Does Aetna Cover Suboxone?

Buprenorphine or Naloxone is also sometimes called Suboxone or its most famous drug class. Suboxone can be dissolved by the tongue. Buprenorphine is an opioid drug that FDA approves. Suboxone can be obtained as an alternative treatment with buprenorphine. Naloxone is mildly low in dosage, but does not cause any adverse effects. In many cases, for patients with drug abuse, a remission can be imminent.

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Buprenorphine is a partial opioid agonist (which means it acts on a few receptors) and naloxone is an antagonist (which means it blocks different receptors). 

This method that suboxone can lessen cravings for opioids with out inflicting euphoria or sedation. This article will talk whether or not Aetna covers prescriptions for suboxone.

Does Aetna Cover Suboxone?

In addition to Suboxone, it offers other treatment options for patients suffering from opiate addictions (OUD). If you are covered by Medicare or Medicaid, you should not have a previous authorization if you are on your own.

Anthem announced after the agreement that it would also endeavor to reduce the amount of opioids prescribed to members and improve access to behavioral health services. Schneiderman’s efforts were applauded by the American Medical Association, which in early February issued a letter to attorneys general across the country encouraging them to take similar actions.

Insurance Coverage for MATERS

Aetna plans cover most drug-resistant MAT drugs including methadone. Besides a drug like methadrone, the methadone is also able to be used in methadone clinics. Because a doctor is giving it to patients at home and they cannot take the product to their home, it is not covered under the prescription drug coverage offered by the pharmaceutical company.

Aetna is a health care company that has been providing insurance coverage to individuals and employers for over 160 years. Aetna offers coverage for addiction treatment consisting of a wide range of mental and behavioral health services. Specific insurance plans provide coverage for detox, counseling , inpatient rehabilitation, intensive outpatient treatment , residential rehabilitation , and partial hospital treatment.

Medication Assisted Treatment

The number is on the back of your ID card. Methadone, naltrexone and other treatments for opioid addiction Can you give me more information about Medication Assisted Treatment (MAT)? Medication-assisted treatment (MAT) is the use of medications (such as methadone, buprenorphine, and naltrexone) with counseling and behavioral therapies to treat substance use disorders and prevent opioid overdose. Veterans Affairs Mental Health Services provides a range of mental health services for veterans, including individual and group counseling, medication management, stress management, and crisis intervention.

Adderall is a prescription stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. Like all medications, Adderall may cause side effects, some of which can be serious.

What Is Aetna?

Aetna is the nation’s third-biggest insurer. It gives non-public and public plans thru employer-subsidized institution plans, man or woman policies, Medicare Advantage plans, and Medicaid programs.  In addition, Aetna offers offerings consisting of scientific management, pharmacy advantages management, fitness facts technology, and records analytics.

Aetna Substance Abuse Treatment Options Table of Contents Aetna Substance Abuse Treatment Options Addictions Covered Under Aetna Insurance Policies Aetna Medication-Assisted Treatment Aetna Coverage: Paying for Rehab Aetna Drug & Alcohol Treatment Programs Other Insurances with Rehab Coverage Aetna is one of many national insurance providers to specifically cover addiction rehab.

Women’s rehabs are often staffed by professionals who understand the unique challenges that women face when it comes to substance abuse and addiction.

What Is Suboxone?

Suboxone is prescribed with the aid of using docs as a part of remedy for opioid dependence. It incorporates buprenorphine, that’s a partial opioid agonist, and naloxone, that’s an opioid receptor blocker.

The stigma around substance abuse has shifted since insurers understand that addiction is a disease . We want you to be able to rely on your insurance company to cover the costs of addiction treatment . For this reason, at Healthy Life Recovery, financing addiction treatment is possible for those who have Aetna health insurance.

How Does Suboxone Work?

Suboxone works in several ways:

  • It reduces cravings for opioids
  • It reduces the likelihood of overdose from using heroin or another opioid
  • It reduces the risk of relapse after detoxification

How Is Suboxone Prescribed?

The FDA accepted Suboxone in 2002. Doctors prescribe it to assist human beings who’ve advanced a bodily dependence on opioids and want long-time period treatment. They additionally use it to save you opioid overdoses.

Doctors commonly begin sufferers on low doses of suboxone and step by step growth them over time. Patients can be capable of take suboxone every day or simply as soon as in keeping with day.

Who Can Get Coverage For Suboxone?

