First Health Network Health Insurance
For Addiction Recovery
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Taking inspiration from early health insurance plans, such as the 1929 arrangement between Texas hospitals and a Dallas school system, insurance companies began creating provider networks. These networks consisted of specific hospitals and doctors that agreed to provide services at lower rates for plan members. Health Maintenance Organizations (HMOs) were an early form of managed care that restricted members to a narrow network of providers. Preferred Provider Organizations (PPOs) later became popular, offering broader networks and more flexibility for members, although still limiting coverage to participating providers. The rise of managed care plans and provider networks was driven by insurers’ desire to gain more control over healthcare costs and delivery.
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Our Admissions Process
At Guardian Recovery, we are here to guide you every step of the way.
Our goal is to minimize stress during this potentially challenging time, making the transition into our program as smooth as possible.- Contact Us
Whether by phone, form, or text, we are standing by to help you find a treatment program that is right for you. - Personalized AssessmentWe ask the important questions, helping you develop an appropriate plan of action.
- AdmissionFrom travel plans to the day you arrive, we are standing by to assist you every step of the way.
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First Health Network Insurance Details
The Emergence of Addiction Treatment Coverage in Health Insurance
In the past, services for substance use disorders were often treated separately from other healthcare and not typically covered by insurance. However, this began to change in the late 20th century as insurers started creating provider networks to manage costs and expand coverage options. Early forms of managed care, like Health Maintenance Organizations (HMOs), offered addiction treatment but restricted members to a limited network of providers. Preferred Provider Organizations (PPOs) later gained popularity by providing broader networks and more flexibility, although still limiting full coverage to in-network providers
Parity Laws and the Affordable Care Act Expand Access
The passage of key legislation marked a turning point for addiction treatment coverage:
- The Mental Health Parity and Addiction Equity Act of 2008 aimed to eliminate differences in insurance coverage between behavioral health and medical/surgical benefits.
- The Affordable Care Act further expanded coverage by requiring plans to cover essential health benefits, including substance use disorder services.
These laws helped establish behavioral health services, like medical detox and residential addiction treatment, as essential components of comprehensive healthcare that insurers must cover
First Health Network: A Leader in Addiction Treatment Coverage
First Health Network, one of the largest national PPO networks, has been at the forefront of providing robust coverage for substance use disorder treatment. With a focus on quality, value, and lowering costs, First Health covers a wide range of services from in-network providers, including top addiction treatment centers.
By prioritizing accessibility and affordability, First Health empowers individuals to get the life-changing care they need. If you or a loved one is struggling with addiction, First Health Network can connect you with high-quality treatment options to help you achieve lasting recovery.
Comprehensive Coverage for Addiction Treatment
First Health Network, one of the largest national PPO networks, provides robust coverage for substance use disorder treatment. As a PPO plan, First Health offers maximum benefits when using in-network providers, while still providing some coverage for out-of-network care . Under First Health plans, behavioral health services like medical detox and residential addiction treatment are considered essential components of comprehensive healthcare . This means that if a service is deemed medically necessary, it should be covered by the insurance plan.
Expanded Access to Care
Recent legislation has helped expand access to addiction treatment through insurance:
- The Mental Health Parity and Addiction Equity Act of 2008 requires health insurers to provide the same level of benefits for mental health and substance use treatment as they do for medical/surgical care.
- The Affordable Care Act lists substance use disorder services as one of the essential health benefits that plans must cover.
These laws have helped remove barriers to care, such as prior authorization requirements, and ensure that individuals can access the treatment they need.
Finding Quality Treatment
First Health Network partners with a wide range of high-quality addiction treatment providers. When seeking care, it’s important to find a licensed, reputable facility that meets your unique needs .
Immersion Recovery Center is one example of an addiction treatment center that is typically covered in full by First Health Network plans. By working with in-network providers like Immersion, individuals can maximize their insurance benefits and minimize out-of-pocket costs.
Get Started Today
If you or a loved one is struggling with addiction, First Health Network can help connect you with the life-changing treatment you need. Reach out to a First Health representative or a participating provider to verify your benefits and begin your journey to recovery today.
Comprehensive Coverage for Addiction Treatment
First Health Network, one of the largest national PPO (Preferred Provider Organization) networks in the United States, provides comprehensive coverage for addiction treatment services. As a PPO, First Health offers maximum benefits when using in-network providers, while still providing some coverage for out-of-network care.
