Carriers & networks

Is First Health PPO good? Yes — it's a national Aetna network

Quick answer

First Health is a well-established national PPO network of contracted doctors and hospitals, owned by Aetna, a CVS Health company. It is a network, not an insurance company: health plans rent it, and the plan on your ID card sets your benefits and pays claims. So for you, "good" comes down to two things: your doctors are in the network, and the plan using it fits your needs. Call (813) 724-3314 and our agents will check both with you. Plans we offer on First Health networks include Medical Mutual plans and Allstate fixed indemnity plans.

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Is First Health PPO good? Our short review

For people who want broad PPO access, First Health is a strong network to have behind a plan. First Health says it provides "directly contracted national and regional PPO network access," serves more than 260 payer clients, and that about 1.1 million people access First Health networks each year (First Health).

  • National reach: a nationwide network of contracted doctors and hospitals, useful if you travel or live in more than one state.
  • Aetna credentialing: First Health uses Aetna's credentialing process to assess providers, and the Aetna Credentials Verification Organization has held NCQA certification continuously since 1998.
  • Contracted rates: in-network providers agree to discounted rates, which the network applies to your claim.
  • Easy to check: you can search the First Health provider directory online before you enroll.
  • Private plans, year-round: apply any time of year for plans that use First Health.

Who owns First Health? (Aetna First Health PPO, explained)

First Health describes itself as First Health Group Corporation, "a wholly owned subsidiary of Aetna Inc., a CVS Health company." It works independently of Aetna but shares its credentialing process. Because Aetna owns First Health, you'll see searches like "Aetna First Health PPO" or "First Health Aetna PPO": they point to the same First Health network.

A First Health logo on your card tells doctors which contracted rates apply. It doesn't make Aetna your insurer. Your benefits come from the plan or administrator named on your ID card.

First Health is a PPO network, not an insurer

In First Health's own words, it "is not an insurance company, we do not sell insurance and we do not pay claims." It offers access to provider networks, including the First Health and Cofinity networks, to clients such as insurance companies, third party administrators (TPAs) and employers. Here's who does what:

Network vs. plan: who does what
TaskFirst Health (the network)Your plan or administrator
Doctors and hospitalsBuilds and maintains the provider network and directoryBuys access to the network for its members
BenefitsDoesn't set benefitsDesigns the plan: deductibles, copays and coinsurance
ClaimsApplies the contracted (discounted) rateApplies your benefits and pays the claim
Pre-authorizationNot its roleHandles pre-authorization or pre-certification
QuestionsFinding an in-network providerCoverage, claims and billing (number on your ID card)

How to check if your doctor is in the First Health network

  1. Get the exact plan name and network from us (or from your ID card).
  2. Search the First Health provider locator and pick the network your plan lists.
  3. Call the office and ask: “Do you accept the First Health network for [plan name]?”
  4. For a planned hospital stay, also ask about hospital-based doctors. First Health's directory notes that some, such as anesthesiologists, radiologists, pathologists and emergency room physicians, may not be network providers.

More tips: how to check if a doctor is in network and in-network vs. out-of-network care.

Plans we offer that use First Health

First Health PPO network vs. Limited Benefit Plan network
FeatureFirst Health PPO networkFirst Health Limited Benefit Plan network
Plans we place on itMedical Mutual private plansAllstate fixed indemnity plans
How the plan paysUnder the plan's benefits, with network contracted ratesFixed cash benefits, the same amount in or out of network
When you can applyYear-roundYear-round

The Medical Mutual plans we place are private plans on the First Health network. First Health fixed indemnity plans pay fixed cash benefits, and network providers may offer discounts on what you still owe. Ascend Health Consultants is a licensed insurance agency, and our agents licensed in all 50 states can compare these side by side with other private options.

First Health PPO reviews: how to read them

Because First Health doesn't pay claims, a review about a claim or a bill is usually about the plan that uses the network. When you read First Health PPO reviews, check which plan the reviewer had. The questions that matter for you: are your doctors listed, and do the plan's benefits fit your budget and health needs? We review both with you before you apply.

Find plans that use the First Health network. Call (813) 724-3314 (Monday–Saturday 8 AM–9 PM ET, Sunday closed) or Get your free quote in about a minute. We never charge you a fee for our help.

Frequently asked questions

Is First Health PPO a good insurance?

First Health is a large national PPO network owned by Aetna, a CVS Health company — not an insurance company. Private plans rent the network. How well the coverage fits you depends on the plan that uses it (its benefits and out-of-pocket costs) and on whether your doctors participate.

Is First Health PPO network good?

It's a well-established national PPO network. First Health says it serves more than 260 payer clients and about 1.1 million people use its networks each year, and it uses Aetna's credentialing process. It's a good fit if your doctors are in it.

Is First Health insurance good?

"First Health insurance" usually means a plan that uses the First Health network. The network gives you national PPO access; the plan named on your ID card decides benefits and pays claims. Our agents compare the plan's benefits with you before you apply.

Is First Health network good insurance?

The First Health network isn't insurance; it's a group of contracted doctors and hospitals. Pair it with a plan whose benefits fit you, check that your doctors participate, and it can be a solid choice for national access.

What should I look for in First Health PPO reviews?

Check which plan the reviewer had. First Health doesn't pay claims, so most claim or billing experiences are about the plan, not the network. Then confirm your own doctors in the directory.

