Treatment FAQ

how much does suboxone treatment cost with aetna

by Danyka Mosciski Published 2 years ago Updated 2 years ago
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The 2 mg tablet costs around $3-$4 a piece, while the 8 mg size cost around $6-$8 each. The average dose is usually 1-3 tablets a day of the 8 mg size. Therefore, the cost of the drug itself can range anywhere from $180 – $720 a month, depending on how much suboxone you need each day.

Full Answer

How much does Suboxone treatment cost?

VICE notes treatment with Suboxone at some facilities can cost as much as $8,000 per month. Find out what portion of that cost is covered by the insurance company, because the rest of the cost is the patient’s responsibility.

Are there any patient assistance programs for Suboxone?

Patient Assistance Programs for Suboxone. Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Is Suboxone covered by insurance?

Most insurance companies offer policies that cover Suboxone treatment, but some insurance plans require people to pick up some or most of the costs associated with care. Some policies require people to get a prescription for the drug from an in-network provider.

Does American Addiction Centers (AAC) offer Suboxone?

American Addiction Centers (AAC) offers various forms of medication-assisted treatment, including Suboxone, at our treatment centers across the United States. We’re also in-network with various insurance companies, such as Aetna, Blue Cross Blue Shield, United Healthcare, and more. Is Suboxone Covered by Insurance?

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Does Aetna cover naloxone?

Narcan (nasal or injectable naloxone) is covered under all Aetna plans.

Does Aetna cover opioids?

In this case, 1) the member must be treated by a pain management specialist, 2) opioids will only be covered when prescribed by the treating pain specialist, and 3) the treating pain specialist is aware of past buprenorphine use for opioid dependence treatment in which an opioid dependence diagnosis (304.00) and ...

Does Aetna have a deductible for prescriptions?

The amount may be a deductible, a percentage of the prescription price, a fixed amount or other charge, with a balance, if any, paid by a plan.

What is the success rate of Suboxone treatment?

Results showed that approximately 49 percent of participants reduced prescription painkiller abuse during extended (at least 12-week) Suboxone treatment. This success rate dropped to 8.6 percent once Suboxone was discontinued.

What is the Subutex shot?

Buprenorphine extended-release injection is used to treat opioid dependence (addiction to opioid drugs, including heroin and narcotic painkillers) in people who have received buccal or sublingual buprenorphine for at least 7 days.

What is the Suboxone implant?

Buprenorphine implant (placed under the skin) is used to treat opioid addiction in certain people whose addiction has already been controlled with other forms of buprenorphine. The implant is for adults and teenagers who are at least 16 years old.

Does Aetna have a copay?

Outpatient services Office& other outpatient services: $20 copay/visit, deductible applies Office & other outpatient services: 90% coinsurance None Inpatient services 20% coinsurance after $250 copay/stay 90% coinsurance after $290 copay/stay Penalty of $500 for failure to obtain pre- authorization for out-of-network ...

What is an out-of-pocket maximum Aetna?

$4,000 per Family (Employee + 1 or more dependents) Only those participating providers/referred out of pocket expenses resulting from the application of coinsurance percentage, deductible, and copays may be used to satisfy the Out-of Pocket Maximum.

Does Aetna cover Adderall?

Adderall, amphetamine/ dextroamphet. Adderall, amphetamine/ dextroamphet....Additional Information.Company Information | Site MapAetna.com Home | Help | Contact Us | SearchWeb Privacy Statement | Legal Statement | Privacy Notices | Member DisclosureCopyright © 2001-2022 Aetna Inc. Copyright © Aetna Inc.

How long should you take Suboxone?

Length of Use for Suboxone People who take Suboxone for a short period, such as a month, usually end up relapsing and returning to opioid abuse. Thus, Suboxone should be taken for an extended period. Taking it for six months to one year is the norm, and many people take it for even longer.

Which is better methadone or buprenorphine?

In terms of medication assisted treatment for opioid disorders, methadone, which predates buprenorphine by almost three decades, may be more effective and have higher rates of patient retention than buprenorphine.

What pain meds can you take with Suboxone?

Yes, you can take Tylenol with buprenorphine/naloxone (Suboxone). These two medicines do not interact with each other.

What is Suboxone used for?

Suboxone is a medication used to treat opioid use disorder in the United States. As part of an effective MAT strategy, Suboxone may be used as a part of a larger treatment plan that includes behavioral therapeutic interventions, monitoring, and support, and mental health care (if needed).

What is prior authorization for Suboxone?

Prior authorization means that the medical professional prescribing Suboxone has to obtain approval from Medicaid before the medication will be approved, and may have to submit documentation showing that it is medically necessary, or that the person is receiving counseling in addition to medication.

What is cost assistance?

A cost-assistance program is when part or all of the cost of the medication is paid for by another source, making it more affordable. If you have private health insurance, a copay assistance program is available that reduces your copay by up to $75 monthly.

Can you overdose on Suboxone?

It is unlikely that a person will experience an overdose on Suboxone unless it’s combined with other central nervous system depressants like alcohol or benzodiazepines. Buprenorphine may be safer for pregnant and breastfeeding women to use than methadone.

