How it Works
We offer Medication for Addiction Treatment (MAT) with Buprenorphine/Naloxone (Suboxone) to help patients stop their opioid use.

Here's What Patients Can Expect:

Enrollment


You can learn more about enrolling in Bicycle Health’s treatment during a call with an Enrollment Coordinator. If we are able to meet your treatment needs, we will schedule your initial visit with one of our medical providers.

First Appointment


During your first appointment, your provider will work with you to devise a treatment plan customized to consider your full health history and your goals for treatment.

Induction


If the provider deems it appropriate, you will then start your induction on Buprenorphine/Naloxone (Suboxone) to overcome any opioid withdrawals and cravings. We will prescribe a personalized course of comfort medications to ease the process.

Treatment


Throughout treatment, our providers will check in with you during online video visits at least once per month. You will also complete a drug screening at least once per month starting out, usually via at-home urine or saliva collection. Your provider will be there with you at every step of the way, and our Clinical Support Specialists will help you troubleshoot issues with pharmacies and payments. 

Want to learn more?

Why Bicycle Health?

Instant access to Clinical Support Specialists

You can reach a trained Clinical Support Specialists from 6am to 8pm PST every weekday via text, chat or phone calls through our secure app. Get any issues with pharmacies or insurances resolved quickly, as well as support in reaching your treatment goals.

Provider visits via chats & video calls

Through our secure app, get quick advice from your medical provider over chat, or have a longer conversation over a video call. No waiting rooms. No travel. Completely confidential.

Prescription refills

Your prescription will be sent electronically to a pharmacy near you. The prescription will be refilled at every follow up call with your medical provider.

Online support groups

Too often, the journey to get off opioids can be a lonely one. These online video calls are a safe space with only people who are looking for help with opioid use. You can simply attend to listen in, or share your story and support others on this journey.

Our commitment to your privacy

Our treatment is fully confidential. We will never share any health information with anyone else unless we have your explicit consent. Please view our privacy policy below; our enrollment coordinators would be happy to elaborate.

With your consent, our full provider team will be there to coordinate the safest and best treatment for you. You will have full access to your medical record, have full rights to standard-of-care confidentiality, and will communicate with your Clinical Support and Provider team through our secure and HIPAA-compliant mobile app.

 

We serve patients across the country

We are currently available in Alabama, Arizona, California, Colorado, Florida, Illinois, Iowa, Maine, Montana, Nebraska, North Dakota, Texas, Vermont, Virginia, Washington, Wisconsin, and Wyoming.

We will be available in Michigan, Maryland, New Mexico, North Carolina, and Oregon soon.
 


 

Get started with Bicycle Health

No need to go to a doctor’s office or clinic.
Even lab testing can be done from home.