Essential Behavioral Health Services Covered
Under First Health Network plans, essential behavioral health services like medical detox and residential addiction treatment are covered, as they are now considered integral components of comprehensive healthcare. Major insurance providers that cover standard healthcare services also typically cover addiction-related services.
Wide Range of Addiction Treatment Services
In-network addiction treatment centers, such as Princeton Detox & Recovery Center, offer a wide range of services geared towards helping clients prevent relapse and maintain long-term recovery.
These services may include:
- Medical detox
- Residential treatment
- Comprehensive aftercare planningÂ
Lower Healthcare Costs with Quality In-Network Providers
First Health is dedicated to lowering healthcare costs by focusing on quality and value. When a provider or treatment service is in-network, it means the provider or service is covered by the specific health insurance company, often with lower out-of-pocket costs for the insured.
Improved Access to Care
Recent legislation, such as the Mental Health Parity and Addiction Equity Act (MHPAEA), aims to transform the way addiction services are provided and covered by insurance. The MHPAEA requires that financial requirements and treatment limitations for mental health and substance use disorder benefits be no more restrictive than those that apply to medical/surgical benefits. Don’t let addiction control your life. With First Health Network insurance, you can access the high-quality, affordable addiction treatment you need to embark on the path to a better you. Verify your insurance coverage today and take the first step towards lasting recovery.
Sources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489170/
- https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2015.0179
- https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet
- https://www.hhs.gov/healthcare/about-the-aca/index.html
- https://www.asam.org/docs/default-source/advocacy/aaam_implications-for-opioid-addiction-treatment_final
- https://www.firsthealth.com/solutions/provider-network-solutions
- https://www.firsthealth.com/solutions/provider-network-solutions
- https://www.asam.org/docs/default-source/advocacy/aaam_implications-for-opioid-addiction-treatment_final
- https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet
- https://www.hhs.gov/healthcare/about-the-aca/index.html
- https://www.dol.gov/sites/dolgov/files/ebsa/laws-and-regulations/laws/mental-health-parity/warning-signs-plan-or-policy-nqtls-that-require-additional-analysis-to-determine-mhpaea-compliance.pdf
- https://findtreatment.gov/
- https://www.firsthealthnetwork.com/addiction-treatment-coverage
- https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet
- https://www.asam.org/docs/default-source/advocacy/aaam_implications-for-opioid-addiction-treatment_final
- https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/disclosure-guide-making-the-most-of-your-mental-health-and-substance-use-disorder-benefits.pdf
Guardian Recovery Locations
Our Facilities Transform Lives.
We believe that each level of care should serve as a catalyst for profound and lasting transformation. Our facilities are staffed by industry-leading professionals; pioneers in their respective fields. Through personalized care, we unlock the potential for lasting change, helping clients evolve and excel in all areas of their lives.
Delray Beach, Florida
Denver, Colorado
Largo, Florida
Pine Tree Recovery Center
Portland, Maine
Plymouth, New Hampshire
Pine Brook, New Jersey
Frequently Asked Questions
Yes, First Health Network does cover addiction treatment services, as these services are considered medically necessary for the health of the patient. The amount of coverage may vary based on factors like whether the facility is in-network or out-of-network, the length of stay, the specific treatment required, and your insurance plan level.
Essential behavioral health services like medical detox and residential addiction treatment are typically covered by First Health Network plans. For example, the services offered by Immersion Recovery Center are usually covered in full by First Health Network Insurance.
First Health is dedicated to lowering healthcare costs by focusing on quality and value. The network covers a wide variety of medical needs, from allergy specialists to behavioral health facilities.
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If you have questions about what may or may not be covered by your policy, don’t hesitate to reach out to your treatment provider. They can help you understand your First Health Network policy, how billing works for rehab, and provide more information about coverage for substance abuse treatment.
To see what your First Health Network insurance policy will cover during your rehabilitation, contact the treatment center you’re considering. They can perform a professional review of your insurance policy as you begin the treatment-seeking process and help you understand your coverage, copays, out-of-pocket expenses, and deductibles.
Remember, with First Health Network insurance, you can access the high-quality, affordable addiction treatment you need to start your journey towards lasting recovery.
