Find Alcohol & Drug Rehabs that Accept First Health Insurance

Because the First Health Network contracts with thousands of facilities nationwide, members often gain:

• Wider in-network rehab options compared to smaller regional networks
• Lower out-of-pocket costs when using contracted addiction centers
• More flexibility when traveling, relocating, or seeking care outside your home state
• A broader range of detox, inpatient, and outpatient programs

This makes First Health especially valuable for:

• Individuals in states with limited local rehab access
• Employees who travel for work
• Families looking for specialized programs outside their region
• People seeking niche or evidence-based treatment modalities

Coverage under a First Health-linked plan is shaped by:

1. Your Insurance Carrier & Plan Design

Plans differ by:

• Deductible
• Coinsurance
• Copayments
• Coverage limits
• Pre-authorization requirements
• Length-of-stay guidelines

2. In-Network vs. Out-of-Network Selection

Using a First Health Network provider gives the best coverage. Out-of-network facilities may:

• Not be covered at all
• Require higher coinsurance
• Require more paperwork
• Cause delays in approval

3. Medical Necessity

Higher levels of care require clinical proof, such as:

• Risk of withdrawal
• Failed outpatient attempts
• Safety concerns
• Severe symptoms
• Psychiatric instability

4. State Regulations & Employer Rules

Self-funded employer plans may have unique coverage rules that differ from traditional insurance.

To confirm your exact coverage:

Step 1 — Check your insurance card

Look for references to the First Health Network or a First Health logo.

Step 2 — Call your insurance plan

Ask specifically:

• “Which addiction treatment services are covered?”
• “Is the facility in-network with First Health?”
• “Is a referral or pre-authorization required?”

Step 3 — Confirm with the treatment center

Ask whether they:

• Accept First Health Network
• Can verify your benefits
• Offer required levels of care

Step 4 — Let Better Addiction Care help

We connect you directly with rehabs that accept First Health and assist with verifying your coverage.

Rehabs that accept First Health benefits typically treat:

Substance Use Disorders

• Alcohol addiction
• Opioid dependence (heroin, fentanyl, prescription opioids)
• Cocaine, methamphetamine, and stimulant abuse
• Benzodiazepine addiction
• Marijuana use disorder
• Polydrug use disorders

Behavioral Addictions (varies by facility)

• Gambling disorder
• Digital/gaming compulsion
• Sex or relationship compulsions
• Food addiction (when linked to co-occurring disorders)

Co-occurring Mental Health Disorders

• Major depressive disorder
• Generalized anxiety disorder
• Trauma-related disorders
• Mood disorders
• Obsessive-compulsive disorder
• Schizoaffective disorder
• Self-harm tendencies (in stabilized cases)

First Health itself does not “decide” coverage — but your insurance plan often covers the following services when performed by an in-network First Health provider and deemed medically necessary.

1. Substance Use Assessments & Clinical Evaluations

Most plans include:

• Diagnostic assessments
• Substance use screenings
• Psychiatric evaluations
• Treatment planning

These help determine the appropriate level of care under ASAM (American Society of Addiction Medicine) criteria.

2. Detoxification (Detox)

Detox is medically supervised withdrawal management.
 Programs typically available through First Health facilities include:

• Inpatient alcohol detox
• Opioid detox (short-term or medication-supported)
• Benzodiazepine tapering protocols
• Stimulant detox with symptom stabilization

Detox may occur in licensed detox centers, hospitals, or inpatient rehab facilities.

3. Inpatient & Residential Rehabilitation

Patients with moderate to severe addiction — or those who cannot maintain sobriety safely at home — may be recommended for residential care.

First Health-linked inpatient programs commonly offer:

• 24/7 medical monitoring
• Individual, group, and family therapy
• Medication support
• Evidence-based treatment (CBT, DBT, motivational therapy)
• Trauma-informed care
• Relapse-prevention training
• Aftercare planning

Facilities must meet specific licensing and credentialing requirements to be First Health participating providers.

4. Partial Hospitalization Programs (PHP)

PHP is one step below inpatient care and often covered by plans using the First Health Network.

Typical PHP components:

• 4–6 hours of treatment per day, 5–7 days a week
• Medication management
• Psychiatric oversight
• Therapy, education, and skill-building
• Strong relapse-prevention focus

This level is commonly recommended for individuals transitioning out of residential rehab.

5. Intensive Outpatient Programs (IOP)

IOP blends structure and flexibility, allowing individuals to live at home while receiving consistent support.

These programs often include:

• 9–15 hours of therapy per week
• Group counseling
• Individual therapy
• Family sessions
• Urine drug screening and monitoring
• Support for returning to work or school

Many First Health in-network facilities offer both day and evening IOP options.

6. Standard Outpatient Treatment

Outpatient therapy is often covered and includes:

• Weekly or bi-weekly therapy
• Psychiatric check-ins
• Peer support
• Long-term relapse prevention
• Medication follow-ups

This is the lowest level of care and often used after completing higher-intensity treatment.

7. Medication-Assisted Treatment (MAT)

Many First Health-linked plans cover MAT for:

• Opioid use disorder
• Alcohol use disorder
• Relapse prevention support

Common medications include:

• Buprenorphine / Suboxone
• Methadone
• Naltrexone / Vivitrol
• Acamprosate
• Disulfiram (Antabuse)

Coverage may require:

• Prior authorization
• Enrollment in an approved program
• A licensed MAT provider

8. Dual-Diagnosis Treatment

Programs that treat both addiction and mental health conditions are widely available within the First Health Network, including treatment for:

• Depression
• Anxiety
• PTSD
• Bipolar disorder
• Trauma disorders
• ADHD
• Personality disorders

Integrated treatment is often covered when medically necessary.