Do Suboxone Doctors Take Insurance?

Suboxone is a commonly administered drug to help treat patients struggling with opiod addiction disorder. Suboxone Clinics like Freedom Now utilize the drug to help those suffering from substance abuse and mental health disorders as a part of our Medication-Assisted Treatment program. Our treatment programs can greatly aid those suffering from addiction as Suboxone is used to curb painful withdrawal symptoms and helps ensure a long term recovery. However, there may be some questions regarding whether or not your insurance will cover addiction treatment of this kind. This article will help answer any questions you may have regarding Suboxone treatment and who will be paying for the medication.

What is Suboxone Used For?

Suboxone is a commonly used drug to treat substance abuse, namely opioid addiction. Suboxone is a combination of both buprenorphine and naloxone. The active ingredient buprenorphine is an opioid agonist. This means that it actually attaches itself to the body’s receptors, yet produces a milder effect on the brain and body than prescribed opioids. The reduced affect makes it less likely to be abused. Naloxone is an additional drug that helps curb the body’s response to opioids. This can be useful in the administration of Suboxone if injected intravenously or intramuscularly.

Suboxone has helped treat thousands of people every year as they seek to recover from opioid addiction. However, because it can have a mild opioid effect, it has the potential to be abused. Yet, the active ingredients are not as powerful as a standard opioid and , if used and administered as prescribed, it is less likely to lead to addiction even if physical dependence develops.

How Much Does it Cost to Go to a Suboxone Doctor?

Visiting a Suboxone Clinic can range in price depending on the type of treatment your condition requires. This can range from a host with varying differentials. Outpatient treatment can be relatively inexpensive depending on the variables. If your doctor prescribes Suboxone during your visit, it may increase the price fairly dramatically without insurance. In most cases, the price of a Suboxone prescription will range between $5 to $10 per dose of Suboxone. Suboxone treatment can become fairly expensive. Addiction treatment which provides you with a Suboxone prescription requires daily medication in order to ensure the physical and psychological health of the patient.

Daily prescriptions can range in price. The cost of treatment can range between $160 to over $500 for a month’s supply of Suboxone. A generic Buprenorphine prescription will be less expensive – ranging from $60 – $200.

Is Suboxone Covered by Insurance?

The good news is, most insurance companies cover the costs of Suboxone. A few of the insurance companies that cover opioid addiction treatment are: Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare. These insurance companies cover both generic Buprenorphine treatment and opioid disorder treatment with Suboxone, only if it is medically necessary.

With insurance, Suboxone treatment can significantly drop in price. With insurance, a Suboxone prescription will most likely only cost you the copay amount your insurance service requires. In many cases, your insurance company may require authorization from a doctor before agreeing to cover the treatment. 

Is Suboxone Treatment Covered by Medicaid?

The answer to this question can be a bit complicated. Does Medicaid cover Suboxone treatment? It really depends. Before pursuing this form of treatment, it may be best to review the details of your insurance coverage in the State in which you reside. In most cases, Medicaid provides coverage for individuals who fall below 138% of the federal poverty level. In some cases, Medicaid can offer payment assistance through a sliding scale payment option.

In cases where Medicaid does provide coverage for Suboxone or buprenorphine treatment, a prior authorization is required. This means that you will most likely be expected to pay the full amount for the medication before being reimbursed by Medicaid. If you have any questions regarding Medicaid Suboxone treatment options, it may be good to contact their treatment services administration for more information.

What Insurance Companies Cover Suboxone?

There are a few other factors that may determine how expensive treatment will be for opioid addiction. A few other factors may include:

  • The insurance company you’re with
  •  If you carry an individual health plan
  •  The pharmacy which fills your prescription
  •  The clinic or physician prescribing the medication
  •  The dosage of Suboxone required for your treatment

As mentioned above, many health insurance companies provide coverage for Suboxone treatment. Some of the most popular insurance companies that cover the cost of a Suboxone prescription include:

  • Aetna
  • Cigna
  • Blue Cross Blue Shield (BCBS)
  • United Health Care
  • UMR
  • MultiPlan
  • Beacon

Whether or not you are required to pay co-pay for your treatment will depend on the insurance company and the policy you have with them. In many cases, a more expensive policy will provide more coverage and have better benefits. A less expensive policy may require a deductible which must be paid in full before coverage is offered. Your insurance company may also have a set list of pharmacies you have to go to in order for the prescription to be covered.

Can a Family Doctor Prescribe Suboxone?

It is possible for family doctors to prescribe Suboxone. However, there are many restrictions and requirements your primary doctor has to meet in order to prescribe Suboxone for opioid addiction. Buprenorphine treatment can only be addressed by a doctor who has been cleared by the DEA and has undergone the necessary training for substance abuse and mental health treatment.

Finding the right treatment center and Suboxone Clinic for your treatment can be crucial to your long-term recovery. At Freedom Now, our staff is specially trained in dealing with both substance abuse and mental health treatment. Our doctors are cleared by the DEA and have been specially trained in Suboxone and Buprenorphine treatment. We understand that treatment and dosages change with the specific needs of the individual and are prepared to offer the best care Boynton Beach can provide.

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