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.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
I looked at several places before this one. What set it apart was that some of the founders and staff have been through addiction themselves. That's not a marketing angle, it genuinely shapes how they engage with people who are coming in scared and worn down.
Chris Morales
3 days ago
Simi Valley is a good setting for this kind of work. Getting some distance from familiar environments and daily stressors during the early stages isn't a small thing, and the location supports that.
Patricia Deluca
4 days ago
Verified insurance before anything else and had clear answers fast. No runaround.
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
I had my phone the whole time. For anyone coming from a detox program where everything gets locked away, that's worth knowing. Being able to stay in contact with family and handle things in my life while doing the program made it feel sustainable, not like I'd put everything on pause.
Chris Deluca
2 days ago
Friday mornings are alumni speaker meetings. Someone who's been through the program and come out the other side sits with the current group and talks about what it looked like. That's a different kind of session than anything a therapist can run, and it became the part of the week I looked forward to most.
Nathan Foster
3 days ago
I had an amazing experience here! All of the staff and techs provided top notch care! My therapist Nicole was very caring, insightful and informative. Pastor Dans groups were fire and Chris P was very compassionate and supportive! 12 out of 10 I highly recommend!!!
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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
2 days ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
3 days ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
This is an ad and The Haven Detox – New England is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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.
Glad I came here to get help with my mental health. Employees really care about everyone and want to help you get better. The facility is clean and very nice. Highly recommend
Patrina Avila
3 weeks ago
nice and friendly staff who put client care first and super nice and clean facility
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
My wife completed residential treatment here for alcohol addiction and the change has been remarkable. Family therapy sessions helped all of us understand how to support her moving forward.
Rosalind Actongale
2 days ago
Attentive medical staff during detox, comfortable rooms, board-certified providers who explain everything clearly.
Tobias Kingsley
3 days ago
The residential mentors actually check on you, not just clock in and out. Small thing but it made a real difference during a hard stretch.
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 don’t usually leave reviews, but I felt like this one needed to be written.
Matt Lapham has been one of the biggest blessings during my time at True Self. What makes Matt different is that he has been where many of us have been. He understands the struggles, the setbacks, and the challenges of recovery because he’s lived it himself. That experience allows him to connect with people in a way that can’t be taught.
Matt goes above and beyond for every single client, often without looking for any recognition. Whether it’s making sure someone has hygiene products, helping people find clothes and socks, taking clients to food banks, or simply being there when someone needs support, he’s always finding ways to help. If someone is in need, Matt is usually already working on a solution before they even have to ask.
One thing that always stands out is the way he takes care of everyone at the house. He cooks dinner every night without complaint, and somehow manages to make it feel like a home instead of just a place to stay. The meals are always great, and it’s clear he puts his heart into everything he does.
Matt also teaches classes at True Self, and every class leaves an impact. He has a way of making people think deeply about their recovery, their choices, and their future. Even when he doubts himself or feels like he could have done better, those of us listening know he’s doing an amazing job. His honesty, experience, and passion for helping others come through every time he speaks.
True Self is fortunate to have someone like Matt Lapham. The amount of time, energy, and compassion he pours into helping others is truly inspiring. He may never realize how much of a difference he makes, but I can honestly say that he has made a positive impact on countless lives, including mine.
Thank you, Matt, for everything you do.
Matt Collins
3 months ago
I am interested in the facility in Rogers AR or Wilbur mills
Michele Gaylord
7 months ago
This is a really good place when they answered the phone they were so nice on the phone
This is an ad and The Haven Detox – Arizona is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
Michael Gordillo
4 days ago
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
1 month ago
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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.
Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
Aiden Muska
1 week ago
★★★★★
I would highly recommend Indiana Center for Recovery. No treatment facility is perfect, and there are a few things I think could be improved, but overall my experience was very positive. In talking with residents who had been through treatment before and experienced relapses, I repeatedly heard this was the best facility they had been to. After my experience, I understand why.
The biggest area for improvement is communication. There can be a lot of redirection between staff when trying to get an answer, and expectations aren't always communicated clearly. When someone is already in a difficult place and there to heal, even small communication issues can become frustrating.
For example, there's a sign-up sheet for cleaning the lunch area that I didn't know about until I discovered I was on it. It's no big deal—about 15 minutes with several people—but knowing beforehand would help. Mail is another example: you need to check the office after sessions each day if you're expecting something. Small things, but clearer communication would make the experience easier.
A few practical recommendations: bring an inexpensive wristwatch because you won't have your phone and clocks aren't always readily available. If you smoke, you can't bring a lighter, although techs are readily available to light cigarettes. A small, dim flashlight is useful for finding things at night without disturbing roommates. A blanket can also help in a cold room or with getting comfortable in a chair.
Where Indiana Center for Recovery really shines is the people and treatment. Syndey, Greg, and Dave are excellent facilitators. Classes cover a wide range of subjects and include traditional groups along with activities such as art and music. I learned a great deal about recovery, myself, and how I look at life. They also offer acupuncture and a variety of other therapeutic activities.
The staff deserves a lot of credit. Toni, Justin, Sarah, Carter, the nursing staff, and many others do a great job. The atmosphere among both staff and residents is remarkably nonjudgmental and supportive. Everyone has a story and is working through something.
The facility has a gym, arcade, and plenty of outdoor areas for walking or sitting when the weather cooperates. Those things matter when you're temporarily removed from your normal life and routine.
Treatment isn't easy. Being away from home, without your phone and outside your normal environment, can be difficult. But Indiana Center for Recovery gives you an opportunity to step outside that environment, learn about yourself, work on what brought you there, and figure out what comes next.
I especially appreciate that treatment doesn't feel one-size-fits-all. They continually assess where you are, work closely with you, and help determine appropriate next steps for treatment, sobriety, recovery, or mental-health care.
There are communication and organizational details I would improve, but they don't outweigh the quality of the people, treatment, support, and overall experience.
For someone who genuinely wants help and is willing to participate in the process, I would absolutely recommend Indiana Center for Recovery. It earned five stars from me—not because everything is perfect, but because what matters most about the place is very good.
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 recently completed treatment at The Haven Detox in West Palm Beach and had a truly wonderful experience. The group therapy sessions were amazing and became one of the most meaningful parts of my treatment. I felt supported, understood, and encouraged throughout my time there. I’m grateful to the staff and everyone who helped me during this important step in my recovery. I would highly recommend The Haven to anyone who is ready to seek help and make a positive change in their life.
— David Kistler
tdavid kistler
3 days ago
GREAT EXPERIENCE SUCH A BEAUTIFULLL PLACE TO GET SOBER STAFFF IS GREAT AND SERVICE GREAT ALLSO I CAME ALL THE WAY FROM PUERTO RICO AND ITS BEEN A BLESSING
Francisco Padilla
6 days ago
The staff was very helpful the food the was good the facility was modern and very clean and the clinical staff was solid which positively aided in my recovery
This is an ad and Never Alone – Adolescent Addiction Treatment Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
The alumni support program is something I don't see mentioned enough when people talk about what makes a rehab worth considering. Getting through treatment is one thing. Having some kind of structured support afterward is a completely different conversation, and it matters.
Michelle Grant
3 days ago
Simi Valley was a good fit location-wise, and the residential setup is a structured 24/7 environment away from the usual triggers. That's exactly what the early stages of serious recovery tend to require.
Thomas Hale
4 days ago
Checked on insurance before anything else and the process was quick and pressure-free. Knowing coverage before committing takes a lot of the financial stress out of a decision that's already hard enough.
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Frequently Asked Questions
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.
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.
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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