Opioid addiction care provider Ophelia has partnered with MVP Healthcare NY, a leading health insurer. This collaboration provides evidence-based medications for addiction treatment (MAT) for opioid use disorder (OUD) through telehealth services across New York.
The partnership ensures that MVP Healthcare NY's members, including Medicaid beneficiaries, can access Ophelia's innovative treatment model. Below, we explain the details of the partnership and address common questions regarding insurance coverage for MAT for OUD.
Understanding medications for addiction treatment (MAT)
MAT combines prescription medications with counseling and behavioral therapies to help manage both the physical and mental components of addiction. It is widely recognized as the most effective treatment for OUD.
Suboxone® (important safety information) is one of the more commonly prescribed medications in MAT for OUD. It is a combination medication made up of two drugs, buprenorphine and naloxone. Suboxone effectively reduces cravings and withdrawal symptoms by binding to the same receptors in the brain as traditional opioids.
Breaking barriers with Ophelia's treatment model
Telemedicine has revolutionized possibilities for MAT, making it easier and more affordable to access. Ophelia's treatment model allows individuals to receive MAT at home, eliminating the need to travel to a clinic.
By allowing individuals to access care from their own homes, Ophelia's remote OUD treatment allows for increased privacy, removes geographic barriers to access, and avoids disruptions to daily obligations, like work and childcare.
To get started, the Ophelia enrollment team will help you with the necessary paperwork, including processing your MVP Healthcare NY insurance paperwork to make sure you're covered. They will then schedule your first telehealth appointment.
In your initial video appointment, you will meet your dedicated care team, which will include care coordinators and clinicians. If you're eligible, your care team will call in a Suboxone prescription to your local pharmacy. If you qualify for Medicaid through MVP Healthcare NY, you will receive your prescription through NYRx, the Medicaid Pharmacy Program.
Once your treatment begins, you will continue to meet with your care team regularly for guidance. Ophelia even allows for at-home drug testing, another useful tool to support your treatment.
Benefits of the Ophelia-MVP Healthcare NY partnership
Ophelia's collaboration with MVP Healthcare is a significant milestone in expanding access to life-saving OUD support. Here, we answer some common questions about Ophelia and MVP Healthcare NY's partnership.
Does MVP Healthcare NY cover MAT?
Yes. Through their partnership with Ophelia, MVP Healthcare NY extends coverage for MAT services, enabling their members to receive comprehensive treatment for their opioid addiction.
Does MVP Healthcare NY cover Suboxone?
Yes. Individuals with MVP Healthcare are eligible for the coverage of evidence-based opioid addiction treatment and medications used in MAT, including Suboxone. The availability of Suboxone medication provides individuals with a powerful tool for managing cravings and withdrawal symptoms during their recovery journey.
Does MVP Healthcare NY work with Medicaid?
Yes. MVP Healthcare NY provides free or low-cost healthcare coverage through Medicaid, a public health insurance program. Since Medicaid is managed by individual states, benefits vary depending on where you live. Discover MVP Healthcare NY's Medicaid options.
Navigating MVP Healthcare NY coverage for MAT
If you are an MVP Healthcare NY member seeking MAT for OUD, it's important to understand the details of your insurance coverage. Here are some steps you can take:
- Review your insurance policy: Carefully review your insurance policy documents, as they often contain information regarding coverage for addiction treatment and prescription medications. Look for sections that outline coverage for Suboxone and MAT services, including any requirements, limitations, or copayment details.
- Consult with Ophelia: We can provide additional guidance and support in understanding your insurance coverage with MVP Healthcare NY. 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.
- Contact MVP Healthcare NY: Reach out to MVP Healthcare directly to inquire about your coverage for Suboxone medication and MAT.
Opioid addiction resources from MVP Healthcare NY + Ophelia
Using MVP Healthcare NY insurance with Ophelia brings you the convenience of at-home MAT for opioid addiction. Get medication to ease withdrawal symptoms and connect with experienced clinicians via video chat, all from the comfort and privacy of your home.
Ophelia's complete treatment guide has more information about the entire process, covering everything from your welcome call to ongoing support.
Begin your treatment journey today and embrace a brighter future.
Sources