Understanding insurance coverage for Suboxone and MAT: A guide for Healthfirst members in New York

Discover if Healthfirst covers Suboxone and MAT. Learn about the evidence-based care options available through Ophelia's partnership with Healthfirst.

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When it comes to overcoming opioid use disorder (OUD), having access to medications for addiction treatment (MAT)—specifically Suboxone—is crucial. As a Healthfirst member in New York, it is important to understand your insurance coverage for these life-saving treatments. In this guide, we will explore the insurance coverage provided by Healthfirst, including their partnership with Ophelia to help you navigate you towards a healthier life.

Does Healthfirst cover MAT?

MAT combines medications for addiction treatment, such as Suboxone, with counseling and behavioral therapies and is widely acknowledged as the most effective treatment approach for OUD. Healthfirst provides coverage for MAT services, including the medications for addiction treatment, ensuring you receive comprehensive treatment.

Does Healthfirst cover Suboxone for OUD?

Individuals with Healthfirst insurance are eligible for evidence-based treatment for opioid addiction and may be covered for Suboxone. If you are a Healthfirst member, you have access to Suboxone through participating providers, including the option of utilizing our services. However, it's important to note that coverage for specific medications can vary depending on your insurance plan's formulary. Please consult your plan documents or contact Healthfirst directly to confirm the inclusion of Suboxone or similar medications in your plan's formulary.

Understanding your Healthfirst insurance coverage for Suboxone and MAT

Follow the steps below to navigate your insurance coverage effectively:

  1. Review insurance policy and formulary: Take the time to review your Healthfirst insurance policy documents and formulary. Look for sections that outline coverage for addiction treatment, prescription medications, and the specific medications used in MAT, such as Suboxone.
  2. Consult with Ophelia: We can provide additional guidance and support in understanding your insurance coverage with Healthfirst. Our care coordinators can help you navigate the insurance process, answer questions specific to your treatment plan, and assist with any financial concerns. Text us today at (215) 585 2144.
  3. Contact Healthfirst: Reach out to Healthfirst directly to inquire about your coverage for Suboxone and medications for addiction treatment (MAT).

Using Healthfirst insurance with Ophelia for effective treatment

Take control of your opioid addiction recovery with Ophelia's partnership with Healthfirst. Get medication to ease withdrawal symptoms and receive support from experienced clinicians, all from the comfort and privacy of your home. Embrace the convenience and effectiveness of online MAT, and begin your journey to a healthier life today.


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