First Health PPO Coverage for Drug & Alcohol Rehab

First Health PPO Network may cover some or all addiction treatment costs and is in-network with The Recovery Village Atlanta.

When someone is struggling with addiction or co-occurring mental health concerns, entering treatment is often a lifesaving decision. Because behavioral health services are considered essential health benefits, many insurance plans — including those that utilize the First Health PPO Network — offer coverage for detox, inpatient rehab, outpatient treatment and therapy. If your health plan uses the First Health network, you may have access to substantial benefits that can lower your out-of-pocket cost when receiving care at The Recovery Village Atlanta. This guide explains how First Health PPO rehab coverage works and how to verify your benefits.

What Is the First Health PPO Network?

The First Health PPO Network is one of the nation’s largest independent preferred provider organizations, connecting members to more than one million providers across the United States. Rather than serving as a standalone insurance company, First Health contracts with insurers, TPAs and employer health plans to provide broad provider access and discounted, in-network rates.

First Health is commonly used by:

• Self-funded employer plans
• High-deductible health plans
• Travel or nationwide insurance plans
• TPAs and supplemental benefit administrators

Because First Health is a PPO network, members typically enjoy flexibility in choosing providers, including behavioral health and addiction treatment facilities. If The Recovery Village Atlanta is in-network under your plan’s First Health PPO arrangement, you may pay lower rates, reduced coinsurance or less out-of-pocket overall.

How First Health PPO Coverage Works

First Health PPO contracts allow members to access discounted rates across a broad provider network. When a treatment center like The Recovery Village Atlanta is in-network with First Health, you receive financial benefits such as:

• Lower negotiated rates for detox, inpatient and outpatient services
• Reduced coinsurance for in-network services compared to out-of-network care
• No referral requirements to enter behavioral health treatment
• Nationwide provider access, which helps members seeking specialized rehab programs outside their home city or state

Your specific coverage depends on your underlying health plan’s deductibles, copays, out-of-pocket maximums and preauthorization requirements. A Recovery Advocate can walk you through these details step-by-step.

Does First Health PPO Cover Drug and Alcohol Rehab?

Many First Health PPO plans offer benefits for addiction treatment across multiple levels of care. Coverage varies by plan, but services that may be included under your First Health PPO benefits include:

• Medical detox (24/7 supervised withdrawal care)
• Residential or inpatient rehab
• Partial hospitalization programs (PHP)
• Intensive outpatient programs (IOP)
• Standard outpatient therapy
• Medication-assisted treatment (MAT)
• Dual diagnosis treatment for co-occurring disorders

Your plan may require a medical necessity review before approving certain levels of care. Medical necessity is often determined using ASAM (American Society of Addiction Medicine) criteria, which evaluate symptoms, withdrawal risks, mental health status and safety at home.

The Recovery Village Atlanta accepts many First Health PPO plans, which can help significantly reduce the cost of treatment.

Does First Health PPO Cover Mental Health Treatment?

Yes. Behavioral and mental health services are typically covered under plans that use the First Health PPO Network. Because addiction often co-occurs with mental health conditions like depression, anxiety, PTSD or bipolar disorder, treating both conditions is essential for long-term recovery.

Mental health coverage may include:

• Psychiatric evaluation and medication management
• Cognitive behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Trauma-informed therapy
• Group therapy
• Family therapy
• Dual diagnosis treatment for individuals with both mental health and substance use diagnoses

The Recovery Village Atlanta offers integrated dual diagnosis care, allowing patients to address substance use and mental health concerns within a single, coordinated program.

Medication-Assisted Treatment (MAT) With First Health PPO

Medication-assisted treatment is an evidence-based approach for opioid and alcohol use disorders. Whether MAT medications are covered under your First Health PPO plan depends on how your insurance structures medical and pharmacy benefits, but many members do receive support for medications such as:

• Buprenorphine-based medications
• Naltrexone (oral or injectable)
• Methadone (covered through specialized clinics)

The Recovery Village Atlanta provides MAT services when clinically recommended, integrating them into a broader treatment plan that includes counseling and behavioral therapy.

How Long Will First Health PPO Cover Rehab?

The length of treatment covered by First Health PPO depends on:

• Your specific plan benefits
• Preauthorization requirements
• Medical necessity determinations
• Your progress and stabilization during treatment

At The Recovery Village Atlanta, the average treatment length typically ranges from 40–72 days and may include multiple levels of care:

• Detox
• Residential treatment
• PHP (partial hospitalization)
• IOP (intensive outpatient)

Many plans conduct periodic reviews to ensure the level of care matches clinical needs. Our admissions team handles these reviews on your behalf to help minimize interruptions in care.

Georgia Rehab That Accepts First Health PPO

The Recovery Village Atlanta provides evidence-based addiction and mental health treatment across two Atlanta-area locations. Our programs offer a complete continuum of care, allowing patients to move through levels of treatment as they stabilize and build the skills needed for long-term recovery.

Programs include:

• Medical detox
• Residential treatment
• Dual diagnosis programming
• Partial hospitalization (PHP)
• Intensive outpatient (IOP)
• Outpatient therapy
• Aftercare planning

Our team can verify your First Health PPO benefits, explain your expected costs, and walk you through your insurance coverage in detail before treatment begins.

Verify Your First Health PPO Coverage

You don’t need to navigate benefits alone. Our Recovery Advocates can help you:

• Confirm network eligibility for your First Health PPO plan
• Check deductibles, copays and coinsurance
• Explain which services are covered
• Coordinate prior authorizations
• Estimate out-of-pocket costs before treatment

For help understanding your benefits, contact our team or use our insurance verification form for fast results.

Looking for another insurance provider? We are also in-network with Cigna, BCBS and Aetna.