First Health Insurance Coverage for Drug and Alcohol Rehab

Table of Contents

Does First Health Insurance Cover Drug or Alcohol Rehab?

First Health is a health insurance company that offers coverage for drug or alcohol addiction rehab as part of its behavioral health benefits. Recognizing the significance of addressing substance abuse and addiction, First Health provides access to various levels of care, including outpatient and inpatient rehabilitation, detoxification services, counseling, and other essential treatment services.

It’s essential to note that the specific coverage details and benefits for drug or alcohol rehab may differ based on your First Health Insurance plan. To understand the extent of coverage and any applicable requirements, reviewing your policy documents or contacting the NuView Treatment Center is recommended.

Does First Health Cover Mental Health and Substance Abuse Treatment?

First Health Insurance typically covers mental health and substance abuse treatment as part of their behavioral health benefits. This coverage includes various services, such as counseling, therapy, and treatment programs, designed to address mental health and substance use disorders.

Will First Health Cover Dual Diagnosis Treatment?

Yes, First Health Insurance generally covers dual diagnosis treatment. Dual diagnosis treatment is an integrated approach that addresses both mental health disorders and substance use disorders simultaneously. First Health recognizes the importance of treating co-occurring conditions and provides coverage for dual diagnosis treatment to support individuals in their recovery journey.

Does First Health Cover Therapy for Addiction Treatment?

Yes, First Health Insurance typically covers therapy for addiction treatment. Therapy plays a crucial role in treating addiction, and First Health provides coverage for various evidence-based therapies, counseling sessions, and treatment programs to help individuals overcome substance use disorders.

First Health Outpatient Rehab Coverage

First Health Insurance typically provides coverage for outpatient rehab as part of its behavioral health benefits. Outpatient rehab allows individuals to receive addiction treatment without needing a residential stay, providing flexibility for those with work or family commitments.

Coverage for outpatient rehab includes various levels of care, such as:

  • Partial Hospitalization Program (PHP)

  • Intensive Outpatient Program (IOP)

  • Standard Outpatient Program (OP)

These programs often employ evidence-based therapies and counseling to support individuals on their journey to recovery.

It’s essential to review your specific First Health Insurance plan documents or contact NuView Treatment Center to understand the extent of coverage and available options for outpatient rehab services. This will help you determine the best approach to addressing your substance abuse needs effectively while utilizing the benefits offered by First Health Insurance.

How to Check First Health Rehab Coverage?

To check your First Health rehab coverage and explore treatment options, we invite you to fill out our convenient Insurance Verification Form. By providing some basic information, our team at NuView Treatment Center can assist you in understanding your specific coverage and guide you toward rehab options that align with your First Health insurance plan. If you prefer immediate assistance, please call us at (323) 307-7997, and our friendly staff will be ready to assist you. Don’t miss out on the opportunity to take the first step toward recovery. Fill out the form now and let us help you on your journey to a healthier, happier life.

Types of First Health Insurance Plans

First Health Insurance offers a variety of insurance plans to cater to the diverse healthcare needs of individuals and families. Some of the types of First Health Insurance plans include:

  1. Preferred Provider Organization (PPO): PPO plans offer more flexibility in choosing healthcare providers. Policyholders can visit both in-network and out-of-network providers, but they typically receive more extensive coverage and lower out-of-pocket costs when using in-network providers.

  2. Exclusive Provider Organization (EPO): EPO plans combine features of HMO and PPO plans. Policyholders must use in-network providers for coverage, except for emergency care or urgent situations.

  3. Health Maintenance Organization (HMO): HMO plans require policyholders to choose a primary care physician (PCP) from within the HMO network. PCPs coordinate all healthcare services and referrals to specialists. Out-of-network services may only be covered for emergencies.

  4. Point of Service (POS): POS plans allow policyholders to choose a primary care physician and get specialist referrals. While POS plans focus on in-network coverage, they may provide limited out-of-network coverage in certain circumstances.

