A MISSION FOR MICHAEL
We accept most major insurance providers and can check your coverage levels for you.
If we are not an appropriate provider for care, we will assist in finding a care provider that can help.
When you’re experiencing mental health difficulties, insurance coverage can help you access personalized treatment. A Mission For Michael offers residential treatment programming in California, Washington, and Virginia. Our facilities commonly accept health insurance, including First Health Network mental health coverage.
Our comprehensive treatment facilities offer treatment for a range of mental health disorders, including dual diagnosis conditions. This includes conditions like bipolar disorder, schizophrenia spectrum disorder, depression, anxiety, and PTSD (Post Traumatic Stress Disorder). For many, accessing intensive treatments, like residential care, is more affordable with insurance policies. We will explore First Health Network’s mental health insurance options and review how their coverage options apply to various mental health treatment services.
First Health Group Corporation is an owned subsidiary of Aetna, INC. Aetna is a CVS company. Though there is some separation between First Health Network and Aetna, they have the same core values. This includes putting people first, creating simplicity, inspiring trust, and rising to the challenge. First Health is a Third-Party Administrator (TPA), meaning it operates and administers policies for health insurance companies.
First Health Network is a contracted national PPO network as well. Their network includes over 6,400 hospitals, 151,000 medical facilities, and 1.22 million professional healthcare providers. First Health Network can be used as primary health insurance, or as a secondary for those who have primary coverage.
First Health Network benefit options fall under the First Health Network and Confinity Network. Coverage options with First Health allow members to work with doctors, specialists, hospitals, and other health professionals. There are four main categories of products, including medical network options, dental, non-network claim options, and medical management. Continue reading for an explanation of each.
Yes! Insurance companies generally provide insurance coverage for mental health disorders. Mental health parity laws require insurance companies to provide comparable coverage for mental health and substance abuse, that they would offer for medical health concerns. Your policy can include therapy, counseling, and psychiatry services.
Insurance policies can vary, affecting your coverage rates and out-of-pocket expenses. Your plan may include set premiums, deductibles, and copayments. Additionally, you may have limitations or exclusions when working with out-of-network providers. Some insurance plans require prior authorization before engaging in services. Understanding the scope of your coverage is important when you’re exploring your mental health treatment options.
Mental health disorders are a grouping of medical conditions that can affect your thoughts, moods, and behaviors. Some of the most common mental health disorders in the U.S. include anxiety, depression, PTSD, bipolar disorder, and borderline personality disorder. These conditions are outlined in a clinical resource, known as the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Treatment options for mental illnesses depend on the symptoms you’re experiencing, your level of functioning, and other risk factors. Those who are experiencing moderate to severe symptoms often benefit from intensive treatments, like residential and inpatient programming. Individuals experiencing mild to moderate symptoms may align better with an outpatient treatment program.
Mental health treatment programs typically provide personalized care to address the individualized nature of mental health conditions. This can include the use of evidence-based therapies like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness-based practices. If you have been struggling with persistent, or worsening mental health concerns, we encourage you to contact AMFM today for a confidential and free mental health assessment. We will focus on understanding your current symptoms and challenges so that we can provide you with a personalized treatment recommendation.
Within the United States, an estimated 57.8 million adults, or 22.8% of the population, were living with a mental illness in 2021. 5.5% of the population was living with a severe mental illness during that time, according to the National Alliance on Mental Illness (NAMI). These conditions can affect your career, relationships, and ability to manage everyday tasks.
The rates of anxiety and depressive disorders among California residents were lower than the national average in February 2023. The age-adjusted suicide rate during 2021 in California was lower when compared to national rates. Additionally, rates for adults in California experiencing depression or anxiety in 2022 were slightly higher than national rates, representing 28.5% of the population.
When we look at Washington State, the Kaiser Family Foundation (KFF) indicated that the rates of anxiety and depression were slightly higher compared to the national average of 32.3%. Washington did have a higher age-adjusted suicide rate in 2021 when compared to the rest of the nation. An estimated 55.3% of adults who experienced a mental illness had access to private health insurance, yet 34% of those experiencing anxiety and depression did not engage in psychotherapy.
The KFF indicated that the rates for anxiety and depression among Virginian adults in 2023 were slightly lower than national rates, at a reported 32% compared to 32.3%. Virginia did have higher rates of opioid overdoses in 2021 compared to other areas of the nation. Over 64% of adults in Virginia have private health insurance, which is higher than the national average of 59%.
If you would like to learn about the details of your First Health Network coverage, we encourage you to complete the online verification form with AMFM. This form provides our admission counselors with the information they need to contact First Health Network and learn about the details of your coverage.
