Suboxone and insurance coverage

Common Questions and Answers about Suboxone and insurance coverage

suboxone

Go to the Suboxone website at Suboxone.com There are programs that help and sometimes the manufacturer will help... Good luck!
I have the best plan available at my work through Health Net HMO, and my insurance is $500 a month, so without coverage I dont think I can afford it. If anyone has this insurance, or any information, I would appreciate it! Thank you!
00 copay I so lucky that suboxone is covered by my insurance I only pay 15.00 for 120 2mg tabs, but I undestand that we don't all have the same coverage. Please cut down on other things if you have to but not your health is really important that if you already made the decision of been on sub you stay untill your doctor tells you or you feel you have to.
Not sure about ur insurance. Y do u feel u r close to a relapse? What's going on? If ur taking suboxone its a very bad idea to take anything in top of that. I know several people who have overdosed while they were taking suboxone. While they were taking it they would take their drug of choice and since sub has a blocker n it they wouldn't get their high they would normally get. So they would take more n more to find that high then they would overdose.
I don't pay anything for doctor visits or intensive outpatient (I have double coverage) and my co-pay for suboxone is $40. Before I was paying about $200 a month for my oxycodone. My doc also said he has a patient that takes 4mg of suboxone evry day and if she needs to be on that for the rest of her life he is ok with that. Sure every drug passes through the liver but 4mg of suboxone is much easier on the body then tons of oxy's or the like every day.
Im considering going to a sub doc but im worried if I try to use my insurance to pay for it, they will drop me from my fathers employee health insurance for being a drug addict. Can they do that? Im thinking ill be better off just buying subs off the street but would like some clarification on the possible consequences I might incur by visiting a sub doc and trying to use my health insurance to pay for the doctors visit and prescription.
Unfortunately most docs do not take insurance for suboxone. The prescription is usually covered, but the doctor exam is not. Call the docs in your area because their fees will differ from $100 - $400+ for the office visit. Good luck.
I haven't pushed it yet because I don't even know if my insurance will pay anything. They do help out some with the cost of the Suboxone itself. I don't think that it's a matter of my doctor not caring (though sometimes I can feel that way). I just think that he's really, really busy and that he's just sure that he knows everything that he needs to know about Suboxone.
Most methadone clinics now offer suboxone and will help you bill insurance. Notmenow/Noah knows a lot about insurance and suboxone. Hopefully, he'll check in soon. OH..NOAH.........
I live in Detroit so I can only tell you how it works here but I would think it would be the same pretty much anywhere.... Anyway I started on Suboxone in December, and my insurance is paying half the bill because I have substance abuse coverage at a 50% copay so I pay about $50 a visit and I have to go once a week.. Also I have prescription coverage so I only have to pay my $15 copay to get the rx...
There are alot of people right here on mehelp that post almost everyday that can inform you on the details of their suboxone experiences. People use suboxone for many many different reasons.. See my post on the suboxone confusion for more details on that.. Also suboxone should not just be lumped into the catagory along with methadone either. Methadone is just a pure narcotic that is very addictive and has horrible withdrawls due in part to the half-life..
I know that sounds odd, and most likely I am moving to fast, but if I don't move fast in this I'll be in a position where I won't have coverage thus no suboxone and then I'd really have a bad kick, possibly loosing my job. So I figure going down fast and feeling uncomfortable now is better than being on a higher dose and then having to face a really bad detox.
Also, what about my dream of becoming a doctor, will it be dashed as soon as I tell the doctor that I am an opiate addict. Also how does it effect insurance? I am currently paying for my own insurance. Will it go up...is their a "black mark" on it forever? I know I have substance abuse coverage, but I am worried about maintaining my coverage after treatment. Will all my future doctors be informed of this?
i take suboxone...i have no insurance and have to pay cash, its expensive but it will work for you, just pay cash so it doesnt go on your insurance...and you should know that there are confidentiality laws to protect you...i wouldnt worry about getting a black mark as a doctor, just get the help you need now or it will get worse and sorse over time then you risk the chance of losing EVERYTHING... my sub.
I have been on it for almost 3 years now and have lost my supplemental health insurance. I have no Rx coverage anymore. My doctor does not give out sample, of course.
I have heard charges for people w/out insurance are $200.00 as high as $2000.00..I think the higher come w/the suboxone. Let me know what they charge you just curious. Jay, you need rx insurance. I think there may be a solution for you. because you may need other meds in the future, like an antibiotic which can run over 100.00. and then there is your valium which you can get for a $15.00 copay. its the same on all drugs. The program is called PPA you can find it on the internet. Type PPA.
