Rehab Centers That Accept First Health Network Health Insurance

The National Institute on Drug Abuse defines addiction as a chronic, relapsing condition that is marked by compulsive drug use and compulsive seeking of drugs even while knowing the consequences and side effects.

Locating the right substance abuse treatment center is one of the most critical choices to make when you or someone you love has decided to stop their addiction to drugs and alcohol. A significant aspect in this decision-making is which treatment center will accept their insurance.

In 2022, CoreSource Insurance was acquired by Health Care Service Corporation. Once CoreSource was part of HCSC, the decision was made to change its name to First Health Network Health.

Most well-known insurance companies provide some portion of coverage for alcohol and drug addiction treatment services, and First Health Network Health Insurance is one of these providers.

If you are curious about the types of addiction treatment covered by First Health Network Insurance or finding addiction programs covered by your health plan, keep reading below.

Yes, First Health Network insurance offers coverage for substance abuse rehab through its health plans. First Health Network Medicare Advantage plans offer deals and benefits for eligible rehab treatment centers. You can use these benefits with a referral from your doctor.

The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires insurance companies to treat mental health treatment the same way they would any other medical treatment and provide the same amount of coverage for these treatment programs.

The MHPAEA was amended by the Affordable Care Act (ACA), a law designed to make health insurance attainable to people who may not have been able to pay for or obtain health insurance. The change made addiction and mental health disorder treatments more widely available in the U.S.

Substance use disorders fall under the classification of mental health disorders, which means First Health Network Insurance is mandated by law to offer coverage for addiction treatment. Nevertheless, the quantity of coverage you receive will depend on your plan type.

When you or a member of your family is looking for substance abuse treatment centers, a critical aspect in making a decision is what type of programs your insurance provider covers.

There are multiple different evidence-based treatments for alcohol and drug addiction that First Health Network Health Insurance covers. These programs often incorporate inpatient and outpatient treatment programs, as well as medication-assisted treatment (MAT) or medical detoxification.

First Health Network Health Insurance provides at least some coverage for medical detox with their varied insurance plans, a necessary first step in substance abuse recovery.

Once you enter an alcohol and drug addiction rehab program, you will start a medical detox. You will be overseen by a doctor, nurse, or other medical technician during this time. They will monitor your vitals, which include your blood pressure, temperature, and heart rate.

To be assured that your insurance policy will provide the greatly needed medical detox, you need to check your plan and contact your agent with any questions.

First Health Network Health Insurance plans cover at least part of most medication-assisted treatment (MAT) programs.

MAT is one of the most beneficial and successful strategies for treating drug and alcohol addictions. Medications help lessen the intensity and feelings of withdrawal and enhance the chances of successfully quitting an addiction.

The following standard MAT medications may be at least partly covered by your First Health Network insurance plan:

• Methadone
• Suboxone (buprenorphine)
• Vivitrol (naltrexone)

Please read your policy for a complete list of covered treatment options. In some First Health Network plans, prior authorization may be required.

First Health Network Insurance provides coverage for inpatient treatment programs, at least in part, for those who require more intensive supervision while battling their drug and alcohol addiction. Inpatient treatment (also referred to as residential treatment) is generally the first step after finishing medical detox.

Whether long-term or short-term, inpatient treatment includes regular monitoring by a doctor or medical technicians, group and one-on-one therapy, and further evidence-based treatments.

First Health Network Insurance obeys the methods for treating alcohol and drug addiction developed by the National Institute on Alcohol Abuse and Alcoholism. These methods suggest starting an addiction treatment program by staying for at least two weeks in an inpatient treatment facility.

You will need to contact your insurance representative to determine how much your plan will cover.

First Health Network policies do offer coverage for dual diagnosis treatment. No matter what, however, the amount of coverage will rely on whether the dual diagnosis treatment provider is in or out of network.

Dual diagnosis treatment is for people who are living with both drug and alcohol abuse and mental health conditions. These programs treat both disorders at the same time.

The Affordable Care Act (ACA) has declared mental and behavioral health care essential health benefits that insurance providers must provide in some form.

First Health Network health insurance, more precisely its Dual Special Needs Plans (D-SNPs), can offer coverage for individuals with dual diagnoses (mental and substance use disorders). D-SNPs are developed for people who are eligible for both Medicare and Medicaid.

The majority of First Health Network Insurance policies offer at least partial to total coverage for outpatient treatment programs.

Outpatient treatment programs are designed for people who have completed an inpatient treatment program and those who do not need a higher level of management.

Outpatient programs are often utilized as a step-down method, with treatment intensity lessening as you advance through the levels. Outpatient programs include:

• Partial hospitalization programs (PHP),
• Intensive outpatient programs (IOP),
• and general outpatient programs.

Payment for outpatient treatment programs normally happens every time you go in the shape of a copayment rather than a one-time lump sum payment.

Most First Health Network Health Insurance policies provide some coverage for behavioral therapy and counseling. This coverage usually extends to the inpatient or outpatient therapy or counseling program.

Therapy and counseling are important aspects of long-lasting substance abuse recovery. Sobriety can be more successful when the underlying problems and trauma have been taken care of.

