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
6 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
7 months ago
Amazing transition between there facilities, supportive environment and atmosphere.
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
4 months ago
This place was amazing it really changed my life 70 days sober now
John Dasher
8 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.
If you’re struggling with addiction please consider Spring Gardens! —>
I feel so blessed that I chose Spring Gardens Recovery. I had no prior knowledge of where to go, and as my first rehab experience I was honestly terrified. From the very first call, the admissions staff were kind and patient, answering every question and making me feel comfortable and welcome.
From the moment I arrived, the entire team went above and beyond. The staff truly feel like family—they know your name, care about your story, and give you personal attention every step of the way. The setting is close-knit and never overcrowded, so I never once felt like just a number or a statistic. Instead, it felt like home.
In my 30 days there I learned and grew more than I ever thought possible. The therapists and group leaders were incredible, and the camaraderie with the other clients brought so much laughter and support. Even the food deserves a shout-out—the chefs make every meal with care and it honestly makes a huge difference when you’re going through something so big.
My time at Spring Gardens changed my life and made the process of coming off my substance something I’ll never forget—in the best way. I loved it so much that I decided to continue with their aftercare program, HOPE Gardens, through PHP, IOP, and OP. That turned out to be another amazing decision, because it was like an extension of Spring Gardens and helped me keep growing and learning.
The alumni events they host are also fantastic. They give you chances to stay connected, keep friendships alive, and build a lifelong support network.
If you’re lost or stuck in the throws of addiction and looking for a place where you will be truly cared for, heard, and treated like family, Please chose Spring Gardens Recovery… It’s the place to be. I can honestly say my 30 days there were life-changing and gave me the best chances in life and recovery.
John Barbieri
1 week ago
Spring Gardens Recovery not only saved my life, it also changed my life. Everybody that works there truly cares about us clients. The daily topics and groups are so insightful. The aquatic therapy program is therapeutic and healing. I will always recommend Spring gardens recovery to anyone seeking help from addiction.
Melissa Hardy
1 week ago
I admitted myself to Spring Gardens 17 months ago. It was the best experience ever. The accommodations were great, the staff were amazing, and the treatment I received was class A! I was in pretty bad shape when I arrived. With the care I received, I have begun the rebuilding process.
This place helped me save my own life. The therapists were all very helpful and they believed in me when I couldn't believe in myself. And they truly care about you . If your willing they will help you. But keep in mind, places like this aren't miracle workers, they can't snap there fingers and make your life all better. No where can do that for you ,that's all up to YOU. How bad do you want to change ? That's what you need to ask yourself , and then decide if your ready to do whatever it takes . I know in my heart these people will do whatever they can to walk beside you . but this is your journey and you gotta be willing.
katrina Adamich
1 month ago
Really positive environment and kind staff
Stephen Weingold
3 months ago
I can’t speak highly enough about the staff at Aspen Ridge Recovery. From the moment I arrived, I felt genuinely seen, heard, and supported. What stood out the most was the integrity and authenticity of the team—every therapist, counselor, and staff member truly cares about the people they’re serving.
This isn’t just a place that goes through the motions. The staff takes time to get to know you as a person, not just a diagnosis or a case file. They’re consistent, honest, and deeply committed to helping you heal. Even when things got tough, they showed up with compassion and accountability, which helped me trust the process and stick with it.
If you’re looking for a place where people actually care, and where your recovery is taken seriously in a safe and respectful environment, Aspen Ridge is that place. I’m beyond grateful for the experience and the people who helped me through it.
This is a really good place when they answered the phone they were so nice on the phone
Kevin McWhorter
4 weeks ago
I've been to 7 rehabs in my life and this is the best one. Everybody was cool and knowledgeable especially Tommy and Dylan my only problem was the detox center lost some of my belongings and made no effort to find them or reimburse me for my loss. Other than that it was great. I would like to add the Wes was the house manager of the sober living place I stayed at he was awesome. Super supportive and understanding. He made me feel at home and always had an open ear or a shoulder to cry on. He's nonjudgmental and forgiving. He set a good example for me and the men there
Jason Walters
2 months ago
Here at TSR the employees are exceptional from the intake personnel Hailey, speakers Alyssa and Dick, and CIT’s Dylan and Tommy. I recommend this rehab to anyone who is serious in sobriety. The information that was given was so inspiring. Dylan and Tommy are awesome in giving true knowledge of the topic as well as provide so many ways to accomplish sobriety. True Self Recovery has led me to understand the true meaning of serenity.
