Key Takeaways
- First Health Insurance is one of the nation’s largest PPO network options and a wholly-owned subsidiary of Aetna, meaning most policyholders do not need a referral from their primary doctor to access substance abuse treatment.
- First Health does cover alcohol rehab insurance coverage, and most policyholders can offset a substantial portion of their treatment costs, depending on their essential health benefits.
- Covered treatment options typically include medical detox, inpatient and outpatient treatment, intensive outpatient programs, partial hospitalization programs, medication-assisted treatment, and dual diagnosis.
- Out-of-pocket costs depend on your plan’s co-pays, deductible, and coinsurance, but First Health covers 100% of remaining expenses after your deductible, and in-network providers will always result in the lowest costs.
- The Lakes Treatment Center accepts First Health insurance and offers a comprehensive range of highly customizable drug and alcohol rehab programs.
Making the decision to begin a drug rehab program is difficult enough on its own, which is why the last thing you want to have to worry about is the cost of treatment. However, the cost of substance abuse treatment can be substantial, which can stand in the way of you getting the help that you need. That is why it is so important that you have good health insurance coverage that can help you cover the cost of a drug rehab program.
If you have First Health Insurance, you may be wondering, “does First Health cover rehab?” The good news is, yes.
In this article, we will discuss in detail what First Health insurance is and whether or not it provides addiction treatment coverage.
What is First Health Insurance?
First Health insurance is one of the nation’s largest insurance network options and is a wholly-owned subsidiary of Aetna. It provides a national network of hospitals and doctors all across the United States, as well as a variety of healthcare plans.
A benefit to using First Health insurance is that it operates as a preferred provider organization, or PPO. This means that most people do not need to get a referral from their primary doctor if they need access to a certain type of treatment, including substance abuse treatment.
Does First Health Insurance Cover Drug Rehab?
The good news is that First Health insurance does cover the cost of drug rehab. How much coverage you have access to is widely dependent on where you live and the type of plan you have. However, for most policyholders, you can get at least a substantial portion, if not all, of the cost of care covered.
Keep in mind that another factor that determines your First Health insurance coverage is the type of treatment you are getting. To ensure you get as much coverage as possible, you will need to join one of the treatment programs covered by First Health, including:
- Medical Detox: Many people battling addiction will need to go through a detox program that helps them manage withdrawals under the supervision of a team of medical professionals. Detox can make the withdrawal process safer through things like medical support, monitoring, and medication, and can also improve the chances of long-term recovery.
- Inpatient Treatment: Residential treatment is the preferred option for those needing comprehensive drug alcohol rehab, especially if the withdrawal process is a safety concern. This type of treatment allows you to live on-site for the duration of your program so that you have access 24/7 to your care team.
- Outpatient Treatment: Outpatient treatment provides many of the same benefits of inpatient treatment without the need for you to live on-site. You can come and go as you please for the duration of your program, which can give you the flexibility you need to continue working or attending school. Keep in mind there are also intensive outpatient programs available, depending on what your plan offers to cover addiction treatment.
- Medication-Assisted Treatment: Medication-assisted treatment, or MAT, can help you stay as comfortable and safe as possible during the withdrawal process. MAT is administered under the supervision of a team of medical professionals, making the detox process as effective as possible for long-term sobriety.
- Dual Diagnosis Care: Co-occurring disorders are very common in those with substance abuse disorders, which makes dual diagnosis treatment a necessity. This is a type of treatment that provides mental health services and addresses substance use disorders in combination. That way, you are treating the root of the problem and not just the symptom.
- Partial Hospitalization Programs: Partial hospitalization, or PHP, is very similar to outpatient addiction treatment, except it is done through a hospital. This typically can cover drug and alcohol withdrawals, as well as withdrawal or psychiatric medication management during your stay.
Out-of-Pocket Expenses Associated With First Health Rehab Coverage
Before you move forward with choosing a substance abuse treatment program, you should understand what your out-of-pocket expenses will be. Although First Health rehab coverage can help you pay the majority of your treatment costs, there are still some out-of-pocket expenses you should be prepared for.
Here is a breakdown of what your out-of-pocket costs may look like when you have First Health insurance:
- Co-pays: A fixed fee that is required when you are initially seeking out treatment. These fees will be lower for in-network providers and facilities.
- Deductible: The annual amount you are required to pay before your First Health coverage begins. Remember that lower premium plans will usually have the higher deductibles, while higher premium plans have lower deductibles.
- Coinsurance: The cost of service that you and your health care plan share for services you have received based on a percentage after the deductible.
Once you have reached the annual cap on your out-of-pocket costs, First Health will start to cover 100% of any remaining expenses you have. Also, since First Health has an extensive network of hospitals and doctors, it is easier to find in-network providers that have the lowest out-of-pocket expenses.
It’s also worth mentioning that First Health insurance also provides a certain level of coverage for out-of-network providers; just be prepared to pay more out-of-pocket.
