Does My Rehab Center Accept First Health?

When considering a drug or alcohol rehab center, the cost of treatment can be a source of stress. If you have medical insurance, the great news is that most providers will cover at least a portion of the cost. If your insurance is through First Health Network, then you most likely have some coverage.

first health logo

Does my rehab center accept First Health insurance?

However, not all insurance providers are accepted at each rehab facility. Just because one facility takes certain insurances does not mean another one will take the same.

St. John’s Recovery Place does accept First Health insurance.

First Health Network is a national PPO network that works with regional health plans, TPAs, national insurance carriers, and employer groups. Having been around for more than 30 years, they’ve developed an extensive network to deliver products and care at an optimal cost to their members.

First Health insurance is a wholly-owned subsidiary of Aetna, which means you can expect the same great quality and standards in addition to expanded access and improved savings.

First Health Insurance Coverage for Drug and Alcohol Rehab

Since the passing of the Affordable Care Act (ACA, Obamacare), most insurance companies offer coverage for substance use disorder treatment.

First Health Network does provide at least some coverage for addiction treatment and related services. Coverage details will vary depending on your specific plan.

As a rule of thumb, a health insurance policy with higher premiums will typically offer more benefits, and lower premiums will have less coverage. Also, in-network providers will have more coverage than out-of-network. Either way, having your health insurance provider cover some of the cost of addiction treatment is certainly a relief!

hands reaching towards each other.

First Health Network health insurance policies do include at least some coverage for substance abuse treatment.

What Addiction Treatment Services Are Covered by First Health Network?

First Health Network will typically cover addiction treatment services, but the specifics of what is included and the amount of coverage will depend on your individual health insurance policy. Commonly covered addiction treatment services include:

  • Medical Detox
  • Residential Inpatient Programs
  • Mental Health Services
  • Outpatient Treatment
  • Partial Hospitalization Programs (PHP)
  • Intensive Outpatient Program (IOP)
group therapy session, people offering support to woman crying.

With First Health, coverage typically includes primary addiction treatment services including detox, inpatient and outpatient.

Do Treatment Centers Need to Be In-Network?

“In-Network” is a term synonymous with health insurance. Most plans will provide better health coverage and lower costs when using in-network doctors, services, and facilities.

A treatment center will work out specific payment and coverage terms with various health insurance companies. When the two come to an agreement on those terms, then the rehab facility is considered “in-network” with that insurance company.

Treatment centers can choose which insurance providers they want to accept, just as insurance companies can choose which medical providers they want to work with. Being “in-network” means that the rehab has worked out specific terms with the insurance company to offer covered benefits to its members at a set price.

This is why it’s crucial to find a rehab facility that doesn’t just accept your insurance but is also in-network with them. Your copays, deductibles, and/or coinsurance amounts will be significantly less when you use in-network providers versus out-of-network.

SJRP is In-Network with First Health.

couple sitting at desk with a woman who is reviewing paperwork with them.

To get the most of your insurance benefits, choose a substance abuse treatment facility that is in-network.

How Do I Find Out What My Insurance Covers?

There’s no denying understanding insurance coverage can be a hassle, and trying to find out information can be frustrating. However, you mustn’t skip this step.

Understanding your First Health insurance benefits and limitations will save you from an even bigger headache down the road. The last thing you want is to be denied insurance coverage or caught off-guard with extraordinary bills because you didn’t get the information you needed.

To find out the details of your First Health Network insurance coverage, you can:

  • Review your member policy; an updated First Health insurance policy is typically mailed to you each year.
  • Call the First Health Network customer support number at 1-800-226-5116 and speak to a representative.
  • Find an in-network provider on the First Health website by clicking the “Locate a provider or Create a directory” button.
  • Call the rehab center that you are interested in and have them confirm your coverage for addiction treatment. This is often the most efficient route because they can also provide your average expected costs for specific drug treatment services at their center. To determine your coverage at St. John’s Recovery Place, visit our site or call us at 1-833-397-3422.
hands holding a cellphone with health insurance info on the screen.

You can call a treatment center directly to find out what services your First Health Network plan will cover.

Questions You’ll Want to Ask Your First Health Insurance Representative

It’s vital to understand your insurance coverage and what your financial responsibilities will be. When you call your First Health Network customer service representative, some questions you’ll want to ask are:

  • Does my insurance plan cover the cost of medical detox, inpatient, and/or outpatient care?
  • Does my plan include mental health coverage?
  • What are my copays, deductibles, and coinsurance costs associated with those services?
  • What length of stay is covered for inpatient rehab?
  • Is a primary care physician’s referral required for me to receive addiction treatment?
  • Does my insurance plan cover the cost of prescription medications used for medication-assisted treatment and how much is covered?
stethoscope, piggy bank, and money splayed out.

It’s important to understand the details of your First Health insurance policy coverage.

What if Substance Abuse Treatment isn’t Fully Covered?

First thing’s first, let us check your insurance coverage and figure out what treatment options are available and what would work best for you. Though many policyholders are surprised to find out that drug and alcohol treatment at SJRP is more affordable than they anticipated, we understand that out-of-pocket expenses may still be a financial burden.

Scholarships and Government Programs

There are alternative sources you can look into such as private scholarship funds and government programs that offer financial aid for drug and alcohol treatment.

Crowdfunding

Crowdfunding is a popular option these days. Albeit, it may be better to have a friend or family member set up a fundraiser on your behalf so that people aren’t skeptical of your intentions. Even if you don’t reach your full goal, you get to keep whatever was donated and put it towards your drug addiction treatment.

Family Members

Lastly, don’t be ashamed to ask family for help. If they’re able to assist, they can make payments to the rehab facility directly if it makes them more comfortable.

Payment Plans

Some drug and alcohol rehab facilities offer payment plans to ease the financial burden of receiving treatment. At SJRP, we’ll work with you to see if there are any financial plans we can set up. And if we can’t help you, we’ll connect you with a provider that can.

man holding young daughter, both laughing.

Don’t let the cost of rehab stop you from getting back your life! Financial assistance is available.

First Health Insurance at SJRP

SJRP is an in-network provider for First Health Insurance, offering drug and alcohol addiction treatment services to men and women, ages 18 and older.

Our philosophy to treating drug addiction is based on the holistic approach to healing the whole person: mind, body, and spirit. By using evidence-based and complementary alternative therapies, we help our clients build a foundation for, and empower them with the tools they need, to sustain long-term sobriety.

At SJRP we are committed to helping individuals recover from their drug or alcohol addiction. Our treatment centers offer comprehensive alcohol and drug abuse rehabilitation with integrated care for co-occurring mental health disorders. Our services include:

  • detox
  • residential treatment
  • medication-assisted treatment
  • mental health treatment for co-occurring disorders
  • outpatient treatment
  • partial hospitalization
  • intensive outpatient treatment
  • aftercare services

To find out more information on what your First Health insurance will cover at SJRP and how we can help you start on the journey to recovery, call our admissions team at 1-833-397-3422.

silhouette of a person standing in the sunset with the fist in the air.

Conquer addiction with the help of SJRP. Get started today!

SOURCES:

  • FirstHealth. Members. (2021, September 20.)
  • FirstHealth. First Health Network FAQs. (2021, September 20.)
  • Health Plan Alliance. First Health Network. (2021, September 20.)