✨️From all the places I've Done The Treatment at the recovery Village Palm Bay was Different. If you are there for the right Reasons and want to Change your life, if you are tired of being sick and tired The Recovery Village West palm is the Place to go. The rooms were Nice and Comfortable and Clean the Cleaning lady's are top notch. What made this place stand out for me were the Therapist. From all my past Experiences from other treatment center's, the recovery west palm have the Absolute best Therapist. My Personal Therapist Mrs Lavern was Incredible, she was able to handle me at my worst and I mean yelling and Screaming and
Complaining. In the end we built a wonderful friendship and Understanding for one another. And as for the other Therapist they all have Outstanding Classes and Genuinely care about us . They have true Compassion and Love what they do and you can see that in their sessions .
I recommend The Recovery Village West Palm to Everyone and Anyone that are ready to change their life for the better. "If You Are Tired Of Being Sick And Tired" The Recovery Village West Palm is perfect.
"Come With A Humble Open Heart And Watch The Miracle Happen " ✨️
Alexis Hernandez-Nieves
2 weeks ago
John was efficient and understanding. I pray it all goes well
SUSAN linington
2 weeks ago
Towards The Comments That Say This Facility Is "Bad" is an understatement. This Place Was Amazing To Me And My Peers. I want too give a shout to Jimmy, Neicia, Mercedes, ((ALL THE TECHS)) , The Nurses , And Exiting Planning Staff. Amazing Place They Got Me Through My Darkest Days And Showed Nothing But Real Love. I kid you not. I had no home and to be honest it was bittersweet leaving . They treated me with so much love and respect I'll NEVER FORGET THEM. EVER. This Facility Is What You Make It. Your The One That Got Yourself In This Situation All They Can Do Is Guide You The Best Way They Can. Either Accept it or LEAVE. Trust Me. These People Are Legit 💯
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
4 months ago
This place was amazing it really changed my life 70 days sober now
John Dasher
8 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.
The staff great the food was great the only issue when the people over the phone tell you this place is on the ⛱️ Beach it's a lie. That's their other location. If they say nature walk that's a lie well not really get ready for the influx of baby Godzilla in your room. If they say a pool is an inflatable pool. Just know they lie about the amenities. Other than that this staff is nice good was great. It looks like the Bates motel.
Vina S.
1 week ago
Best place ever. Everyone there does an exceptional job. They care so much . Highly recommend.
Dawn Weber
1 month ago
This center changed my life!! Getting in was super easy, lots of communication through the travel. I'm so happy I chose this one. Shout out to Brian the chef, Shanigual, Ranique, my therapists and nursing staff!! I plan to do y'all proud back home in Texas and stay sober and mentally well.
I brought my brother in for a psychiatric evaluation and stabilization, and he was at Larkin for 3 weeks. The medical and psychiatric care and service was even better than I had hoped, and I found that the role of Larkin as a teaching hospital meant that the Doctors in Training (residents) took a high level of interest and provided outstanding levels of care. Communication was outstanding, as all of my calls were returned by Drs who had personally examined and/or diagnosed, and they kept me up to date on all phases of his treatment and recovery.
The only 'negative' was the seeming lack of communication between the different departments, as I found myself repeating the background, history, and proposed discharge strategy, only to have to repeat it to the next person I spoke with. I finally met the care team during a visit, and after making the 'personal connection', this was corrected.
A special thanks to the following who went above and beyond to make sure that my 'issues' were heard, and who personally made it much easier:
Dr. Panpoja, Medical team
Dr. Cupino, Psych team
Dr. Lastra, Psych team
Nurse Leonora, 3rd floor
Drs. Kebode and Chacon, medical team
Dr. Vazques, medical team
And, a special shout out to Fernando David, case management who finally put all the pieces together and facilitated the transfer to a skilled nursing/rehab center to help him regain a positive outlook.
Mark
3 weeks ago
Tuve problemas de parqueo ya que el mismo estaba súper lleno, pero hubo una información de que uno se puede parquear en una cuadra que se llama new paper. Luego adentro hemos esperado mucho tiempo para un procedimiento de Colonoscopia de mi esposo, llegamos tempranito y aún estamos a la espera. El que venga que traiga merienda para la espera. El café estaba frío. Pero cabe resaltar que el personal es profesional y atento. Reporte el café y me resolvieron, reporte el frío y me resolvieron, el parqueo me dieron la opción cuando está lleno. Lo único fue la espera que no se pudo resolver. Pero el hospital muy limpio. Lo recomiendo a pesar de las adversidades.
Rosanna Garcia
1 month ago
Es mi segunda visita en este hospital y le aseguro que es excelente la atención mi esposo fue operado de cataratas y sin mentir al segundo día veía bastante claro es lo que el manifestó gracias por sus atenciones
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
1 year ago
The police ministry at this center has been a blessing for my life. The guest speakers they bring in every month have nurtured me spiritually and everyone at this place is so welcoming and kind. The head minister Jorge is a great man of God and he works very hard to spread the Gospel of Jesus Christ that is so wonderful.
Christian Fernandez
1 year ago
I love the school. My daughter can read and write her name. Very happy with the school
Roselie Civil
1 year ago
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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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