Frequently Asked Questions

How much does this cost?
In California we accept Medicare, Aetna, Blue Shield (PPO), Cigna, and UnitedHealthcare. In other states we only accept self-pay. Our self pay fees are $199/month. This monthly fee includes all appointments, health coaching and online support groups. You can use any insurance to pay for prescriptions and lab tests.
What can you prescribe to help with pain and withdrawal symptoms?
Our physicians prescribe Buprenorphine/Naloxone (Suboxone) to overcome opioid withdrawal. They also typically prescribe medications like Zofran (nausea and vomiting), Tizanidine (muscle relaxant), Hydroxyzine (non addictive sedative for anxiety), Loperamide (diarrhea and abdominal cramps) and Naproxen (muscle pain). If you are in still in pain, we shall utilize non opioid alternatives to manage your pain. The exact option depends on the cause of pain and can vary based on whether or not you have chronic pain.
Do you have to be in withdrawal to start treatment?
No! You don’t need to be in withdrawal at your first appointment. However, when you are starting your Suboxone prescription you will need to abstain from using your opioid of choice and you will experience some withdrawal symptoms. Then, you will start Buprenorphine/Naloxone (Suboxone) which will help overcome those symptoms and remove opioid cravings. You may have some side effects as you adjust to the medication, but we will be available to help you with anything you need! Your provider will work closely with you throughout the process to check in on how you’re doing and help you through it. If you have concerns about this process, we’d be happy to schedule a time for one of our providers to give you a call to talk more in detail about it.
Will I get a prescription at my first appointment?
It is up to your provider to make a decision on when they can write a prescription. Usually providers are able to call in your prescription to the pharmacy of your choice on the day of your appointment. Refills will be prescribed during follow ups.
What kind of treatment do you do?
We help people who are looking to reduce their use of opiates. We offer Medication for Addiction Treatment (MAT) using Buprenorphine/Naloxone (Suboxone) to reduce opioid cravings.
Does the provider only prescribe Suboxone, or do they prescribe other things too?
For opioid dependence treatment, we only offer Suboxone. While Methadone can also be used to treat opioid dependence, you have to visit a clinic weekly to obtain the prescription, and that doesn’t fit with our telemedicine model. The providers can and do prescribe other medications to treat things other than opioid dependence. However, this is done on a case-by-case basis and we do ask that you seek help from a primary care provider for prescriptions you might need that are not directly related to your opioid dependence treatment. For example, if your Suboxone is making you nauseous, your provider might prescribe something to help with that.
How long will this treatment take?
This is not a quick fix. It really depends on how long you’ve been using opioids for and how much you use. How well you personally respond to treatment can make a big difference as well, so it really is hard to predict beforehand and varies patient to patient. The recovery process takes time, but we will be here to help you through every part of the process no matter how long it takes! Luckily, Suboxone will curb your cravings and won’t leave you feeling foggy, so you can function very well while on the medication. In short, the process will likely be long, but worth it.
How much will the prescriptions cost?
If you have insurance, the prescriptions will be covered by your insurance company. If you don’t have insurance, the cost of your prescription could be around $100-$150 a month. The cost of a prescription does vary based on your dose and which pharmacy you go to.
Do you accept Medi-Cal or Medicaid?
We do not accept Medi-Cal or Medicaid for our fees. That said, you can use your Medi-Cal or Medicaid benefits card to pay for medications and lab tests. Just take your card with you to the pharmacy or the lab.
Can I use my insurance to pay for this treatment?
In California we accept Medicare, UnitedHealthcare, Aetna, Blue Shield (PPO) & and Cigna. In other states we only accept self-pay.
If you have any other insurance, our self pay option is $199 / month. We are happy to provide you a superbill that you can submit to your insurance company to potentially get some of that money back using your out-of-network benefits. That said, you can use your insurance to pay for medications and lab tests. Just take your insurance card with you to the pharmacy or the lab.
Is this treatment confidential?
Yes. We will never share any health information with anyone else unless we have your explicit consent.
Can I switch from Methadone to Suboxone?
We can help you transition from Methadone to Suboxone, just as long as you are currently on 40mg or less of Methadone. If you are currently taking more than that, we would need to wait until your dose is less than 40mg to start your treatment. It is dangerous to switch from a high dose of Methadone to Suboxone, because there is too much of a difference in dosages. The side effects can be dangerous. Please don't hesitate to reach back out to us when you are ready to make the switch!
What's included in the monthly fee?
The monthly fee includes all provider visits to refill your prescription. It also includes getting care via unlimited chat messages in between scheduled visits, unscheduled provider visits, online support groups and any care navigation as needed.
Do you offer refunds?
You may cancel your appointment anytime within 24 hours before your appointment and no charge will be made. We do not offer refunds if you have spoken with your provider over the phone or seen your provider in-person.
Can I pay with cash or check?
Since we are a telehealth clinic, we can't accept cash or checks. Also, since we have a subscription based model (as opposed to paying at each appointment), it is more convenient to use a credit or debit card. If you don’t have a bank card to use, you can purchase a Visa gift card with your cash and we can run that through our card processing system.
Do you have a location close to where I live?
We provide at-home treatment via phone and video calls. As long as you live in Alabama, Arizona, California, Colorado, Florida, Illinois, Iowa, Maine, Montana, Nebraska, North Dakota, Texas, Vermont, Virginia, Washington, Wisconsin, or Wyoming you can enroll in our program.
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