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Health Insurance & Out-of-Pocket Costs

Our Program Cost

Our program is covered by most major insurance providers. You can check your specific coverage here

Before starting treatment, 61% of our patients say they spend over $500 a month on opioids. We're here to help you regain your life, and while our services are not free, we are committed to making OUD treatment with Suboxone affordable and accessible for patients.

Understanding Your Costs

Our program’s self-pay rate is $199 per month. Lab tests are included in your program fee.

Your path to recovery shouldn't be hindered by financial concerns.

Every insurance plan is different, and we do our best to work with every plan we contract with to minimize your out-of-pocket costs.

For insured patients, your out of pocket costs could be:

Covered by a co-pay.
Covered after you meet your deductible.
Covered by a co-insurance fee, until you meet your plan’s out-of-pocket maximum.

Summary of costs you may be responsible for:

Premium: This is what you pay your insurance company each month to stay insured. You must pay your monthly premium to stay insured.
Co-pay: This is a fixed amount you pay for specific medical services (like an office visit) or medications.
Deductible: If you use your insurance, the deductible is the amount you pay out-of-pocket before your insurance picks up the remaining costs.
Coinsurance: Some plans have coinsurance, which is a percentage of costs for each service that you share with your insurance company. For example, 10% coinsurance on a $100 bill would mean you pay $10 and the insurance company pays $90.
Out-of-pocket Maximum: The affordable care act limits how much you can be required to pay each year in co-pays, deductibles and coinsurance to $9,100 for an individual or $18,200 for an entire family.

Your Out-of-Pocket Costs Depend on Your Insurance Plan’s Benefits.

Insurance Plan Types

We accept various insurance plan types, including:

PPO (Preferred Provider Organization): Offers flexibility in choosing healthcare providers.
HMO (Health Maintenance Organization): Requires referrals and has a primary care physician.
EPO (Exclusive Provider Organization): Provides coverage only within a specific network.
POS (Point of Service): Combines features of HMO and PPO plans.
HDHP (High Deductible Health Plan): Has a high deductible, often paired with Health Savings Accounts (HSAs).

Making Treatment Affordable for Patients

At Bicycle Health, we're dedicated to making treatment affordable. We can work with you to get treatment authorized by your insurer (in instances where “prior authorization” is required).

We can also work with you on costs to help you stay in treatment.

Alternate Payment Options Include:

Payment Plans: If your out-of-pocket costs are high even with insurance, we can set up a payment plan to ease the financial burden until you've reached your plan's deductible or out-of-pocket maximum.
Cash-Pay Option: For just $199 per month, plus medication costs, you can access our MAT program without relying on insurance. This affordable cash-pay option provides you with the support you need without breaking the bank.

Prescription Drug Costs:

Please note that while Bicycle Health can provide you with a prescription, we do not fill prescriptions, so the medication costs may vary.

Take the first step towards recovery today with Bicycle Health's comprehensive treatment program.

We're here to support you on your journey to a healthier and addiction-free life.

How Bicycle Health Works

Step 1

Your Quick, Free Intro Call

We’ll chat with you about your situation and make sure our program is a good fit for you.

Private and Confidential
Judgement-Free
No Obligation

Step 2

Your First Appointment

You’ll meet your provider and receive your full treatment plan.

Schedule when it works for you
Virtual – No waiting rooms or clinics
Build a custom plan to your needs & goals

Step 3

Pick Up Your Suboxone, Same Day

If you and your medical provider decide Suboxone is for you, pick up your prescription the same day from a nearby pharmacy.

Covered by most major insurance
FDA-approved for opioid-use disorder
Comfort meds available to ease withdrawal

Step 4

Heal Your Mind & Body – for Good

Get ongoing care and support to truly overcome opioid use disorder.

Prescription refills as needed
Online support groups
Health coaching & behavioral counseling

Reviews & Testimonials

Everyone at Bicycle Health is really super nice and polite, and they really seem to care. I’m not used to being treated so nicely.

Bicycle Health understood my needs from the start and were very accepting of where I was at in my recovery.

I feel like I’ve got this. I’ve got help. I have energy again, and motivation again. I couldn’t be happier.

My provider is fantastic. She asks all sorts of questions and actually listens to my answers. She’s great!

It’s so much easier than having to go to a doctor’s office. Bicycle Health is a savior for me.

I don’t know where I’d be without Bicycle Health. I couldn’t ask for a better way to get the help I need.

FAQs

Will my insurance cover treatment?

Our program and your medication are covered by most major insurance providers. You can check your specific coverage here

How much is it without insurance?

Our program’s self-pay rate is $199 per month. Lab tests are included in your program fee. Your Suboxone prescription can range between $0 and $150 depending on your coverage and location.

Is this legitimate medical care?

Yes. Your care team are fully licensed medical and mental health professionals.

Is Suboxone safe?

Suboxone is FDA-approved and is the gold standard for treating opioid use disorder.

Patients who take opioids on a daily basis can become dependent on these substances When these drugs are not taken daily, people experience severe withdrawal symptoms.

Suboxone works by binding to opioid receptors in the brain, which prevents withdrawal symptoms, staves off cravings, and also blocks these receptors so other opioids (like heroin or fentanyl) cannot bind, preventing overdoses and saving lives.

As a partial agonist (meaning it only partially stimulates the opioid receptor), Suboxone rarely causes patients to feel “high.” Rather, patients taking Suboxone should feel NORMAL, able to go about their day and live their life to its fullest. For these reasons, Suboxone is considered very safe, and it is considered evidence-based treatment for opioid addiction.

Am I a good candidate for Suboxone?

Suboxone should be used for patients who are actively attempting to recover from opioid addiction, meaning they are still in the first stages of addiction recovery as the first dose of Suboxone is administered within 6 hours of opioid use to function properly in relieving withdrawal symptoms.

Suboxone is not for everyone. Speak to one of our licensed clinicians to see if treatment for opioid use disorder with Suboxone is right for you.

What is the enrollment process?

You’ll speak with an enrollment coordinator who will answer your questions about our program and what we offer, and we’ll also ask you questions to try to ensure that our program will be a helpful fit for your care.

We’ll also walk you through some required forms including consent to treatment, review of program policies and practices, payment, and directives for how we handle your medical records.

We’ll work with you to set an initial appointment which will be same-day if at all possible. We’ll then provide guidance for you to download the required app for the video visit with your provider, and your provider will contact you through the app at your appointment time.

RX Only: See important safety information about Suboxone

SUBOXONE is indicated for the treatment of opioid dependence in adults. SUBOXONE should not be taken by individuals who have been shown to be hypersensitive to buprenorphine or naloxone as serious adverse reactions, including anaphylactic shock, have been reported. Taking SUBOXONE with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants can cause breathing problems that can lead to coma and death. Other side-effects may include headaches, nausea, vomiting, constipation, insomnia, pain, increased sweating, sleepiness, dizziness, coordination problems, physical dependence or abuse, and liver problems. For more information about SUBOXONE, see Suboxone.com, the full Prescribing Information, and Medication Guide or talk to your healthcare provider. You are encouraged to report negative side effects of drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Telehealth OUD Care That Fits Your Schedule.

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We are here to help.

Laura Sansonetti NP

Par Fatteh, MD

Jarrod Kanady NP