Quit opioids with Suboxone treatment with
Anthem Blue Cross Blue Shield in Ohio.
Most of us can’t conquer a drug or alcohol addiction on our own. That doesn’t make us weak; it makes us humans with a health condition that we need help to manage. The assistance of a proven health care plan can be a critical part of that help.
Suboxone treatment with Anthem Blue Cross Blue Shield
Workit Health’s telemedicine Suboxone treatment is 100% virtual in Ohio at this time. If you are an Anthem BCBS member who lives in a state outside Workit Health’s coverage area, we encourage you to reach out to Anthem Blue Cross Blue Shield for other covered clinics that may be closer to you. Or check out Treatment Match to find a Suboxone provider in your area.
Does Anthem Blue Cross Blue Shield of Ohio cover Suboxone (buprenorphine/naloxone)?
Anthem shares lists of medications to help clarify which ones are covered by their prescription drug plans. This kind of list is referred to as either a drug list or a formulary. When we searched the formulary. Suboxone (the brand name medication) was a non-formulary drug, meaning it’s not covered. Zubsolv, another brand of buprenorphine/naloxone was the same. But generic buprenorphine/naloxone sublingual tablets and films were covered. In fact, they were listed as Tier 1 drugs, meaning they have the lowest out-of-pocket cost to Anthem members. If you believe you need to have Suboxone or Zubsolv specifically, and not a generic version, you will probably need to either pay out of pocket or get your provider to help you request an exception.
To check the formulary yourself, go to the Anthem.com website. Click on the formulary for your plan to view the searchable drug list. Be sure to familiarize yourself with the codes and icons Anthem uses, so you can be prepared for any restrictions on your prescription drug coverage. You can also use the Sydney Health mobile app or call the number on the back of your insurance card to ask for clarification.
Does Anthem Blue Cross Blue Shield insurance cover rehab and outpatient treatment?
Yes. Anthem Blue Cross Blue Shield covers treatment through drug and alcohol rehabs and outpatient providers across Ohio, including Workit Health. Coverage varies depending on your insurance plan and treatment program. To find out more about the treatment options Anthem covers, you can visit their Substance Use Resource Center.
What does Anthem Blue Cross Blue Shield cover?
Depending on your plan, Anthem Blue Cross Blue Shield covers a range of treatment services for substance use disorder. This can include detox from drugs or alcohol (they call this “Withdrawal Management”), inpatient rehab, digital addiction treatment, and the use of medication-assisted treatment (including Suboxone). To determine if you are eligible for treatment, call the number on the back of your insurance card or use the Sydney Health mobile app.
How much does Anthem Blue Cross Blue Shield cover?
How much is covered depends on your particular plan and the type of treatment you enroll in. For some services and insurance plans, there is no deductible (the amount you have to spend before the plan begins paying) if you go to an in-network provider.
Anthem Blue Cross Blue Shield offers “Bronze,” “Silver,” and “Gold” plans. Bronze plans have the lowest premium (monthly or yearly payment) but the highest deductible. Silver plans have a higher premium than bronze and a lower deductible. Gold plans have the highest premiums of the three, but also have the lowest deductible.
Call the number on the back of your insurance card or use the Sydney Health mobile app to find out how much of your substance use treatment Anthem will cover with your specific plan. You can also use our insurance checker to verify that your plan covers Workit Health.
Outpatient Suboxone Treatment
What is it?
Outpatient treatment is substance use disorder care that doesn’t require you to stay in a facility or rehab. When it takes place through telemedicine, it is done from the privacy of your own home. This treatment option is good for people who are looking to stay at home with loved ones, maintain a job, and are able to distance themselves and recognize triggers in their surroundings.
How does it work?
With Anthem Blue Cross Blue Shield you are able to receive telemedicine care with Workit Health’s digital app. The app allows you to connect with licensed clinicians and counselors dedicated to helping you meet your recovery goals. Join online recovery groups, work through a therapeutic curriculum to help you learn coping skills, and receive medication e-prescribed to your local pharmacy.
Is Workit Health as effective as an inpatient program?
Workit Health makes the most effective substance use disorder treatments available from the privacy of home via technology. Just like a traditional rehab, you can talk with your care team, join online recovery groups, and see a clinician via video chat to prescribe medication when needed.
Although rehab has commonly been the solution for a drug problem, many rehabs don’t offer Suboxone, which can reduce discomfort and risk of relapse. That’s one way we’re different. At Workit Health, 80% of our members are adherent to the program after six months, demonstrating that digital care surpasses the efficacy of in-person treatment.
At Workit Health our program is adaptable to all stages of substance use and recovery, meaning you don’t have to identify as an addict or hit a rock bottom to reach out for help.
