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First Health | Mental Health Coverage | Zencare — Zencare

first health is a health insurance company that covers more than 5.5 million members, making it one of the largest networks in the country. first health is a subsidiary of aetna inc and offers its members access to excellent therapists across the country.

does first health cover the therapy?

yes, first health covers therapy services for its members. However, because First Health is such a large health insurance company, they offer many plans across the country, and mental health benefits will vary depending on the plan you have.

Reading: What insurance is first health network

for people who have first health, seeing a therapist who is within the first health network is often the most cost-effective option, since you will pay less out of pocket.

How do I check if my first health plan covers the therapy?

To check if your first health plan covers mental health services, look up your benefits summary and document online and look up the therapy fee. In your summary and benefits, you can find this under “outpatient mental health” or “outpatient behavioral health” services. From here, you can find out your copay or coinsurance rates, and figure out how much of the session fee is your responsibility.

If you can’t find your benefit summary and document, call the customer service hotline number on the back of your insurance card. the first health agent will share information about your mental health benefits with you.

how much does therapy cost with my first health plan?

See also: Health insurance basics for college students | Blue Cross Blue Shield

When you see a therapist within the first health network, you may have a copay of around $50 per session, although the cost of therapy depends on the plan you have. There are many plans offered through First Health, which vary by family size and geography, and result in a different copay. first health does not offer coverage for out-of-network therapists.

what types of mental health conditions does first health cover?

first health insurance covers services for many mental health conditions. to reimburse therapists or clients, health first requires that the client receive a diagnosis from their therapist. this diagnosis guides treatment and insurance coverage.

examples of eligible mental health conditions include:

  • depression
  • anxiety and stress
  • alcohol abuse
  • infertility concerns
  • grief and loss
  • eating disorders
  • learning difficulties
  • what types of therapy does first health cover?

    as long as the therapist provides a clinically rigorous, evidence-based modality of therapy that is appropriate for the given diagnosis, first health will provide coverage.

    These evidence-based therapy modalities include:

    • cognitive behavioral therapy (cBT)
    • dialectical behavior therapy (dtb)
    • eye movement desensitization and reprocessing (EMDR)
    • mindfulness practices
    • parent-child psychotherapy
    • acceptance and commitment therapy (ACT)
    • there are many more types of therapies and often therapists combine modalities in their own approaches, all of which are covered by first health. first health requires its providers to have the appropriate credentials and trusts these providers to maintain high professional standards.

      what types of therapy does first health not cover?

      See also: ALDOI – Questions and Answers on Accelerated Benefits

      first health does not cover personal counseling, professional counseling, or holistic treatment modalities such as aromatherapy. it also does not cover energy work such as reiki healing.

      does first health cover online therapy?

      first health covers online therapy so you can see your therapist from the comfort of your home instead of their office. this makes mental health services accessible and safe for all. The first health coverage stays the same whether you see your therapist in person or online, so whatever your copay was when you saw your therapist in person, it will remain.

      However, it is important to check with your first health plan before beginning online therapy to confirm that first health covers teletherapy.

      Does first health cover couples therapy?

      no, first health does not cover couples therapy. this is in part because it is difficult to provide that diagnosis for the mental health condition that many insurance companies require for reimbursement.

      However, if you’re still interested in working with a couples therapist, there are ways to access couples therapy on a budget.

      Do I need to see my GP before starting therapy?

      first health primarily offers ppo plans, which means you won’t need to get a referral from your primary care doctor before you start looking for a therapist. this saves you time and money, it also gets your mental health journey started as soon as you’re ready!

      See also: Who Has the Cheapest Auto Insurance Quotes in Arizona? – ValuePenguin

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