Does Blue Cross Blue Shield Cover Suboxone?

Suboxone is a medication used to treat opioid addiction. The FDA has approved Suboxone for treating opioid dependence. Blue Cross Blue Shield (BCBS) covers Suboxone under its prescription drug benefit plan. 

Blue Cross Blue Shield offers three plans: Platinum, Gold, and Silver. Each plan has a deductible and copayment amount. The Platinum Plan has the lowest copayments and deductibles.

Does Blue Cross Blue Shield Cover Suboxone?

Many patients who receive Suboxone prescriptions from their doctors are concerned about whether or not they will be covered by their insurance company.

This article will explain whether BCBS covers Suboxone under its medical plan.

What Is Blue Cross Blue Shield?

Blue Cross Blue Shield is an American health care insurer that provides private health insurance in all 50 states, Washington D.C., Puerto Rico, Guam, U.S. Virgin Islands, and the District of Columbia. 

It was founded on July 1, 1937, as one of the first major health insurers in the United States. In addition to providing private health insurance, it also sells Medicare Advantage Plans.

Types Of Blue Cross Blue Shield Insurance Plans

There are three types of Blue Cross Blue Shield plans platinum, gold, and silver. They have different levels of benefits and premiums.

Platinum Plan 

The Platinum Plan has the highest level of coverage. It includes more services than the other two plans. It also has the largest premium and includes a higher deductible.

Gold Plan

The Gold Plan has moderate coverage. It includes dental, vision, hearing aid, long-term care, and mental health services. It also has lower monthly premiums than the Platinum Plan.

Silver Plan 

The Silver Plan has low coverage. It does not include dental, hearing aid, or vision services.

It has higher monthly premiums than the other two plans but is still less expensive than most individual policies.

How To Apply For Blue Cross Blue Shield Insurance

To apply for BCBS insurance, you must visit your local office or call 800-811-4111. You may need to give them proof of income before they process your application. You can also apply online.

What Is A Blue Cross Blue Shield Medical Plan?

A medical plan is a type of insurance policy that pays for doctor visits, hospital stays, medications, and other healthcare costs.

Blue Cross Blue Shield’s medical plans pay for these expenses when you visit your primary care physician or specialist.

How To Apply For A Blue Cross Blue Shield Medical Plan

To apply for a Blue Cross Blue Shield medical plan, you must complete an application form.

You may need to submit proof of your income, employment history, and any dependents. If you qualify for Medicaid, you will need to fill out a separate application.

You will then receive an enrolment card with information about your new policy. You will need this card to make payments and get access to your benefits.

If you do not already have a primary care physician, you should contact your doctor’s office to find out if he or she participates in Blue Cross Blue Shield.

What Is Suboxone?

What Is Suboxone?

Suboxone is a brand-name medication used to treat opioid addiction. It works by blocking the effects of opioids like heroin and morphine.

It is prescribed for people who have been addicted to opioids for at least six months.

How Does Suboxone Work?

Suboxone blocks the effect of opioids so that users no longer experience the high from using drugs. This helps reduce cravings and withdrawal symptoms.

Who Should Use Suboxone?

People who use opioids regularly should consider taking Suboxone. It is usually recommended for patients who cannot stop using opioids without help.

How Do I Know If My Insurance Company Will Cover Suboxone?

If you are taking Suboxone, your Blue Cross Blue Shield plan should cover this medication. You may need to speak with your provider to make sure.

Your provider may ask if you have any questions about what your plan covers. Blue Cross Blue Shield plans offer prescription drug coverage to members who meet certain criteria.

These criteria vary depending on which plan you choose.

If you do not know if your plan covers Suboxone, call your Blue Cross Blue Shield customer service number at 800-848-4118. Representatives there can help you find out if your plan covers Subutex.

Do I Need To Pay Out Of Pocket For Suboxone?

No. When you take Suboxone, your insurance plan will cover the cost of the medication. However, you may have to pay a small deductible before your insurance starts paying.

You will only pay the deductible if you use up all of your prescription supply before reaching the end of your plan year.

After you reach the end of your plan period, your insurance company will start covering the remaining portion of your prescription.

Can I Use Other Insurance To Pay For Suboxone? 

Yes, you can use other insurance to pay for Suboxone. You could use your insurance, such as your employer’s group plan, or you could use supplemental insurance.

Supplemental insurance is usually purchased through another insurance company. Supplemental insurance often comes with high deductibles and co-pays.

Your employer’s group plan is typically provided by your employer. This plan may be part of your overall employee benefits package.

Blue Cross Blue Shield provides a list of companies that offer supplemental insurance on its website. You can also search online for additional options.

Alternatives To Suboxone

There are several alternatives to Suboxone. Some of these medications work just as well as Suboxone but are less expensive.

Others are safer than Suboxone because they do not contain hydrocodone.

One alternative is methadone. Methadone is an opioid painkiller that has long been used to treat opioid dependence.

It does not cause euphoria, however, it still produces the same physical effects as other opioids.

Another alternative is naltrexone. Naltrexone is a non-opioid medication that works by blocking the effects of opioids.

Like Suboxone, naltrexone reduces cravings and withdrawal symptoms associated with stopping opioid use.


Suboxone is one of the most effective treatments available for opioid addiction. It helps people get off opioids safely and effectively.

Your doctor may prescribe Suboxone to help you reduce your risk of overdose.

Blue Cross Blue Shield can provide coverage for suboxone depending on your eligibility and the type of plan you have.

Ryan Ascroft