We work closely with First Health Network, allowing you to make an informed decision about your treatment. Contact us today, our admission counselors are here to support you throughout the admission process.
Yes. First Health Network mental health services often include coverage for residential inpatient care. While the details of your coverage depend on your plan, medical necessity, and provider network, your treatment expenses should be less than if you were to pay out of pocket. Your plan may include premiums, deductibles, or copayments for insured members.
Residential treatment can provide you with professional support and guidance around the clock for a range of mental health conditions, including major depression, PTSD, bipolar disorder, and addictions. These programs often combine various therapeutic approaches for comprehensive care. This can include psychotherapy, support groups, and psychoeducation. Some providers offer holistic and specialized treatments, like yoga and equine therapy.
Outpatient mental health therapy is commonly included in First Health Network’s mental health coverage. Coverage may include individual therapy, group therapy, and psychiatric care, such as medication management services. Outpatient treatment is ideal for those experiencing mild to moderate symptoms who can manage their symptoms without intensive support.
These programs can be beneficial for conditions like anxiety, depression, PTSD, bipolar disorder, and borderline personality disorder. Your coverage is dependent on plan exclusions, endorsements, and umbrella policies. Factors like indemnity limits, reinsurance agreements, and risk assessments by actuaries can affect the extent of coverage you receive.
First Health Network mental health insurance often includes coverage for intensive outpatient treatments. This can include Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs). These programs offer structured therapy, with longer durations compared to traditional outpatient programming.
PHPs provide several hours of daily treatment, while IOPs offer flexible, part-time care that can accommodate your professional and academic schedules. These programs can help you develop healthy routines, like self-care and wellness behaviors, that support long-term recovery. Coverage for these programs is based on the details of your policy, session limits, and availability of appropriate treatment options.
Yes, First Health Network’s mental health coverage typically includes the costs for assessments and evaluations. These services are necessary, and help professionals reach an accurate diagnosis based on the symptoms you’re experiencing. This information then helps them make an informed treatment recommendation. Assessments can also help guide treatment plan development, to ensure you receive personalized services.
Your coverage may include psychiatric evaluations, psychological testing, and screenings for substance use and mental health disorders. Contact AMFM today by dialing (866)478-4383 to learn about the details of your insurance coverage.
A Mission For Michael (AMFM) offers whole-person residential treatment options to help you develop the foundation needed for long-term emotional well-being. We personalize our evidence-based treatments to your symptoms and challenges and enhance these therapies with holistic approaches. Dial (866)478-4383 to explore First Health Network’s mental health treatment options today.
AMFM Mental Health Treatment Centers can be found in San Diego and Orange County. These residential facilities combine the use of wellness programs, evidence-based therapies, and holistic approaches. This allows us to provide you with personalized care, that aligns with your needs. Contact us today to explore First Health Network treatment options.
With multiple treatment locations in Virginia, AMFM Mental Health Treatment Centers can provide you with personalized care aligning with your needs. Commonly used aspects of our program include individual therapy, family therapy, equine therapy, and daily yoga. Reach out today to learn about available First Health Network treatment options.
Our Seattle, Washington, treatment facility offers personalized treatment options for those experiencing moderate to severe mental health symptoms. Our focus is helping you find a new balance in your life and learn coping strategies that allow you to manage your symptoms. This can help decrease your overall level of distress and improve your functioning.
Yes, First Health Network Health often provides coverage options for dual-diagnosis treatment programs. Dual diagnosis conditions are often complex and require personalized treatment. Those who are struggling with a substance use disorder have different treatment needs than those with two mental health conditions, like depression and PTSD.
Coverage for dual diagnosis treatment programs can vary and is dependent on the details of your plan. You may be responsible for out-of-pocket expenses like copayments, deductibles, and premiums. Verifying your coverage can ensure that you you’re able to receive the most out of your coverage, without experiencing personal loss.
First Health Network typically provides coverage for both mental health disorders and substance or drug addictions. Depending on the severity of your symptoms, you may require detoxification, inpatient treatment, and outpatient care for continued support. Medication management services can be used in some cases to promote recovery and help improve your emotional well-being.
Coverage options with First Health Network commonly include coverage options for those who require alcohol addiction treatment in addition to mental health support. The severity of your symptoms helps determine which treatment option is medically appropriate for your needs. This can include detoxification, inpatient care, and outpatient treatment. Immediate and long-term medication management services may be necessary.
First Health Network mental health services can be used to treat a range of mental health conditions. This allows you to access personalized care, tailored to your unique symptoms and concerns. Examples of common mental health conditions that are included in First Health Network coverage include:
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We accept most major insurance providers and can check your coverage levels for you.
If we are not an appropriate provider for care, we will assist in finding a care provider that can help.
