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Yes, Aetna may cover Suboxone prescription and treatment, depending on your insurance plan and location. In 2025, Aetna removed brand-name Suboxone coverage from some insurance plans. However, the generic version of Suboxone Buprenorphine/Naloxone, a preferred alternative, may still be covered by most Aetna insurance plans. Generic suboxone is also FDA-approved and offers the same benefits as brand-name medications at more affordable rates.
ChoicePoint offers same-day Aetna-covered Suboxone prescriptions. Call 844.445.2565 to get your prescription today!
Table of Contents
Does Atena Cover Suboxone? Understanding Aetna Suboxone Coverage
Aetna may cover some or most of the cost of generic Suboxone, but the coverage is dependent on the type of your plan
a. Aetna Employer-Based Plans
Aetna offers employer-based plans. If you have Aetna insurance through your employer, then you may get Buprenorphine (Suboxone, the active ingredient) without pre-authorization requirements.
b. Aetna Medicare and Medicaid Plans
Members under these plans often require preauthorization, and there is a quantity limit to prevent Suboxone abuse. However, rehabs such as ChoicePoint assist you with all the paperwork, so there is no hassle on your end.
c. Suboxone Quantity Limits
Depending on your plan, Aetna usually limits the quantity of Suboxone to ensure that there is no misuse.
- Suboxone 2mg/0.5mg, 4mg/1mg, 8 mg/ 2 mg: 3 units or pills per day.
- Suboxone 12mg/3mg: Up to 2 units per day.
Aetna Online Suboxone Prescription
Aetna may cover online suboxone prescription via telehealth suboxone doctors without any additional costs or payments. However, for exact coverage, it is best to verify your insurance online or through the Atena member’s portal.
Disclaimer: Insurance company policies change from time to time. For the most accurate and exact information regarding Aetna Suboxone coverage, please contact us at 844.445.2565 or reach out directly to Aetna insurance providers.
Client Review
Getting started with ChoicePoint using my Aetna insurance was surprisingly easy. There was no endless paperwork or long wait times; everything was streamlined and handled professionally. The staff walked me through the whole process and verified my insurance quickly, and I was able to begin treatment almost immediately. – A client at ChoicePoint
Finding Aetna Suboxone Doctors for the Same Prescription
ChoicePoint accepts Aetna insurance at all of our online nationwide and New Jersey rehabs. In addition to Aetna-covered Suboxone prescriptions, we also cater to all levels of care to treat opioid addiction. Our telehealth treatment model to dispense a same-day insurance-covered Suboxone prescription is just 3 steps:
Step 1: Schedule an Appointment Online
You can schedule an appointment with us:
- Call 844.445.2565 for exceptional customer support, appointment scheduling, and to have your queries answered.
- Schedule an online appointment or request a callback.
- Verify your insurance through our online portal.
Step 2: Get an Evaluation
You will be connected to a licensed Suboxone doctor who will evaluate your condition, review your current Suboxone plan, and prescribe you a custom dosage.
Step 3: Receive Your Prescription Via Email
You will receive your prescription via email. You can take the prescription to the nearest pharmacy or ask the rehab center to email the prescription for you.
How It Works
Aetna Opioid Addiction and Behavioral Health Treatment
In addition to Suboxone prescription, Aetna may cover alcohol rehab and drug rehab, along with comprehensive opioid addiction treatment. It offers comprehensive care coverage, including medication-assisted treatment, behavioral therapy, and opioid addiction counseling.
Preventative Care and Screening
Atena provides coverage for preventative behavioral health and substance abuse treatments. These include:
- Addiction and mental health screening
- Addiction counseling
- Regular visits
Aetna also covers telehealth preventative services. So, if you suspect addiction, you can schedule an online opioid addiction evaluation by calling 844.445.2565.
Medication-Assisted Treatment Coverage with Aetna
Most Aetna plans may cover medication-assisted treatment for opioid addiction, as it is a result-driven program to improve mental health and addiction. Insurance covers FDA-approved medications for opioid addiction treatment. These include:
These medications are most effective when used with behavioral counseling and therapy, addiction counseling, and therapy.