Physicians who prescribe Suboxone must submit an application to Aetna for approval. Talk to your doctor about this process before starting treatment. If she already has a prescription for Suboxone but is unsure if her plan covers it, please contact her healthcare provider. Some plans cover specific drugs, while others cover all covered substances at a flat rate.

Are There Side Effects Of Suboxone?

Side effects of Suboxone include nausea, vomiting, dizziness, lightheadedness, constipation, dry mouth, sweating, and headache. These side effects usually go away when the drug is stopped.

Can I Take Other Medications With Suboxone?

yes. Your doctor may recommend that you take other medicines with Suboxone. Examples include antidepressants, antihistamines, antianxiety drugs, and sleep aids.

If your use of Suboxone is for the purpose of treating opioid addiction and was prescribed by your doctor, this authorization should generally be easy to get. Does Your Specific Plan Affect Coverage? If your insurance plan provides pharmacy coverage, it will generally cover Suboxone and similar medications, keeping in mind that you may need prior authorization for your medication as discussed above.

Does Aetna Cover Prescriptions For Suboxone?

Some states require insurers to provide insurance for positive medications. However, there’s no federal requirement that each one coverage agencies need to offer insurance for each medication. If your country calls for insurance for suboxone, then Aetna ought to be capable of approve your request. You can touch them immediately at 1-800-827-1400.

If your country does now no longer require insurance for suboxone and you’ve a records of an opioid use disorder, you could nevertheless be eligible for insurance. Your physician might also additionally prescribe suboxone as a part of a remedy plan.

How To Apply For Aetna Insurance Cover

You can apply online by visiting If you prefer, you can call Aetna customer service at 1-800-AETNA (1-800-238-6282).

What Happens After My Application Is Approved?

Once your application is approved, you will receive a letter confirming that you are eligible for compensation. You will also receive a form called a “Plan Summary Card” with information about your plan benefits. This card is a key card that indicates the benefits covered by the plan. You can also review restrictions and restrictions that may affect your coverage.

How Much Will I Have To Pay Out Of Pocket For Suboxone?

Subboxone costs between $50 and $100 per month, depending on your plan. Costs vary by plan. Please consult your doctor for details.

Will I Be Able To Receive Suboxone At No Cost?

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There are many methods to get loose get right of entry to to suboxone. Some examples encompass Medicaid, Medicare, Tricare, Veterans Affairs, navy bases, and public hospitals. If you qualify for those applications, you might not pay some thing out of pocket for suboxone. However, a few plans do price copays and deductibles. Many coverage carriers provide loose get right of entry to to suboxone. They achieve this via their applications and partnerships with network organizations. Tricare covers inpatient and outpatient rehabilitation services for active duty service members and eligible beneficiaries.

For example, Anthem Blue Cross gives loose get right of entry to to suboxone via its Community Health Network program. In addition, Cigna presents loose get right of entry to to suboxone via its Partnership for Patients initiative. Xanax pills are a type of benzodiazepine medication that is used to treat anxiety, panic disorder, and other mental health issues

Alternatives To Suboxone

In a few cases, your physician might also additionally advocate opportunity techniques of treating opioid addiction. Some examples include:

  • Methadone maintenance therapy – This involves taking methadone instead of heroin. Methadone is a narcotic used to treat opioid addiction.
  • Naltrexone Implant – Naltrexone is injected into the body. Naltrexone blocks the effects of opioids.

Other Treatment Options for Addiction

The following treatments are generally recommended for patients who do not want to take Suboxone. These options include behavioral therapy, support groups, counseling, and other types of psychotherapy.

Behavioral Therapy

This type of treatment helps people change their behavior and develop new habits.

Behavioral therapy includes cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and emergency management.

Support Groups

Support Groups help people connect with others going through similar experiences. They offer emotional support and advice.


Counseling can help you deal with problems such as depression, anxiety, stress, eating disorders, and substance abuse.

Counselors use a variety of techniques to help clients understand themselves better and make healthy changes in their lives.


Psychotherapy is talk therapy that focuses on improving psychological health.

Examples of psychotherapy include cognitive-behavioral therapy, interpersonal therapy, and psychodynamic therapy.

Alternative Treatments

Some alternative treatments may be effective in treating opioid dependence.

These treatments include acupuncture, hypnosis, yoga, meditation, massage therapy, biofeedback, and nutritional supplements.


Aetna is authorized to take Suboxone when prescribed by a licensed physician. Contact Aetna to find out how Suboxone is covered and whether you are eligible for coverage for this prescription.

Ryan Ascroft