Is First Health part of Aetna?

Yes. First Health Group Corp. describes itself as a wholly owned subsidiary of Aetna Inc., a CVS Health company. It works independently but uses Aetna's credentialing process.

Does a First Health card mean Aetna is my insurer?

No. The First Health logo tells providers which network rates apply. Your insurer or plan administrator is the company named on your ID card, and that's who handles coverage and claims.

Is First Health a good network?

It's a large national PPO network, useful for people who travel or live in different states. Whether it's good for you depends on whether your doctors participate.

Is First Health insurance?

No — it's a provider network used by insurers and plans. First Health says it doesn't sell insurance or pay claims.

What kind of insurance is First Health network?

None. First Health is a provider network: a set of contracted doctors and hospitals. The plan that uses the network decides benefits, sets premiums and pays claims. Some plans that use a First Health network, such as fixed indemnity plans, pay fixed cash benefits.

Is First Health a PPO?

Yes. The First Health PPO is a national PPO network. Fixed indemnity plans use First Health's separate Limited Benefit Plan network instead.

Who pays my claims on a First Health plan?

Your plan or benefit plan administrator, not First Health. First Health applies the contracted rate and sends the claim back to the plan, which applies your benefits and pays it.

How do I check if my doctor is in the First Health network?

Get the exact plan name, search the First Health provider locator for the network your plan lists, then call the provider and ask: “Do you accept the First Health network for [plan name]?”

Is First Health PPO legit?

Yes. First Health Group Corporation is a wholly owned subsidiary of Aetna Inc., a CVS Health company, and it operates a national PPO network of contracted doctors and hospitals. First Health is a network, not an insurance company: it does not sell insurance or pay claims. The plan on your ID card sets your benefits and pays claims. A licensed agent can check whether your doctors participate and walk you through a plan that uses the network.

Is First Health insurance legit?

Yes. “First Health insurance” usually means a health plan that uses the First Health network. First Health Group Corporation is a real company — a wholly owned subsidiary of Aetna Inc., a CVS Health company — that provides a national PPO network. First Health itself does not sell insurance or pay claims; the plan named on your ID card does. Our licensed agents can review that plan with you.

What is First Health PPO?

First Health PPO is a national preferred-provider organization (PPO) network of contracted doctors and hospitals, operated by First Health Group Corporation, a wholly owned subsidiary of Aetna Inc., a CVS Health company. Health plans rent access to the network so members can see participating providers at contracted rates. First Health says it serves more than 260 payer clients and that about 1.1 million people use its networks each year.

What is First Health network insurance?

First Health is a provider network, not an insurance policy. “First Health network insurance” usually means a health plan that uses the First Health PPO network. The plan named on your ID card decides benefits and pays claims; First Health provides the contracted doctors and hospitals and applies the network rate.

Is First Health a good insurance company?

First Health is not an insurance company — it is a national PPO network owned by Aetna, a CVS Health company. The coverage is a strong fit when your doctors participate and the plan that uses the network has benefits that work for you. A licensed agent can check both with you.

Is 1st Health PPO the same as First Health PPO?

Yes. “1st Health PPO” is a common spelling of First Health PPO, the national provider network operated by First Health Group Corporation, a wholly owned subsidiary of Aetna Inc., a CVS Health company. Reviews or directories that say “1st Health PPO” are referring to this same First Health network.

What is First Health Aetna PPO?

First Health Aetna PPO is the First Health PPO network. First Health Group Corporation describes itself as a wholly owned subsidiary of Aetna Inc., a CVS Health company, and says it uses Aetna’s credentialing process. Searches for “First Health Aetna PPO,” “Aetna First Health PPO,” and “First Health PPO Aetna” all refer to this same network.

How does the First Health PPO network work, and how do I verify coverage?

Health plans rent access to the First Health PPO network. First Health maintains the directory, applies the contracted rate to a claim, and sends the claim back to the plan, which applies your benefits and pays it. To verify coverage, get the exact plan name, search the First Health provider locator for the network your plan lists, then call the provider and ask whether they accept the First Health network for that plan. Call (813) 724-3314 and a licensed agent can run this check with you.

Before you enroll, here is how to check if a doctor is in network.

1st Health PPO and First Health Aetna PPO

“1st Health” is a common spelling of First Health, the national PPO network operated by First Health Group Corporation, a wholly owned subsidiary of Aetna Inc., a CVS Health company. Searches for “1st Health PPO,” “First Health Aetna PPO,” and “Aetna First Health PPO” all refer to this same network.

First Health is a provider network, not an insurance company: official First Health materials state that it does not sell insurance or pay claims. Health plans rent access to the network, and the plan on your ID card sets benefits and pays claims. To confirm a doctor, use the First Health provider locator for the network your plan lists, then check with the office. Call (813) 724-3314 (Monday–Saturday 8 AM–9 PM ET) and a licensed agent can check your doctors with you, or get your free quote.

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Reviewed by licensed agents working with Ascend Health Consultants. We're an independent health insurance agency based in the Tampa Bay area. Ascend Health Consultants LLC works with licensed agents who are licensed in all 50 states, helping individuals, families and the self-employed find private health coverage. How we write and review content

Plan availability and eligibility are determined by the carrier.