Why First Health Policyholders Choose The Lakes Treatment Center
Now that you know about First Health rehab coverage and how you can use it, the next step is to assess your addiction treatment options. Here is a breakdown of why First Health rehab coverage policyholders choose The Lakes Treatment Center.
Program Flexibility
Depending on your drug and alcohol use, or existing medical needs, you may need to look for a specific type of drug rehab program. The most common example of this is inpatient treatment for more serious cases of substance abuse. Or, alcohol rehab for drinking-specific recovery. Or, you may seek outpatient therapy for when you have responsibilities that require your ongoing attention.
It’s essential that you find treatment providers that provide the flexibility you need so that it is realistic for your current situation. And at The Lakes Treatment Center, we offer highly customizable treatment programs, which include our inpatient, outpatient, couples, multiple relapse, detox, and dual diagnosis treatment programs.
Aftercare Resources
Having access to aftercare resources is an integral part of long-term recovery as it helps to prepare you for living a sober life. Usually, aftercare is made up of things like outpatient programs, support groups, life skills training, and therapy resources.
At The Lakes Treatment Center, we have a strong addiction aftercare program that provides you with ongoing treatment resources and connections to others who are going through the same thing.
Comprehensive Treatment
At The Lakes Treatment Center, we understand that there is no one-size-fits-all solution when it comes to addiction care. We also understand that lifelong recovery requires personalized care. That is why we take a whole-person approach that treats the individual as a whole, not just their addiction.
Comprehensive treatment helps to get down to the root of your substance abuse so that you have a better chance of long-term recovery. A good example of our whole-person approach is our dual diagnosis treatment program, which helps to address co-occurring mental health and addiction disorders.
Community Focused
A huge part of long-term addiction recovery success is becoming part of a community. That is why at The Lakes Treatment Center, we have a strong community-focused approach that allows patients to connect with like-minded individuals.
Our programs often prioritize community through things like group therapy, group counseling, family therapy, inpatient treatment, talk therapies, and community aftercare. We also put a strong focus on family support through things like family therapy and couples counseling. For individuals needing privacy, individual counseling and cognitive behavioral therapy is also provided.
Treatment Variety
Substance abuse treatment is incredibly personal, so the type of care you need should address your specific concerns and goals. And at The Lakes Treatment Center, we strive to provide as many treatment options as possible, including programs for:
- Alcohol addiction treatment
- Benzo
- Fentanyl
- Heroin
- Opioids
- Cocaine
- Meth
- Prescription drugs
- Marijuana
- Stimulants
- Psychedelics
- Kratom
Start Your Rehab Journey with The First Health Group at The Lakes Treatment Center
By having reliable insurance coverage, you can move forward with getting the help that you need to address substance abuse. And First Health plans are a good example of a type of insurance that gives you the flexibility you need when getting treatment.
At The Lakes Treatment Center, we understand how unique addiction recovery is, which is why we provide so many treatment options and accept a variety of insurance companies. This allows you to get the help that you need on your own terms, whether you want to join an inpatient, outpatient, or dual diagnosis treatment program.
Are you ready to move forward with a drug rehab program in California? If so, contact us today at The Lakes Treatment Center. Our insurance specialists will provide you with more information about our intake process and the insurance plans we accept.
Frequently Asked Questions
Q: Does First Health cover inpatient rehab?
Yes. First Health members can receive coverage for inpatient treatment, which is preferred for serious cases of substance abuse or withdrawal concerns.
Q: Does First Health cover outpatient care?
Yes, many insurance plans with First Health cover outpatient rehab programs. First Health may also provide coverage for more intensive levels of outpatient care, including intensive outpatient programs and partial hospitalization programs.
Q: Is drug rehab considered an essential health benefit under First Health insurance?
Due to the Affordable Care Act, many insurance companies, including First Health, are required to provide coverage for substance abuse and mental health treatment as essential health benefits. However, the level of physical and mental health coverage depends on your specific coverage levels. For more information, review your insurance card and policy documents, then contact a recovery advocate from the First Health Group Corp.
Q: What treatment providers are accepting First Health PPO plans?
Because First Health operates as a preferred provider organization, or PPO, it maintains an extensive national network of in-network hospitals, doctors, and treatment facilities. The Lakes Treatment Center accepts First Health PPO plans and can help verify your coverage before beginning treatment.
Q: What out-of-pocket costs should I expect when using First Health for drug rehab?
Your out-of-pocket costs will depend on your specific First Health plan. This may include copays, coinsurance, and your deductibles.
Q: How do I get started with drug rehab at The Lakes Treatment Center using my First Health insurance?
Contact The Lakes Treatment Center today and have your insurance card ready. Our insurance specialists will help verify your First Health coverage, walk you through your plan’s benefits and any out-of-pocket costs to expect, and match you with the right treatment program for your needs and goals.