  5. Medicare Advantage (MA) Plans: These plans, also known as Medicare Part C, are offered through First Health to Medicare beneficiaries. MA plans include HMO, PPO, and other options, providing comprehensive First Health coverage and additional benefits.

  6. Medicaid Plans: First Health offers Medicaid plans for individuals who qualify for state-run Medicaid programs, providing essential healthcare coverage to low-income individuals and families.

It’s essential to review and understand the specific details and benefits of each type of First Health Insurance plan to choose the one that best suits your healthcare needs and preferences. If you have questions or need assistance selecting the right plan, NuView Treatment Center can help you navigate your options.

First Health Substance Abuse Coverage

First Health Insurance typically covers various substance abuse addictions as part of their behavioral health benefits. Some of the addictions commonly covered by First Health plans include:

  • Crystal Meth Addiction

  • Prescription Opioid Addiction (including Fentanyl, Oxycontin, and Vicodin)

  • Alcohol Addiction

  • Marijuana Addiction

  • Benzodiazepine Addiction (such as Xanax and Valium)

  • Cocaine and Crack Cocaine Addiction

  • Heroin Addiction

  • Adderall and Other Prescription Stimulant Addictions

However, the specific coverage details for substance abuse treatment may vary depending on your First Health Insurance plan. To determine the extent of coverage and any applicable requirements, it is recommended to review your plan documents or contact NuView Treatment Center for assistance. Understanding your coverage options will help you access the appropriate addiction treatment services and support you on your journey to recovery, as First Health is committed to promoting access to quality addiction treatment.

What Is First Health Insurance & How Does It Work?

First Health Insurance is a provider of health insurance plans that offers a network of healthcare providers and facilities to policyholders. It operates as a subsidiary of Aetna, a leading healthcare company. First Health Insurance collaborates with various healthcare providers, including doctors, hospitals, clinics, and other medical facilities, to create a network of in-network healthcare services.

When individuals purchase a First Health Insurance plan, they gain access to the network of healthcare providers associated with the insurance company. In-network providers have agreed to offer services at negotiated rates, often lowering out-of-pocket costs for policyholders.

Here’s how First Health Insurance typically works:

  1. Choosing a Plan: First Health offers various health insurance plans to meet different individuals’ needs. Policyholders can select a plan that aligns with their healthcare requirements and budget.

  2. In-Network Services: To make the most of the benefits offered by First Health Insurance, policyholders are encouraged to seek medical services from healthcare providers within the network. In-network services often come with reduced costs and better coverage.

  3. Out-of-Network Services: While First Health primarily emphasizes in-network care, some plans may provide partial coverage for out-of-network services. However, using out-of-network providers may result in higher out-of-pocket costs for the policyholder.

  4. Co-payments, Deductibles, and Co-insurance: Like most health insurance plans, First Health may require policyholders to pay co-payments for certain services, deductibles before the insurance coverage kicks in, and co-insurance for a percentage of the healthcare costs.

  5. Claim Process: When policyholders receive covered medical services, the healthcare provider usually files a claim with First Health Insurance. The insurance company then processes the claim and determines the eligible benefits based on the policyholder’s plan.

First Health Insurance provides access to a network of healthcare providers and facilities, allowing policyholders to receive medical services at negotiated rates. Policyholders need to review their specific plan details, understand the coverage options, and select healthcare providers within the network to optimize their insurance benefits.

How To Find Rehabs That Take First Health Insurance Near Me?

Contact NuView Treatment Center

Our team at NuView Treatment Center is here to assist you in finding a rehab facility near you on your behalf that accepts First Health Insurance. Call us at (323) 307-7997, and our knowledgeable staff will happily answer your questions and guide you through the process. Alternatively, you can fill out our insurance verification form to provide us with the necessary details, and we will promptly review your information to determine your coverage options. We are committed to helping you access the appropriate treatment resources for your recovery journey.

