First Health Network Coverage for Medication-Assisted Treatment in Tennessee

Freeman Recovery Center accepts First Health Network insurance and can apply those benefits toward medication-assisted treatment at our Dickson, Tennessee facility. If you or someone in your family is dealing with opioid use disorder or alcohol use disorder, verifying what First Health Network will cover is one of the most practical first steps toward getting into care. Call (615) 645-3677 or use our free online verification tool to find out exactly what your plan covers before you commit to anything.

Does First Health Network Cover MAT in Tennessee?

First Health Network functions as a preferred provider organization (PPO) network, meaning your behavioral health benefits are applied based on whether the facility you choose is in-network or out-of-network. Freeman Recovery Center is listed as an accepted First Health Network provider, which typically means lower cost-sharing for covered services compared to going outside the network.

Medication-assisted treatment is a covered benefit under most First Health Network plans, but the specific coverage details, including copays, deductibles, prior authorization requirements, and covered medications, vary depending on the plan your employer or insurer has structured. The best way to know what your specific plan will pay is to let our admissions team run a free verification of benefits before your first appointment.

Ready to confirm your coverage? Call (615) 645-3677 or visit online for a free, confidential benefits check. Same-day admissions are available.

What First Health Network Covers for MAT at Freeman Recovery Center

MAT at Freeman Recovery Center is integrated into multiple levels of care rather than offered as a standalone service. Medications are prescribed and managed within the same clinical structure as individual therapy, group sessions, and continuing care planning.

The FDA-approved medications Freeman uses as part of MAT include the following, all of which may be covered under First Health Network behavioral health benefits depending on your specific plan:

• Buprenorphine (Suboxone) for opioid use disorder
• Naltrexone for opioid use disorder and alcohol use disorder (oral and extended-release injectable forms)
• Acamprosate for alcohol use disorder
• Methadone for opioid use disorder
• Disulfiram for alcohol use disorder
• Nalmefene for alcohol use disorder

Note: Freeman also distributes naloxone (Narcan) through its community outreach programs. Naloxone is an overdose reversal agent and is separate from the MAT medications above.

Coverage for specific medications varies by plan tier, formulary placement, and whether prior authorization is required. Freeman’s admissions team verifies all of this as part of the free benefits check before you begin treatment.

For more detail on how MAT fits within each level of care, see Freeman’s Medication-Assisted Treatment page or learn about individual programs.

How First Health Network Substance Use Benefits Work at Freeman

Understanding your First Health Network benefits for addiction treatment involves a few key terms. When the admissions team runs your verification, here is what they are checking:

In-Network Status
Freeman Recovery Center accepts First Health Network, which means claims are processed at the in-network cost-sharing rate when applicable. Out-of-pocket costs are generally lower in-network than out-of-network.

Deductible
If your plan includes an annual deductible for behavioral health services, you may need to meet that amount before insurance begins covering a portion of MAT costs. Some plans have separate mental health and substance use deductibles; others apply a single combined deductible.

Prior Authorization
Many First Health Network plans require prior authorization before certain levels of care begin, including residential treatment or extended outpatient MAT. Freeman’s admissions team handles this process directly with the insurer on your behalf, so you are not navigating that paperwork alone.

Copays and Coinsurance
Once your deductible is met, you may owe a copay per visit or a coinsurance percentage of each covered service. For MAT specifically, this can apply to both the medication management appointments and the associated therapy sessions.

Mental Health Parity
Federal law under the Mental Health Parity and Addiction Equity Act requires that insurance plans covering mental health and substance use disorders provide benefits that are no more restrictive than benefits for comparable medical and surgical care. This protects your access to MAT and behavioral health treatment under First Health Network.

Verifying Your First Health Network MAT Benefits at Freeman Recovery Center

The verification process at Freeman is designed to give you a clear picture of what your insurance will cover before you commit to a program. Here is how it works:

1. Call or submit online. Reach the admissions team at (615) 645-3677 or submit your insurance information online. The assessment is free and confidential.

2. Provide your insurance details. The team will ask for your First Health Network member ID, the subscriber’s date of birth, and the name of your employer or plan administrator if applicable.

3. Benefits confirmed within hours. The admissions team contacts First Health Network directly to confirm active coverage, in-network status, deductible balances, copay structure, and whether prior authorization is needed for MAT.

4. Review your out-of-pocket estimate. Before you arrive, you will know what to expect financially. There are no surprises at intake.

5. Same-day admissions available. If coverage is confirmed and you are ready, Freeman can admit the same day in most cases.

What to Expect Financially for MAT With First Health Network Coverage

Most patients with active First Health Network coverage who use an in-network provider like Freeman Recovery Center will see a meaningful portion of MAT-related costs covered. The variables that affect your out-of-pocket responsibility include:

• Whether your annual deductible has already been met for the calendar year
• The specific plan tier your employer selected
• The level of care being authorized (detox, residential, PHP, IOP, or outpatient)
• Whether the requested medications require step therapy or formulary authorization
• Session frequency and duration of the MAT program

For patients without insurance or with limited coverage, Freeman Recovery Center also offers access to state-funded and sliding-scale payment options through Freeman Health Partners, the integrated sister clinic. TennCare and Medicaid are also accepted where applicable.

MAT Within Freeman’s Full Continuum of Care

One practical advantage of choosing Freeman Recovery Center for MAT is that the medication component does not exist in isolation. Across the 200-bed facility serving 350+ patients daily, medication management is embedded into a clinical continuum that spans:

• Medical Detox (Burns, TN campus): 24/7 monitored withdrawal management, where MAT medications may be initiated for opioid use disorder or alcohol use disorder
• Residential Treatment (Burns, TN campus): structured inpatient care with medication management integrated into the daily clinical schedule
• Partial Hospitalization (PHP) (Dickson, TN): daytime programming with ongoing medication management and individual therapy
• Intensive Outpatient (IOP) (Dickson, TN): evening sessions available for working adults; medication management continues alongside group and individual therapy
• Standard Outpatient: lower-intensity continuing care, including ongoing MAT prescription management
• Telehealth via Freeman Recovery Online: PHP and IOP delivered via secure video conferencing for patients across Tennessee who cannot attend in person, including virtual medication management coordination

This means a patient whose First Health Network plan authorizes residential care followed by step-down to IOP with continued MAT can receive all of that within a single provider network, without having to find a new prescriber at each transition.

Frequently Asked Questions: First Health Network and MAT Coverage