Just be forewarned about waiting for your insurance to kick in. Many insurance companies will view that as a pre-existing condition. Not saying this to burst your bubble..just warning you so that you can check with the new insurance and maybe save up some cash if it's not covered.
Although I have no doubt at all about there being many terrible doctors out there looking for a paydate - MY suboxone doctor, treatment and prescription was all covered by insurance. The suboxone doctor I used accpted most, if not all insurance plans. I do not advocate suboxone. Its not for everyone, or even most. BUT it does have a purpose and it can help many and I am sure it has saved many lives.. It has also ruined many. There is no good answer.
gave me a therapeutic discharge which allows me to keep insurance coverage intact and leaves the door open to return to a post care program in the future. I encourage you to find a Doc that will truly be there for you. Suboxone is an appropriate treatment for many who are locked into the dance with long term opiate use but it is not a drug to be entered into lightly.
Hi I see two things here....people either love suboxone and says it's the best thing that has happened to them or they hated it....coolio just told me there is a fine line, not too much but nottoo little.....thanks coolio...but is there some source of info to give you a general idea of how much you would need...? I decided I my cse worker should be able to give me an anser in a few days re the coverage...so I am planning for Monday.....just have to do this....
is allowed to prescribed suboxone (because he completed the eight hours required by the state) doesn't mean the insurance co. is going to approve the claim and pay for your visit, That's why so many Suboxone claims are denied because the provider was not an approved provider with the plan or the PCP referral had not yet been received. Now, for all people with medicaid I have heard stories that their Medicaid HMO Plan has in fact denied coverage on suboxone.
So, I decided to review my insurance coverage again to see if anything had changed in the last 3 years relative to their coverage of buprenorphine based medications and, to my disbelief, I discovered that they now cover Buprenex . . . and only Buprenex. After asking all the appropriate questions of one of their Insurance Reps, it was confirmed that if I could successfully transition from Subutex to Buprenex, I could save approximately $990 per month!
but i am not only fighting the urge, with every move that i make it kills, it hurts so bad. My new insurance coverage doesn't start till sunday so i can't really do anything. Cold turkey was the worse mistake i ever made, i had no time to plan this out and wasn't even sure if this is what i was really going to do. I really have nobody to talk to. I am so ashamed to talk to anyone about it. I hate the thought of what everyone is thinking of me....
I did that and found 4 doctors in my area that do the suboxone treatment. I will look more into this when the insurance kicks in.
I just wrote to you on your other post, regarding insurance coverage. Please go back and read it as it has to do with insurance and if you have checked with your ins to see if the suboxone is covered under your drug formulary, Read your other post it explains other things regarding, I transitioned from oxycontin and norco about 200 mg a day, My PM M.D.
I learned that I was hep c positive in Jan.02. Tried to get mortgage insurance and after a physical was sent a letter denying coverage due to the hep c positive result.How many others have learned that way and said what the hell is hep c and how do I deal with this? I had my first biopsy in June of 02 and doc. said I could wait for treatment due to my age and the slow progression of virus,etc. I tried to get into a study, but ended getting pregnant before I could get into the study.
is it true some insurance covers it?I heard if you use your insurance they will deny coverage in the future. As I lay here hurting worse in my back and neck than ever with only enough pills to keep the withdrawls so I can stand it, my mind dying to take one I know that I will be in worse shape before Monday.I have been hooked for the last 7 years.takin min of 12 10mg percs a day . I wish I had all the ones back that I took and did not need.
Thankfully he has agreed willingly to enter the detox program. It is a facility that will move him to suboxone. Has anyone on this forum had any experience with this type of detox? What sort of things can the family do to help him through this? Maybe there are things that we haven't thought of that your experience could suggest. We are starting to plan for the next step when he gets out of detox.
The only problem is the fact of the cost for long term use/control. Job stability hasn't been one of her things so insurance coverage could be an ongoing issue. At this time she has us helping paying for her treatment, however I don't know how long this can go on either...it's so expensive. She just recently started a new job, however it is one that I personally wish she didn't take, because it will take a big toll on her back without a doubt.
Insurance companies are a disgrace in my opinion. Rates go up coverage goes down or if you are like me you have no insurance as i cant afford 1,000 a month premium that doesnt cover a dam thing. I am always so happy to read in the paper that the BCBS CEO is the highest paid person in my state. I would hate to think of him going without.
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