Behavioural Therapy
Our therapists accept Aetna for behavioral therapy, addiction therapy, and dual diagnosis treatment. Our most sought-after therapies include:
- Cognitive-Behavioral Therapy Program
- Dialectical Behavior Therapy Program
- Group Therapy Program
- Individual Therapy Program
- Family Therapy Program
- CBT group activities
- Online dialectical behavioral therapy
Levels of Care Covered by Aetna Insurance at ChoicePoint
Aetna Health Coverage usually includes medical detoxification, therapy, and support programs. The exact coverage depends on your plan. At ChoicePoint, we offer the following treatments best suited to your needs:
Aetna Partial Care (PHP/Partial Hospitalization) Treatment
Most Aetna plans cover Partial Hospitalization Programs (PHPs), also known as Partial Care Treatment, as part of behavioral health treatments. These programs are the best alternatives to inpatient treatment as they offer the same level of treatment as inpatient care without staying at the rehab.
Aetna-covered Outpatient Treatment
Outpatient treatment program offers more flexibility, allowing individuals to attend scheduled treatment sessions while maintaining their daily responsibilities. It is suitable for individuals with mild to moderate substance use disorders.
Aetna-covered Intensive Outpatient Treatment
IOP is a more structured program than standard outpatient treatment; IOP involves 9-19 hours of treatment sessions per week. It is designed for those who require more intensive support but are stable enough and do not need inpatient care.
Aetna Inpatient Substance Abuse Treatment
Most Aetna plans may cover inpatient substance abuse treatment as part of their behavioral health treatment coverage. This type of treatment is designed for individuals who need intensive care in a residential setting to address drug or alcohol dependency.
Aetna-covered Online Addiction Treatment
ChoicePoint offers virtual addiction treatments, enabling patients to receive care remotely. This option is ideal for individuals who can not attend treatments at rehab due to commuting or other reasons.
Client Review
I was honestly dreading the insurance part, but ChoicePoint made it so easy. They accepted my Aetna plan and handled everything behind the scenes. No unnecessary forms, no back-and-forth phone calls. I felt like they genuinely wanted to help, not just check boxes.
Insurance-covered Suboxone Prescription at ChoicePoint!
We provide Aetna-covered Suboxone prescriptions via telehealth services. To determine if your specific Aetna plan covers prescriptions at ChoicePoint, you can go through our complimentary insurance verification process by visiting our Insurance Verification page and submitting the required information. Alternatively, you can contact ChoicePoint directly at 844.445.2565 for assistance.
Frequently Asked Questions Related to Does Aetna Cover Suboxone?
Do I Need Prior Authorization for Suboxone with Aetna?
In many cases, Aetna does require prior authorization for Suboxone. Your healthcare provider will need to submit a request to Aetna explaining why the medication is medically necessary. Once approved, you can pick it up from an in-network pharmacy.
Are There Quantity Limits on Suboxone Prescriptions?
Yes, Aetna may impose quantity limits on Suboxone prescriptions. The exact limits can vary based on your plan and medical necessity.
Does Aetna Cover Online Suboxone Treatment?
Aetna may cover online Suboxone treatment through providers like ChoicePoint, depending on your specific plan and location.
Does Aetna Cover Other Forms of Buprenorphine Treatment?
Yes, Aetna may cover some costs of other forms of buprenorphine treatment, such as Probuphine implants, for patients who have achieved and sustained prolonged clinical stability on low to moderate doses.
References
- Aetna. Opioid FAQs for individuals and families. Retrieved April 14, 2025, from
https://www.aetna.com/faqs-health-insurance/opioid-faqs.html - Aetna. Health insurance plans. Retrieved April 14, 2025, from
https://www.aetna.com/
Medical Disclaimer:
ChoicePoint aims to improve the quality of life for people struggling with substance use disorder and mental health issues. Our team of licensed medical professionals research, edit and review the content before publishing. However, this information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. For medical advice please consult your physicians or ChoicePoint's qualified staff.
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Same-day MAT Prescription Program
