Round-the-clock care from people that get you
Treatment that fits into your life, not the other way around
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Suboxone Doctors That Accept [PAYER_NAME]
Ophelia connects you with licensed doctors who accept [PAYER_NAME] for Suboxone treatment, all through secure telehealth visits. Get seen by a doctor in 1-3 days, from home.
Does [PAYER_NAME] Cover Suboxone?
Yes, [PAYER_NAME] covers Suboxone® treatment for opioid use disorder (OUD). Coverage includes [PAYER_COVERAGE_DETAILS]. This makes it possible for most [PAYER_NAME] members to access treatment at little to no cost. Here is what [PAYER_NAME] coverage generally includes:
Clinician visits
Telehealth visits with a licensed clinician are covered under most [PAYER_NAME] plans
Medication
[PAYER_NAME] covers buprenorphine-based medications for OUD, including Suboxone® and its generic equivalent, buprenorphine/naloxone. Most insurance plans dispense the generic version rather than brand-name Suboxone®. Both are clinically equivalent- if your pharmacy provides the generic, it works the same way.
Prior authorization
Some [PAYER_NAME] plans require prior authorization before covering Suboxone®. Ophelia handles this process on your behalf.
Out-of-pocket costs
[PAYER_COST_DETAILS]. Most Ophelia patients with [PAYER_NAME] coverage pay less than $10/month for care.
[PAYER_NAME] plans may appear under different names depending on your state or employer. Common variations include: [PAYER_PLAN_VARIANTS]. If you are unsure whether your specific plan is covered, use Ophelia's free insurance checker to confirm your coverage in minutes.
How To Get Suboxone Through [PAYER NAME] With Ophelia
Once your insurance is confirmed, starting treatment with Ophelia is straightforward and typically takes just a few days. Here is how it works:
Your privacy is protected at every step. Ophelia is 100% confidential; we will never share your information with your employer or anyone else without your permission. Ophelia handles prior authorization on your behalf. You don't have to deal with [PAYER_NAME] paperwork. Ophelia provides online Suboxone treatment through telehealth, meaning there are no waiting rooms, no travel, and no time off work required.
What's included in your care
- All clinician visits via secure video call
- Suboxone® prescription sent directly to your local pharmacy
- Ongoing medical support and maintenance from your dedicated care team
- Comfort medication to ease withdrawal symptoms while starting Suboxone®, if needed
- Ongoing medical support and maintenance from your dedicated care team
- Treatment for co-occurring conditions, including anxiety, depression, and insomnia, for eligible patients
- 100% online, no waiting rooms, and no travel required
- No mandatory group sessions or in-person clinic visits
- No required counseling or therapy to receive your prescription
- Private and discreet: no one needs to know you're in treatment
Eligibility note: 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.
What [PAYER_NAME] patients typically pay
Your exact cost will depend on your specific [PAYER_NAME] plan, including factors such as your copay, deductible, and whether prior authorization is required.
Care covered by [PAYER_NAME] includes all clinician visits via video call, Suboxone® management, and ongoing support from your dedicated care team.
If your insurance is not accepted or you prefer to pay out of pocket, Ophelia's self-pay option is available at $245/month, which covers all clinician visits and ongoing care.
Where Ophelia accepts [PAYER_NAME]
Please note that insurance coverage can vary by state, even within the same [PAYER_NAME] plan.
Confirming your specific plan and state is the best way to know exactly what is covered. Don't see your state? Check if we're available in your area.
Ophelia currently accepts [PAYER_NAME] in the following states:
*List of states*
Why choose ophelia
- Prior authorization handled for you. We deal with [PAYER_NAME], so you don't have to
- Get seen in 1–3 days, faster access than most in-person clinics
- Most patients pay under $10/month. We help identify all available insurance coverage upfront
- 100% online. No waiting rooms, no travel, no time off work
- 79% of patients remain in treatment at 180 days. More than 2x the national average
- NPS of 97, among the highest patient satisfaction scores in healthcare
- Caring, compassionate clinicians who specialize in OUD, not a general practice
- 20,000+ patients treated by a dedicated care team that knows your name, your history, and your goals
What our patients are saying
I have been a patient with Ophelia for over a year now, and I can say with total confidence that they have been a vital part of my journey.
This place is like no other, humanity, respect, dignity and friendship. I love my monthly meetings. They dont make you feel ashamed or embarrassed for choices made in the past.
Ophelia has been a life saver for me! Very friendly, respectful, and professional. Easy to work with, and great with scheduling. Very highly recommend for your recovery journey.
I’ve been with Ophelia Health for about 2½ years, and they’ve been amazing. Their online Suboxone treatment makes appointments and prescription refills easy, which has helped me stay sober.
I prefer this method over a methadone clinic or going to the streets to get something that could kill me. Highly recommended for people who are willing to get off the street drugs.
As seen in
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
FAQs
What if [PAYER_NAME] denies my Suboxone coverage?
If your claim is denied, Ophelia's team can help you navigate the appeals process. In some cases, a prior authorization request or letter of medical necessity from your clinician can reverse a denial. We handle this on your behalf so you don't have to manage it alone. You can also use our free insurance checker to confirm your coverage before your first visit.
How long does prior authorization take with [PAYER_NAME]?
Prior authorization timelines vary by plan, but Ophelia submits requests promptly on your behalf. Your care team will keep you updated throughout the process.
Does [PAYER_NAME] require a referral to start Suboxone treatment?
Most [PAYER_NAME] plans do not require a referral to begin Suboxone treatment with Ophelia. However, requirements can vary by plan. Use our insurance checker or speak with our enrollment team to confirm what your specific plan requires.
Do I need to choose an in-network doctor to use [PAYER_NAME] with Ophelia?
Ophelia is in-network with a number of major insurance plans. If [PAYER_NAME] is listed as an accepted plan in your state, you will be accessing in-network care when you use Ophelia, which typically means lower out-of-pocket costs.
Will [PAYER_NAME] cover my follow-up visits with Ophelia?
Yes, in most cases. [PAYER_NAME] coverage typically includes ongoing clinician visits as part of your treatment, not just your first appointment. Your exact coverage will depend on your specific plan, and our team can help clarify what is included before you get started.
Can I still use Ophelia if my [PAYER_NAME] plan changes?
If your insurance plan changes, reach out to Ophelia's care team, and we’ll help you figure out the next steps. We'll check whether your new plan is covered and work with you to keep your treatment on track. If your new plan isn't accepted and self-pay isn't an option, we won't leave you without support — our care team will help connect you with referrals to other OUD clinics and ensure you have a prescription to cover you during the transition.
Does [PAYER_NAME] cover both Suboxone® and generic buprenorphine?
Most [PAYER_NAME] plans cover generic buprenorphine/naloxone, which is the generic equivalent of brand-name Suboxone®. Both medications contain the same active ingredients and are clinically equivalent. If your pharmacy dispenses the generic version, it works the same way.
Ready to start treatment?
Online Suboxone® treatment that accepts [PAYER_NAME]. Get seen by a licensed provider in 1–3 days, from home.