Therapies that are used within AMFM Mental Health Treatment Centers are dependent on several factors, such as the symptoms you’re experiencing. Commonly used evidence-based approaches include CBT, DBT, and group therapy. Continue reading for a brief introduction to therapies commonly included in First Health Network plans.
Psychodynamic therapy is an approach that focuses on learning about how your unconscious thoughts and experiences affect your current behaviors. This approach is commonly used with those struggling with unresolved trauma, depression, and anxiety. Psychodynamic therapy is grounded in a strong therapeutic alliance, allowing you to dive into your emotional difficulties and new coping strategies.
Family therapy can be used to address dynamics within a family unit that contribute to the challenges you experience. Family sessions can help improve communication, resolve conflicts, and strengthen relationships to develop a healthier home environment. Family sessions typically include more than one family member, allowing them to work together to accomplish their goals.
Cognitive Behavioral Therapy (CBT) is a structured, evidence-based approach that focuses on identifying and modifying negative thought patterns and behaviors. CBT is commonly used with those struggling with depression, anxiety, PTSD, and addictions. CBT can introduce you to new coping strategies and healthier thought processes, which can improve your quality of life and emotional well-being.
Group therapy is a powerful treatment experience that allows you to connect with others who have had similar mental health experiences as you. This can provide you with a unique sense of validation for your thoughts and experiences and provide you with an opportunity to practice new communication and social skills. Group therapy is a common component of First Health Network treatment programs.
Dialectical Behavior Therapy (DBT) incorporates emotion regulation, distress tolerance, mindfulness, and interpersonal skills. This approach was developed to treat borderline personality disorders and is effective for self-harming behaviors and intense mood swings. This approach can improve your ability to manage emotional distress. DBT is typically approved by First Health Network for conditions it is known to treat effectively.
Mindfulness-Based Cognitive Therapy (MBCT) combines components of CBT and mindfulness practices. This approach is effective for treating anxiety and depression. This approach can help you learn to be aware of your thoughts and feelings without judging your experience. You can learn to end negative thinking patterns and reduce the risk of recurrent mental health challenges. MBCT can be included in your First Health Network mental health coverage options.
First Health Network policyholders can also experience a range of out-of-pocket expenses for mental health treatment. The details of your plan often include specific amounts for premiums, copayments, and deductibles. The cost of care can also fluctuate with varying levels of care, including inpatient and outpatient treatment options.
If you would like a personalized quote for mental health treatment tailored to your needs, we encourage you to contact AMFM Mental Health Treatment Center for a free mental health assessment. This allows us to provide you with a personalized treatment recommendation, which can include a quote for care.
The cost of mental health treatment programs without health insurance can vary. Treatment costs are influenced by the level of care you receive, the location of your treatment facility, the duration of care, and your use of specialized treatment services. Inpatient treatment programs have higher costs compared to outpatient treatment. Average costs fall between $500 to $2,000 per day.
Outpatient therapy costs average between $100 to $200 per session, with lower rates for group therapy sessions. Those who engage in intensive programs, like partial hospitalization programs and intensive outpatient programs, can expect higher costs due to the intensive nature of their outpatient programs. Keep in mind that specialized approaches and medication management services can also increase the cost of treatment.
An important step in having First Health Network cover your treatment is to verify your insurance. This process brings your attention to limitations, exclusions, and required authorizations for treatment. At AMFM, we can help you ensure that the proper paperwork is completed for the health insurance claims process.
First Health Network policies often provide coverage for a range of evidence-based therapies, including inpatient and outpatient care. Learning more about the details of your coverage allows you to choose a provider whose treatment programs align with the requirements of your insurance policy.
The duration of treatment that is included in your coverage can vary based on your specific needs, and the details of your plans. A component of the claims process is showing that the treatment you’re planning to engage in is medically necessary for your current symptoms. Your coverage may include both short-term and long-term treatment options.
Your plan may have coverage limits outlined in its details for specific programs, like inpatient and intensive outpatient programs like PHPs and IOPs. Contact AMFM today for support in understanding the limitations and exclusions associated with your insurance plan.
Coverage restrictions for treatment episodes can vary among First Health Network policyholders. Many plan options allow multiple treatment episodes per year when it is medically necessary. This may include inpatient treatment, outpatient care, or a combination of both. Coverage limits can include a set number of therapy sessions or inpatient days per year.
With that being said, it is possible to request extensions or prior authorization if you require additional coverage. AMFM admission counselors can help you understand the scope of your coverage, and assist if you need to request approval for treatment beyond the scope of your policy limits. Call us today for guidance and support.
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If we are not an appropriate provider for care, we will assist in finding a care provider that can help.
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