Is buprenorphine a opioid?

Buprenorphine is associated with a lower likelihood of dropping out of treatment, relapse, overdose deaths, and improved quality of life vs. methadone. 2,9 Opioid maintenance on buprenorphine also is associated with a lower risk of contracting infectious diseases like HIV or hepatitis C, and having new legal issues.

Does insurance cover Suboxone?

Suboxone doctors, clinics, and providers do accept many forms of health insurance, which may offer full or partial coverage for Suboxone treatment. Common health insurance companies that cover the cost of Suboxone treatment include ( but are not limited to): Aetna. Anthem.

Does Naloxone work with Suboxone?

Naloxone has no effect when Suboxone is taken as directed (i.e., oral routes), but it is included in the formulation as an abuse deterrent, as intentional misuse—such as attempts to dissolve the Suboxone to be injected—can result in the onset of unpleasant withdrawal symptoms. 2,5,6,7.

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What is Suboxone?

Suboxone is the brand name for a combination medication with two actives: buprenorphine and naloxone. 1 It’s available as a dissolvable film for sublingual administration. 1 Suboxone may be used to treat opioid addiction for individuals who have already started recovery and are planning on continuing treatment. 1

Find Out If Your Insurance Covers Suboxone Treatment

Most insurance companies cover at least some of the cost of rehab, which may include Suboxone. If you are looking for addiction treatment, it can feel overwhelming. As you consider your options, knowing exactly what your insurance plan covers can give you peace of mind while you or your loved one is in rehab.

What is Suboxone Used For?

Primarily, Suboxone is used in the treatment of opioid use disorders (OUDs). 2 Medications like Suboxone are standard parts of MAT, incorporating individual counseling and behavioral therapies that address SUDs as part of a comprehensive addiction treatment plan.

Does Insurance Cover Suboxone Treatment?

In 2008, with the Affordable Care Act (ACA), the Mental Health Parity and Addiction Equity Act introduced a new clause that required health insurers and group health plans to provide the same level of benefits for all mental and substance use treatment and services as they do for medical care. 5,6

How Much Does Suboxone Cost With Insurance?

Although the cost of Suboxone with insurance will vary depending on your benefits, eligible patients may pay as little as $5 per month. 1 For patients with insurance, there may be copay assistance programs that could bring the cost of Suboxone down.

How Much Does Suboxone Cost Without Insurance?

The exact cost of Suboxone without insurance will depend on a variety of factors. Primarily, prices will differ depending on the provider you obtain your prescription from and whether you receive the generic version.

Do Suboxone Doctors, Clinics, and Rehab Centers Take Insurance?

Under the Drug Addiction Treatment Act (DATA), prescription use of Suboxone is limited to healthcare providers who have met the qualifying requirements, have notified the Secretary of Health and Human Services (HHS) of their intent to prescribe this medication, and have been assigned an identification number.

How much does Suboxone cost?

The cost for Suboxone sublingual film (2 mg-0.5 mg) is around $166 for a supply of 30 film, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

How much does a free drug card save?

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Does Suboxone have a coupon?

Suboxone Coupons and Rebates. Suboxone offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

How much does suboxone cost without insurance?

Without insurance, Suboxone can be a very expensive medication. An 8 mg dose can cost anywhere from $6-8 depending on the pharmacy. A good rule of thumb is that Suboxone usually costs $1 per milligram. A standard dose can be anywhere from 8-24mg per day when starting on a buprenorphine regiment. Having insurance is key to supplementing the cost ...

How much does suboxone cost?

Suboxone (Buprenorphine/Naloxone) can cost anywhere from $3-$4 each for a 2mg dose and about $6-$8 each for an 8mg dose without insurance. For individuals with private insurance, Medicaid, or Medicare this cost may be significantly lower.

What is Suboxone used for?

Suboxone (buprenorphine/naloxone) is an opioid analgesic frequently prescribed to treat heroin and opioid addictions as part of medication-assisted therapy. Suboxone helps to suppress the debilitating symptoms and cravings during withdrawal, which enables people to get the most out of their addiction treatment.

What are the benefits of private treatment centers?

Typically there are many different treatment modalities offered such as, Nutritional IV Therapy, Hydrotherapy, Equine Therapy, and Naturopathic Detoxification, to name a few.

How many people are in a group therapy?

Where the numbers are specifically kept low in private care, group therapy can consist of as many as 40 people in a public treatment setting. Due to being state-funded, there are more people going through treatment and fewer staff available at public treatment facilities.

Is suboxone covered by Medicare?

There are many different state-funded policies and sub policies. It is possible that suboxone treatment may be covered under Medicare, if it is deemed medically necessary and a Medicare-certified (determined by the Department of Health and Human Services) treatment center is used.

Is Medicaid a single payer?

Medicaid is one of the largest single payers of medications for the treatment of substance abuse and use disorders, according to SAMHSA. The coverage provided by Medicaid can vary state-to-state and can depend on whether the state’s Medicaid plan is offered under managed care or HMO arrangements.

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