Guide to First Health Network Insurance Coverage for Addiction Treatment

Last Edited: December 29, 2023

Author
Matt Esaena
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Clinically Reviewed
Mark Frey, LPCC, LICDC, NCC
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All of the information on this page has been reviewed and certified by an addiction professional.

You could qualify for help with coverage of substance abuse treatment.

Click Here for a confidential benefits check or call (866) 578-7471 to speak to a addiction specialist.

Statistics by the Substance Abuse and Mental Health Services Administration have shown that over 23 million adults in this country misuse or abuse prescription drug and illegal street drugs. If you are one of those, or one of your loved ones is, it is vital that you seek appropriate treatment. It is highly unlikely that you will be able to solve the problem without professional help. You should go to your health care provider and speak to them about the options available for detox and rehab. This also means you need to start thinking about payment for this type of treatment.

Thanks to the Affordable Care Act, addiction problems are now classified as mental health problems, and insurance companies must cover them as such. If you are with First Health Network you can expect that they will offer you at least some coverage for your detox and rehab stay. Some 1,000,000 medical professionals and doctors are part of the First Health Network, and they are employed by over 90,000 different hospitals and medical facilities.

First Health Network Insurance Coverage for Alcohol and Drug Rehab

If you are a member of First Health Network, you should receive coverage for drug addiction rehab if you need it. They themselves have stated that they have addiction recovery specialists in every state of the country, and even in Puerto Rico. If you require drug rehab, which goes above and beyond making a quick doctor’s visit, First Health Network is there to help you find the right treatment. Providers include rehab centers, hospitals, specialty doctors, and any other medical facility that specializes in offering help to those with a chemical dependency.

How Long Will First Health Network Cover Addiction Treatment?

Many health insurance companies only cover their members for a few days in a recovery center. However, First Health Network is different; they will work in partnership with your physician in order to find out how long you have to remain in rehab. They do require you to go through a phase of pre-admission, meaning that you have to meet with a physician who will evaluate you and determine what kind of treatment is most appropriate for you. They will also assess how long you are likely to require the treatment. As this is medical information, it will be kept 100 percent confidential and private. If you do end up going to rehab, this will also be completely discreet and nobody will know where you are or what you are doing, unless you give express permission for this information to be shared.

First Health Network Insurance Coverage for Specialty Treatment

First Heath Network offers a number of different levels of coverage. Depending on which level you have, you may even be covered for some forms of specialty treatment. Make sure that you have a conversation with your First Health Network representative to find out which luxury facility you may be able to go to. In a luxury rehab facility, you will be less a patient and more of a guest. You will have a private room with a beautiful view, five star dining experiences, room service, spa and massage treatments, and more. When you stay there, you will instantly feel like a VIP executive. Recovering from a drug or alcohol addiction is hard work, and being able to complete it in luxury and comfort can go a long way towards making it a little easier. These luxury facilities are also the preferred options for those in the public eye, because they are so private, secluded, and executive. However, you do have to contact First Health Network first to determine whether you can receive coverage for your treatment there at all.

First Health Network and Inpatient and Outpatient Coverage

Under the Mental Health Parity and Addiction Equity Act of 2008, anyone who has a group health insurance plan will also be able to receive treatment for alcohol or drug abuse problems. While this means that the law focuses on treating those with a mental health problem, most people with abuse disorders also have some sort of mental health difficulty. So long as your First Health Network policy covers you for it, you can attend both in network health care providers and the hospital. You can go to an out of network provider as well, so long as your policy states that you can. This means that you have the opportunity to look for facilities that are near where you are, but also beyond, if you need a clean break from your environment.

Paying for What First Health Network Will Not Cover

While First Health Network offers extensive coverage for treatment options for those with a substance abuse problem, they will not necessarily cover everything. If there are certain elements that they will not pay for, there are other options out there for you as well. You could find out if the treatment facility that you are considering has payment plans available. You could also look into external forms of financing, such as selling some of your assets, asking friends and family members for a loan, or even going to the bank and borrowing money.

You must understand that addiction is an illness. Just as with any illness, it requires specialized treatment. You would not find it strange to go to the hospital if you believed your arm was broken so, you should not think it strange to go to a detox and rehab facility if you have a problem with substance abuse. First Health Network understands this, and they will do all they can to make sure you get the treatment that you need.

A final thing to remember is that any money you have to pay out of your own pocket towards the treatment should be seen as an investment into your own future. You deserve a happy, healthy life, and not going to treatment will always cost you more in the long run. By calling (866) 578-7471 you can determine what your insurance plan covers to make a decision on how you will proceed with your rehabilitation.