Some of the most commonly used types of therapy include:

• Cognitive behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Motivational interviewing (MI)
• Individual therapy
• Family therapy
• Group therapy

First Health Network provides coverage for different aftercare programs or continuing care for people who have completed their initial treatment in either inpatient or outpatient programs.

For a lot of people who have completed inpatient and outpatient addiction treatment, returning to their lives can be a daunting thought. Sober living was designed to give extra support to those who have completed a substance abuse treatment plan.

These programs help people as they acclimate to their new lives without drugs and alcohol. The most advantageous way to see if First Health Network Health Insurance will pay for sober living is to contact your First Health Network insurance agent.

When you or a member of your family is looking for and comparing the many different First Health Network Insurance plans, remember that different factors can affect your coverage.

Factors that can affect your First Health Network insurance coverage for drug and alcohol rehab:

• Your specific diagnosis
• The type of health care benefits you will need
• Your plan’s specific copays and deductibles
• The type of health care provider you need
• Your specific insurance benefits

Yes, First Health Network insurance policies do cover out-of-network rehab programs. However, you will most likely need to pay more out of pocket, and some First Health Network plans require prior authorization before they will cover an out-of-network rehab program.

Out-of-Network Exceptions: Even though most First Health Network plans are HMOs, they may have Point-of-Service (POS) options that offer some out-of-network coverage, particularly for specialists or hospitals.

In-network means that the doctors and treatment centers work directly with First Health Network Insurance and have arranged for specific payment rates for their clients.

Generally, choosing an in-network provider is a much more inexpensive option for people because out-of-network programs require you to pay more out-of-pocket.

If you or a member of your family is interested in enrolling in a First Health Network Insurance plan, you have many choices.

These plans are mandated by law to provide the same coverage as Original Medicare, which includes Medicare Part A (hospital) and Part B (medical) coverage. First Health Network also provides HMO and PPO plans.

Each First Health Network Insurance plan provides differing amounts of coverage for various needs, such as prescription drug coverage and telehealth services, so be sure to examine each plan thoroughly.

First Health Network Insurance provides the following types of plans:

• Family health insurance
• Individual health insurance
• Medicaid
• Medicare

Currently, there are two different types of First Health Network Insurance plans available for enrollment on HealthCare.gov:

• Participating Provider Option (PPO)– Individuals with a PPO plan can choose where they go for care without requiring a referral from their doctor or prior authorization. They do not even need to see a doctor in-network.
• Health Maintenance Organization (HMO) — Individuals with an HMO plan are generally only covered for treatment by in-network providers. You will most likely require a referral or prior authorization for a specialist.

First Health Network Insurance also offers two other special plans in some areas:

• First Health Network D-SNP – This is a unique type of Medicare Advantage plan that provides more aid and benefits at no extra cost for people who qualify for Medicare and Medicaid. However, you are not going to be able to choose a separate Part D plan.
• First Health Network C-SNP – This proactive plan is for individuals who live with chronic conditions. These sorts of chronic conditions can include congestive heart failure, cardiovascular disease, and diabetes. It helps supply inexpensive, preventative medication to manage these conditions.

If you or someone you love has any questions about the plans offered by First Health Network, or if you need help finding the one that is right for you and your lifestyle, please do not hesitate to call RehabNet. Our addiction treatment specialists are always willing to assist you.

If you or a member of your family is searching for drug and alcohol addiction treatment options for a substance abuse problem, you may be curious about what forms of addiction your health insurance will cover.

Since substance use disorders fall under the classification of mental health conditions, many different kinds of addictions are covered by insurance providers.

The following are some of the addictions that First Health Network Insurance covers treatment for:

• Alcohol
• Benzodiazepines
• Cocaine
• Heroin
• Marijuana
• Methamphetamine
• Opioids
• Prescription drugs

If you have any questions involving your insurance provider’s coverage for substance abuse treatment, contact us today. Our substance abuse treatment specialists are ready to assist you.

For a lot of people who are pursuing drug and alcohol addiction treatment, finding a substance abuse treatment center that takes their insurance is a crucial factor in making a decision. Thankfully, deciding which addiction treatment programs that are actively taking your insurance can be simple.

Here are a few ways to look for a First Health Network-covered rehab program:

1. Use your insurance card. On the rear of your insurance card, you will see a phone number for an insurance representative who can assist you in narrowing down the substance abuse treatment centers that are close to you.
2. Access your member account. When you sign in to your First Health Network account, you will have the opportunity to look for providers, hospitals, and treatment centers in your network.
3. Check out our list of treatment providers. We detail the top rehab establishments in your home state, along with insurance and payment information.

Since some First Health Network Insurance plans need prior authorization to gain access to substance abuse treatment centers, you may want to speak with your insurance representative before making a final decision.

If you or a loved one is ready to overcome addiction to drugs or alcohol, help is available — and it may be covered by your First Health Network insurance plan. Many substance use disorder rehab centers across the continental United States accept First Health Network, making recovery more accessible and affordable.

While coverage does not extend to Hawaii or U.S. territories, First Health Network includes a wide range of treatment options throughout the mainland U.S. Whether you’re taking your first step toward sobriety or continuing your recovery journey, support is within reach.

Call the RehabNet.com helpline today to speak with an addiction treatment specialist. We can help you understand your insurance benefits and connect you with a rehab program that fits your needs, so you can start your path to lasting recovery.