when Plan Vital started allowing you to pick a company to manage your benefits.
With First Medical plans, you’re free to get your care in any part of Puerto Rico where you can find a provider from their network.
What Inpatient Rehab Does First Medical Health Plan Cover?
Before going to inpatient treatment you’ll first need a clinician to assess that it’s the right level of treatment for you. First Medical will use the information from that assessment to make a determination about coverage.
If your provider determines that you need medically supervised inpatient detox you can expect to be at a facility between three and ten days. With inpatient detox trained professionals monitor how you’re doing with withdrawal. They will work to prevent and treat symptoms as they occur which may include medication assisted treatment (MAT).
Once you’re through detox your provider may want you to go to inpatient or residential rehab. While there you can expect to participate in a structured program where you learn relapse prevention skills. Residential rehab usually lasts 30 to 90 days.
What Outpatient Addiction Treatment Does First Medical Health Plan Cover?
First Medical covers a few different types of outpatient treatments that might be right for you. You might step down to outpatient treatment from residential rehab but it’s also possible to go straight into one of these outpatient treatment types. Doing so would depend on how stable your medical situation is and your home environment among other factors.
Partial hospitalization programs (PHPs) usually expect you to be there the full day up to five days a week. The programming is a lot like residential rehab where you’re in groups most of the day learning and practicing skills that help you with recovery. The difference is you go home at the end of the day and usually on the weekend too.
Intensive outpatient programs (IOPs) are usually held for a few half days each week. The programming is otherwise similar to partial hospitalization. This option is a good one if you have time commitments like work or caregiving that you need to have time during the week to attend to.
General outpatient care meets around once a week and provides ongoing support as you practice your new habits and solidify your recovery.
Does First Medical Health Plan Cover Methadone & Suboxone (MAT)?
When providers use medication to treat your addiction, that’s sometimes called medication assisted therapy, or MAT. There are a few different ways to treat you with MAT.
One type of MAT uses medications to help you withdraw from the drug you’re addicted to safely and as comfortably as possible. This strategy is common in residential detox settings.
If you’re addicted to opioids or alcohol MAT may be used as a maintenance therapy to help you stay stable during treatment. Depending on the maintenance drug that’s most appropriate for you, this strategy will allow you to minimize or skip withdrawal. The medications that addiction specialists prescribe for opioid maintenance are methadone and Suboxone.
First Medical has methadone clinics and Suboxone providers included in their network listings. They may cover that treatment for you if it’s the right treatment for your addiction.
Does Addiction Treatment Need to Be In Network?
Whether you have to stay within First Medical’s provider network to get treatment depends on the specifics of your plan. While some plans may allow you to go out of network you will have to pay more if you use that option. Before going out of network consider taking note of how your copay and deductible and out of pocket maximum might change if you do.
How to Verify Coverage With First Medical Health Plan
First Medical gives you a few ways to verify coverage of a specific provider or facility. You can pick up the phone and call First Medical’s customer service line or you can log in to your account online and check that way. This will give you details about your plan and provider network.
You can also call the treatment center you’re interested in seeing and ask them to check if they take your insurance. With any of these options use your exact plan name and not just the name of the company to check your coverage since First Medical has different networks for different plans.
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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