Out-of-Network Rehabs Through First Health

First Health Insurance typically provides coverage for out-of-network rehabs, although the specific benefits and costs may vary depending on the individual’s insurance plan. When policyholders seek addiction treatment services at a rehab facility not within First Health’s network, they access out-of-network care.

Here are some key points to consider regarding out-of-network rehabs through First Health:

  1. Coverage Levels: Out-of-network coverage may differ from in-network coverage. Policyholders should review their insurance plan documents to understand the extent of coverage for addiction treatment at out-of-network rehabs.

  2. Higher Costs: Out-of-network care can be more expensive than in-network services. Policyholders may face higher co-payments, deductibles, and co-insurance when receiving addiction treatment at a rehab, not in the First Health Network insurance plan.

  3. Balance Billing: Sometimes, out-of-network providers may charge more than the insurer’s approved amount for services. This difference between the provider’s charges and the insurer’s approved amount is known as balance billing, and it may result in higher out-of-pocket expenses for the policyholder.

  4. Prior Authorization: Some First Health plans may require prior authorization before seeking out-of-network addiction treatment. Policyholders should check their plan’s requirements and seek approval to ensure coverage.

  5. Choosing an Out-of-Network Rehab: If policyholders seek addiction treatment at an out-of-network rehab, it’s essential to research the facility thoroughly, including the quality of care provided and the treatment options available.

  6. Coverage Verification: Before seeking addiction treatment at an out-of-network rehab, policyholders should verify their coverage with First Health Insurance to understand the specific benefits and potential costs they may incur.

While First Health Insurance offers coverage for out-of-network rehabs, policyholders should be aware of the potential financial implications and carefully consider their options. Whenever possible, choosing in-network rehab facilities can help ensure more predictable and potentially lower out-of-pocket costs for addiction treatment.

First Health and the Affordable Care Act

The Affordable Care Act, commonly known as Obamacare, is a federal law aimed at expanding access to health insurance, enhancing healthcare quality, and reducing healthcare costs for individuals and families. It introduced health insurance marketplaces where people can find and purchase health insurance plans, often with financial assistance through subsidies.

As a major health insurance provider, First Health offers various health plans, including those available through the ACA’s health insurance marketplaces. This means that some of First Health’s plans comply with the ACA requirements and provide essential health benefits as mandated by the law.

Under the ACA, health insurance plans offered by First Health must cover essential health benefits, which include mental health and substance abuse services. Therefore, if you have a First Health plan compliant with the ACA, you should have mental health and substance abuse treatment coverage.

For more detailed information about your specific First Health plan and to explore the coverage options for mental health and substance abuse treatment, we recommend contacting our team at NuView Treatment Center. Our experts can assist you in navigating your First Health plan and finding the best solutions to meet your healthcare needs.

What Does First Health Cover For Me?

First Health offers a range of health insurance plans that provide coverage for various medical services and treatments. The specific benefits and services covered by your First Health plan depend on your selected insurance plan. However, in general, First Health plans typically provide coverage for the following:

  1. Preventive Care: First Health covers preventive services such as vaccinations, screenings, and wellness check-ups. These services are often covered without requiring you to pay out-of-pocket expenses like co-payments or deductibles.

  2. Hospital and Medical Services: Your First Health plan will cover hospital stays, surgeries, doctor visits, and other medical services, either through in-network providers or with partial coverage for out-of-network providers, depending on your plan type.

  3. Prescription Drugs: First Health usually includes coverage for prescription medications, with varying co-payments or co-insurance, depending on your plan.

  4. Mental Health and Substance Abuse Treatment: First Health covers mental health services and substance abuse treatment. This may include counseling, therapy, and addiction treatment programs.

  5. Maternity and Newborn Care: First Health plans often cover maternity care and newborn services, including prenatal visits, delivery, and postnatal care.

