Naltrexone (Vivitrol) is a monthly extended-release injection that can help you recover from alcohol and opioid dependence. BCBS of NJ covers Vivitrol treatment. You can still expect some out-of-pocket expenses despite having BCBS insurance. These depend on your insurance plan’s co-payment and co-insurance policies. Read to learn about your Vivitrol BCBS coverage and how to benefit from it.
ChoicePoint accepts Horizon NJ, and our certified doctors at Fair Lawn Rehab can administer Vivitrol and provide comprehensive treatments for alcohol and opioid addiction recovery. You can also contact our online naltrexone doctors to recover from any part of New Jersey.
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Does BCBS (Blue Cross Blue Shield) Cover Vivitrol? BCBS Vivitrol Injection Coverage
Yes, Blue Cross Blue Shield covers monthly injections of Vivitrol (Naltrexone) in outpatient and inpatient settings. The BCBS of NJ (Horizon NJ) does not require prior authorization or co-payment cost (subject to your plan) for medically necessary Vivitrol treatment. For complete coverage, you must fit in the following inclusion criteria:
Inclusion Criteria For Alcohol Dependence | For Opioid Dependence |
---|---|
Individuals must be 18 years or older and have a diagnosis of alcohol abuse by DSM V criteria. | Must have completed opioid detox. |
Individuals must be able to refrain from drinking before the start of Naltrexone treatment. | Individuals who have completed opioid detox and are now receiving Naltrexone shots to avoid a relapse. |
Individuals should not be drinking during the treatment. | Must have an opioid addiction diagnosis. |
A person should be enrolled in a comprehensive treatment program. | Individuals should have completed or be a part of a comprehensive treatment program. |
What Is Naltrexone (Vivitrol) Injection Price Without Insurance?
Vivitrol is an expensive treatment if you do not have insurance. A single 380 mg Vivitrol shot may cost between $1700 and $2,500. If you are starting Vivitrol for Alcohol Use Disorder treatment, we recommend you look into insurance plans like Horizon NJ, Medicare, and Aetna NJ that cover Vivitrol.
Looking for insurance-covered Naltrexone shots near you? Contact ChoicePoint at 844.445.2565 for monthly injections by trained and certified doctors.
How To Verify Your Blue Cross Blue Shield Vivitrol Coverage in NJ?
Different Blue Cross Blue Shield plans have different policies about the extent of prescription drug coverage. For example, different types of insurance plans offer different perks and limitations:
- The platinum package covers 90% of the total costs
- Gold covers 80% of the cost
- The silver package covers 70% of the total cost
- Bronze covers 60% of the total cost
If you want to know the exact cost of Vivitrol shots with insurance, we recommend you to:
A. Connect with a BCBS NJ Representative
You can call your insurance to ask about:
- Co-payment amount (a fixed amount you may have to pay)
- Co-insurance cost (a fixed percentage of cost-sharing).
- List of in-network pharmacies and treatment providers.
You can also get guidance about choosing the best plan for your treatment so you have fewer out-of-pocket expenses. For example, the BCBS Horizon NJ Total Care (HMO D-SNP) plan claims no co-payment cost with in-network providers.
B. Verify Your Insurance at ChoicePoint, BCBS Vivitrol Provider in NJ
ChoicePoint is a Blue Cross Blue Shield in-network drug rehab. We accept BCBS for all our addiction treatment and prescription medication programs. You can verify your insurance by simply filling out this form. You can also request a callback for answers regarding all your financial concerns.
VIVITROL® for Alcohol Dependence and Opioid Dependence
Recovery From Opioids and Alcohol Addiction With Vivitrol Shot Near Me in New Jersey
Are you struggling with addiction and thinking that your condition is beyond help? We want to reassure you that you have the strength within you to fight addiction.
Here is how ChoicePoint can help you end the cycle of addiction:
- Insurance-covered Naltrexone (Vivitrol) Treatment
- Online Naltrexone prescription
- We are a Blue Cross Blue Shield in-network rehab, which means few to no out-of-the-pocket costs.
- Online and onsite opioid addiction treatment program
- Offering dual diagnosis treatment (addiction and mental health conditions) for wholesome recovery.
- Catering to all ASAM levels of care. This includes inpatient, outpatient detox, IOP Rehab in New Jersey, and partial care programs.
- Availability of treatments and Naltrexone injections on weekends.
Get Your Monthly Vivitrol Injection From ChoicePoint
Here is our streamlined process to provide you with the help you need:
1. Admissions and Appointment Process
Once you set an appointment with us, our team will contact you. We will ask about your insurance and medical history and conduct any needed assessments and evaluations. Our team will share the E-registration form with you, and your treatment will begin after mutual agreement.
2. Getting Your Vivitrol Shot
You will meet with our doctor in NJ rehab on the day to get your Vivitrol shot. Our trained staff will administer the shot, keeping this in mind.
3. Availability of an Opioid and Alcohol Addiction Treatment Plan
We will offer you a custom opioid and addiction treatment plan. Our plans include medication-assisted treatment, counseling, therapy, and peer support sessions.
4. Online Support and Assistance
We also offer 24/7 online assistance to answer all your queries and provide help whenever you need it.
Looking for online vivitrol doctors in NJ to dispense a prescription? Call 844.445.2565 for insurance-covered online prescriptions.
Frequently Asked Questions About BCBS Vivitrol Shots Coverage
Our team often gets these questions related to BCBS Vivitrol coverage in New Jersey.
How Much Does Blue Cross Blue Shield Vivitrol Co-Pay Costs?
The amount of co-pay depends on your insurance plan. For example, BCBS of NJ has a Horizon NJ TotalCare plan that claims 0 co-pay costs. The co-pay and co-insurance amounts are also different in every state.
What is Vivitrol Cost With Insurance?
The cost of Vivitrol with insurance depends on many factors, such as:
- whether you are choosing in-network or out-of-network providers,
- the type of insurance plan you have,
- co-pay and co-insurance costs.
We can better assist you regarding the cost if you provide us with insurance details by calling 844.445.2565 or verifying your insurance online.
What is a Vivitrol Injection Site? Where Do You Get Vivitrol?
Vivitrol is an intramuscular injection administered in the buttock area, specifically in the gluteal area (Bbuttock muscles). If it is administered incorrectly or administered in fat tissues, a person may react. Hence, it must be obtained from a licensed practitioner only.
Where Can I Find Blue Cross Blue Shield Prescription Coverage List?
For NJ, you can get the Blue Cross Blue Shield Prescription Coverage from Horizon, NJ, through this link.
Additional Resources
- Vivitrol Clinics Near You
- BCBS Therapists Near Me In NJ
- Vivitrol (Naltrexone) for Alcohol Dependence
- Opioid Use Disorder Treatment: Vivitrol vs Suboxone
- Naltrexone Online Doctors Near You
- Naltrexone Over the Counter Alternative
- BCBS Alcohol Rehab in NJ
- Frequently Asked Questions About The BCBS IOP Request Form
- Blue Cross Blue Shield Drug Rehab Coverage in NJ
References
- Horizon NJ Health: Home. Retrieved October 25, 2024, from
https://www.horizonnjhealth.com/ - Horizon BCBS NJ Uniform Medical Policy Manua. (n.d.). Horizon- BCBSNJ.
https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/KKPR-7X7PPU - Horizon NJ TotalCare (HMO D-SNP). (n.d.). Horizon NJ Health. Retrieved October 25, 2024, from
https://www.horizonnjhealth.com/ourplans/horizon-nj-totalcare-hmo-d-snp
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.