


Yes — [STATE_NAME] Medicaid covers Suboxone® treatment for opioid use disorder (OUD). Coverage generally includes clinician visits, medication, and related treatment support, which makes it possible for many patients to access care at little to no cost. Here is what [STATE_NAME] Medicaid coverage generally includes
If you are unsure whether your specific plan is covered, check your exact coverage
Ophelia is 100% confidential, and we will never share your information without your permission. Ophelia handles prior authorization on your behalf, so you don't have to deal with [STATE_NAME] Medicaid paperwork. Ophelia provides online Suboxone treatment through telehealth, with support from online Suboxone clinicians who can help you get started from home.
Ophelia treats opioid use disorder (OUD) only, provides care entirely via telehealth, and is currently available in 16 states. Use the insurance checker to confirm availability in your state.

Most [STATE_NAME] Medicaid patients pay little to nothing for care; many pay less than $10/month. Your exact cost will depend on your specific Medicaid plan and state, including factors such as copays and prior authorization requirements.
[STATE_MEDICAID_COST_DETAILS]If your coverage is not confirmed or you prefer to pay out of pocket, Ophelia's cash-pay option is available at $245/month.
Online treatment offers the same quality care as in-person care, with added privacy, convenience, and flexibility — especially for patients who may face stigma or transportation barriers when visiting a clinic. The table below compares online treatment with in-person clinic care across a few key factors:






Outcomes
85% of Ophelia patients are engaged in treatment early in care — more than 5x the national average
79% of patients are retained in treatment at 180 days — more than 2x the national average
97 Net Promoter Score — 3x the industry average
Some [STATE_NAME] Medicaid plans may cover Suboxone without prior authorization, while others may require approval first. Coverage can vary by plan, so the fastest way to confirm is to check your exact insurance details with Ophelia.
It depends on your specific plan, but prior authorization can sometimes take a few days. Ophelia handles this process for you and will keep you updated along the way.
In many cases, no referral is needed to start treatment. If anything is required for your plan, Ophelia can help guide you through the next steps.
In many cases, yes. Follow-up visits are often covered, but the exact details depend on your Medicaid plan and state.
If your coverage changes, Ophelia can help you understand your options. You may still be able to continue care through a self-pay option or another insurance plan.
Yes, many patients with both types of coverage may still be able to use Ophelia. The exact coverage depends on how your plans work together, so it’s best to confirm your details.
Yes, if your plan is active and Ophelia accepts it, you may be able to start treatment right away. Use the insurance checker to confirm your coverage and next steps.
Including state-specific eligibility, generic alternatives, and telehealth options.
Suboxone®, a brand name of the generic buprenorphine/naloxone, is the gold standard of care for opioid addiction treatment.
Follow our step-by-step guide to ensure that you are getting the most out of your medication.