  6. Emergency Services: First Health covers emergency medical services, ensuring you can receive essential care in critical situations.

  7. Laboratory Tests and Diagnostic Services: Your First Health plan should cover laboratory tests, X-rays, and other diagnostic services needed for your healthcare.

It’s essential to review the specific details of your First Health plan, such as the deductible, co-payments, co-insurance, and any limitations on coverage, to understand precisely what services are covered for you. If you have questions about your plan or the available benefits of the health insurance policies, NuView Treatment Center can assist you in navigating your insurance coverage and accessing the services you need for your healthcare journey.

How Can I Pay The Costs Not Covered By My First Health Plan?

If you have costs not covered by your First Health insurance plan, there are several options available to help you manage those expenses:

  1. Out-of-Pocket Payments: You can pay for the uncovered costs directly using your personal funds or credit cards.

  2. Health Savings Account (HSA): If you have a Health Savings Account, you can use the funds in your HSA to pay for qualified medical expenses not covered by your insurance.

  3. Flexible Spending Account (FSA): If you have a Flexible Spending Account, you can use the funds set aside in your FSA to cover out-of-pocket medical costs.

  4. Payment Plans: Some healthcare providers offer payment plans that allow you to spread out the cost of treatment over time, making it more manageable.

  5. Medicaid or State Programs: Depending on your income and circumstances, you may qualify for Medicaid or other state-run programs that can provide additional financial assistance for healthcare costs.

  6. Scholarships or Grants: Some organizations and foundations offer scholarships or grants to help individuals with the costs of specific medical treatments.

  7. Appeal or Negotiation: In some cases, you can appeal a claim denial or negotiate with your healthcare provider to reduce the cost of treatment.

It’s essential to explore these options and discuss your situation with the NuView Treatment Center to find the best solution for covering the costs not covered by your First Health insurance plan. We can help you understand your payment options and find financial assistance.

Questions about treatment options for substance addiction?

Our admissions navigators are available 24/7 to listen to your story and get you started with next steps.

Frequently Asked Questions

  • What is the preauthorization process for addiction treatment under First Health Insurance?

    The preauthorization process for addiction treatment under First Health insurance may vary depending on your specific plan and the treatment you seek. Preauthorization is a review process determining if the treatment is medically necessary and covered by your insurance. It is best to contact NuView Treatment Center to inquire about the preauthorization requirements for addiction treatment.

  • Are there any co-payments or additional costs associated with addiction treatment through First Health insurance?

    The co-payments and additional costs for addiction treatment through First Health insurance will depend on your plan’s specific terms and conditions. Different plans may have different cost-sharing arrangements, such as co-payments, co-insurance, or deductibles. Reviewing your plan documents or contacting the NuView Treatment Center to understand your out-of-pocket expenses for addiction treatment is essential.

  • Does First Health Insurance provide coverage for medications related to addiction treatment?

    First Health insurance typically covers prescription medications, but the specific coverage for medications related to addiction treatment may vary depending on your plan. Some plans may have a formulary list that outlines the covered medications, while others may require prior authorization for certain drugs. It’s best to check your plan documents to understand the medication coverage for addiction treatment.

  • Is there a case manager available to help me understand my First Health insurance and its benefits at an addiction treatment center?

    First Health may offer case management services to help policyholders navigate their insurance coverage and understand their benefits. A case manager can assist you in finding in-network providers, understanding your coverage options, and answering any questions you may have about your insurance plan. To determine if case management services are available to you, it is recommended to contact NuView Treatment Center at (323) 307-7997.

  • How can I determine if NuView Treatment Center accepts my First Health insurance?

    At NuView Treatment Center, we accept most major health insurance plans. To find out if your specific First Health insurance is accepted, please call our office at (323) 307-7997. Additionally, you can fill out this insurance verification form. Our staff will be more than happy to answer any questions you may have and help determine the best plan for your treatment.

Check to see if your insurance is in-network at our rehab facility.

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