Medicaid Suboxone Insurance Coverage – Addiction Therapy
Medicaid insurance for many middle-Tennesseans is critical to their health, especially those in addiction recovery. Medicaid Suboxone (buprenorphine & naloxone) coverage is a little different than some other insurance providers.
Here’s what we know about Medicaid Suboxone Reimbursement as of Thursday, January 11, 2018:
Doctor Visits – Medicaid reimbursement to a Suboxone clinic for the visit is not enough to pay the doctor and/or therapist. Most clinics will require the patient to pay “out of pocket” due to this reason.
Medicine – Medicaid will pay for a buprenorphine & naloxone program with prior authorization. However, it Medicaid plan covers only Bunavail. Bunavail contains the same two chemicals Suboxone does. Bunavail gets placed on the inside of your cheek vs. being placed under the tongue. Bunavail contains 5.7mg of buprenorphine vs. Suboxone’s 8mg of buprenorphine.
Medicine: Length of Approval – Medicaid typically approves between 1 and 6 months worth of medication before lowering the dosage to approximately 1/2 the original dose. Some patients are required to submit monthly prior authorizations.
Lab Work / Drug Testing – Medicaid will pay for urine drug testing, as well as bi-annual blood tests, so there’s no charge for this if you have Medicaid.
Pro Tip – Be sure your clinic is willing to do (and is proficient at) Medicaid prior authorizations. Not only do some Suboxone clinics not do prior authorizations, some tend to do them incorrectly. This means you’ll have to wait days or even weeks to get your medicine. If you’re new to Nashville Suboxone Recovery, please submit your insurance information and we’ll get approval on your prior authorization before your first visit.
Nashville Suboxone Recovery is happy to file your Medicaid prior authorization quickly and correctly, so you get your medicine as quickly as possible. In the event of a delay, Nashville Suboxone Recovery can often provide you free Zubsolv medication (buprenorphine & naloxone) for up to two weeks so you can get your meds at no charge the same day as your first visit.*
Stop wasting time shopping for a Nashville Suboxone clinic. Nashville Suboxone Recovery is the clinic that will save you time, money and possibly your family. Restore your self-respect while getting clean without withdrawals.
Start Suboxone Today by Phone Appointment
Start addiction therapy using Suboxone and private therapy today without leaving home. Pick up Suboxone medications at your local pharmacy immediately following your call. Overcome opioid addiction using a step-by-step plan today!
Call or text us today at (615) 431-3701, or book online:
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*Available to patients who have not used two Zubsolv coupons previously.
I have blue cross/blue shield tenncare insurance & need my suboxone tablets covered
Please click this link and submit your insurance information to us. We will submit a prior authorization to get your medications approved prior to your visit. Thanks for reaching out! Link: https://suboxnashville.com/insurance-prior-authorizations/
Hi my name is Michael Miller I’m in Michigan right now but I am homeless and I am moving to Tennessee at this time I am in a methadone clinic in Michigan on 250mg a day. as from what I have seen through research TennCare does not pay for methadone but they will pay for suboxone as far as I can see my question to you sir is what is the process for me if I move to Michigan or from Michigan to Tennessee will I be able to get Suboxone and what is the process of that if you can please tell me thank you
Hi Michael! Greetings from Tennessee! As a Michigan native, I can tell you you’re going to love the weather down here 🙂 So – TennCare usually covers the cost of the medications needed for Suboxone therapy. Most Suboxone recovery clinics in Tennessee including Nashville Recovery are “Self Pay”, which means the visit cost is paid by the patient out of pocket using either cash or credit card. You have two payment options with us: Pay $340 every four weeks, or $195 every two weeks. Bth options include free private therapy each week if/when you have the time. Our therapists are MHSP/LPC (Mental Health Service Provider / Licensed Professional Counselor) which is much higher than most clinics. The benefit here is that we can also treat anxiety and depression. You simply won’t find this service elsewhere. If/when you’re ready, you can schedule your recovery online and get locked into great recovery here. We wish you the very best! Book Recovery Online: https://suboxnashville.com/schedule-suboxone-therapy-nashville-recovery/
Does Medicaid cover brand name suboxone in TN ? None of the generic except Sandoz work for me and they disconnected it . BCBST ( Blue Cross ) quit paying for Suboxone and now I have no choice but Dr Reddy. Thanks ! I’ll probably switch insurance. I’m eligible for Medicaid but pay for medical insurance because I need my Suboxone.
Sadly, they do not. TennCare/Medicaid have a special arrangement with Bunavail. Bunavail is a “buccal” film you stick to the inside of your cheek. People say it’s plenty strong, but it takes over 20 minutes to dissolve, and it leaves a gooey gel in your mouth. Strange stuff, but it works 🙂 Best of luck in your recovery!
My name is diane and I’ve been “proudly” drug-free from opiates thanks to suboxone, since 2013. I currently am paying out of pocket $250 for my office visits including counseling and urine screening. I have Medicare AARP issues through UHC. Is there anywhere in East Tennessee that will take this type of insurance to save me the much needed $250 and cover these office visits plus? Thank you 🙂
Hi Diane. The only place we know of in East TN that accepts Medicare is Stepping Stone. Here’s a link to their website, and I wish you the best in recovery! https://steppingstonetn.com/drug-rehab-program-accepts-tenncare-knoxville-tn-addiction-treatment-center
I cannot thank you enough Andrew!!!! Thank you thank you THANK YOU!!! I privately wrote to you about some questions I have too. I dont see where it went, lol. Hopefully you will receive it or I’ll write again in the near future. Have a great night!
I have a text-only line, so please text me at 615-538-7160. God bless!
Hello I’m disabled and h6lots of trouble getting around so I don’t get out much. I’m trying to find a online (addiction center) Suboxone Clinics that except my insurance. My income is low I have trouble paying some things less important. I have United Healthcare Dual it’s medicare and Tenncare both. there are some clinics near me that except it but again I have trouble walking which causes me to miss appointments sometimes. I’m not sure what to do to find out or who and how to reach them I really need to get help as soon as I possibly can so maybe I can start feeling human again and hopefully make it to my family Dr and Neurologist. Can you pls help me find what I need to do to get some help I’d greatly appreciate it
Hi Debra. The first thought is to call the number on the back of your insurance card and ask for a clinic near you that accepts your insurance. Different states have different laws around Suboxone, but I believe thanks to COVID that most (maybe all) states can use telemedicine for initial visits and some follow-up visits. I think they will require an in-person urine drug screen though. I’ll try my best to help you find a clinic. What state do you live in?