First Health Insurance Company is a subsidiary of Coventry Health Care and is based in San Diego, California. They offer a nationwide PPO network to serve the needs of clients who manage employee health benefits plans. The company currently serves over 3.5 million people throughout the United States. First Health prides itself on superior access to healthcare providers across the country at a reasonable rate.
First Health Insurance Company History and Information
The First Health network began in California in 1984 and was known at the time as CCN Managed Care, Inc. The network quickly expanded beyond California in the following years. In 2001, the First Health Group acquired CCN Managed Care, and the name was changed to First Health Insurance. Coventry Health Care acquired First Health in 2005 as part of a plan to integrate several provider networks to create more flexibility for clients. This integration of networks was completed in 2008.
First Health Contact Information
If you would like to contact First Health for additional information, to file a claim, or to find out about providers in your area you can do so via the online contact form or via the following phone numbers. Customer service representatives are available to take your calls from 7am to 7pm, Monday through Friday, Central Standard Time.
Members and Clients: (800) 226-5116
Providers: (800) 937-6824
General Inquiries: (800) 247-2898
First Health Insurance Products
First Health offers health insurance products to clients with a variety of options to best meet the needs of their employees and their families. They claim to offer the largest nationwide PPO network of providers. With a PPO plan, you have the freedom to choose any provider you wish, but you can minimize expenses by selecting a provider that is in the First Health network.
First Health also offers a variety of “value added” options within its PPO network. These options include:
- Clinical Management
- Non-Network Discounts
- Fee Negotiations
- Comprehensive Transplant Program
- Dental and Vision Coverage
First Health Insurance Network Providers
By selecting medical professionals within the First Health Network, you will pay nothing more than minimal co-pays based on the plan arrangement you or your employer has chosen. The network offers more than 550,000 participating doctors, hospitals, and other health care professionals in all 50 states plus Washington D.C. and Puerto Rico. You can find providers in your area by calling a customer service representative or by using the online search form. When you use this form, you have the following options to search by:
- Find a Doctor
- Find a Hospital
- Search Based on Medical Condition
- Find a Behavioral Health/ Substance Abuse Provider
Find an Ancillary Service Provider – These include:
- Clinical Labs
- Radiology Services
- Physical Therapists
- Surgery Services
- Ambulatory Surgery Centers
- Home Health Care
- Find an Urgent Care Center
- Find an Allied Health Care Professional
First Health Network Advantages
When you use a provider within the First Health Network you not only save yourself money, you gain several other advantages. Aside from only paying a co-pay, you also never have to fill out a claims form. All claims are filed for you. Additionally, since First Health receives contracted rates from providers, services cost less and the company can offer lower co-pays.
Unlike most health insurance companies, most plans within the First Health PPO network do not require you to select a primary care physician. The company does recommend having one; however, because this doctor can be the keeper of all of your medical information, which helps when you have medical questions or need support in dealing with an illness or other medical issue.
First Health Insurance Claims
You will never have to fill out any claims forms with First Health, nor will you have to contact the company yourself when faced with an illness or injury. Instead, if you need to see a specialist, ask your primary doctor to refer you to one within the First Health Network. You do not have to do anything else.
If you are admitted to a hospital in an emergency situation, you should have the hospital contact the First Health review organization that is listed on your insurance card within 24 hours of being admitted. Once again, you do not have to do anything else, allowing you to focus on your health and healing.