Does Cigna cover Suboxone?

Does Cigna cover Suboxone? Yes, Cigna covers suboxone. Suboxone, an FDA-approved medication, is used for the treatment of opioid abuse. The high cost can be a barrier to your treatment, but not anymore because Cigna covers suboxone prescription in NJ for opioid treatment. ChoicePoint aims to provide an easy-to-access, personalized addiction recovery program by accepting Cigna insurance. Get your insurance-covered online suboxone prescription today or call us at 844.445.2565 to talk to our team of DEA-certified clinical staff. 

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Highlights

• Cigna covers both Generic and brand-name suboxone. Brand-name Suboxone costs more, while generic-name Suboxone costs less.
• Cigna coverage varies from state to state.
• With Cigna, suboxone costs you around a hundred dollars per month, depending on the facility (inpatient treatment facility, outpatient center, or online facility) from which you make the purchase, dose, and suboxone formula.

What Is Suboxone? All You Need To Know About Suboxone Prescription

Suboxone is an important treatment for individuals with moderate to severe opioid use disorder. It helps in reducing opioid withdrawal symptoms. It is a combination of Buprenorphine (opioid agonist) and Naloxone (opioid antagonist). Along with therapy, suboxone can be an ideal treatment for detoxing opioids (fentanyl, morphine, heroin), kratom addiction, reducing withdrawals, and gaining abstinence ¹. 

Does Cigna Cover Suboxone Treatment?

Yes, Cigna covers suboxone treatment, making opioid addiction recovery a smooth process.  This allows easy access to the suboxone doctors that accept Cigna². You must understand the claim process, incentives, coinsurance, and out-of-pocket amounts. This will allow you to determine your coverage for suboxone treatment. Cigna covers both generic and brand-name suboxone. The generic suboxone version costs less, while brand-name suboxone costs more³.

How To Check Cigna Coverage For Suboxone?

Before you make any decision about your insurance, check whether Cigna covers Suboxone treatment. Follow these simple steps to verify Cigna plan provides coverage for Suboxone:

• Go through the Cigna drug list.
• Study their requirements.
• Call their customer services 844.445.2565 for further information.
• Discuss with your suboxone doctor.
• Review your documents.
• Book an appointment.

Are you worried about how much your Cigna Insurance covers for suboxone treatment? Call us for more information: 844.445.2565. 

Cigna Coverage For Suboxone: 4 Health Insurance Plans 

Cigna offers four types of health insurance plans that include coverage for suboxone treatment. Below are the 4 plans offered by Cigna:

1. Health Maintenance Organization (HMO) Plans

HMO plans allow patients to choose from a local variety of healthcare providers. Patients are required to choose a doctor from Cigna’s network of providers. The good thing is you can make unlimited visits to the doctor. HMO plans offer lower out-of-pocket costs and premiums⁴. 

2. Preferred Provider Organizations (PPO) Plans

For your suboxone treatment, PPO plans allow you to select any Medicare-approved health provider, even if the provider is not covered by Cigna coverage. If you choose a provider from within the Cigna network, the cost may be reduced⁵. For example, if a patient resides in New Jersey but has to travel to another state for work and requires help, Cigna will cover the cost.

3. Point-of-Service (POS) Plans

The POS plan does not cover care given outside Cigna coverage. For this, patients are required to choose an in-network primary care provider for suboxone treatment.

4. Exclusive Provider Organization (EPO) Plans

EPO plan allows you to see an extensive pool of providers for suboxone treatment, but it only allows you to choose an in-network primary care provider. It does not cover the cost of out-of-network care facilities, except in emergencies. 

Opioid overdose is becoming a serious issue in the US. For same-day suboxone prescription, you can verify your insurance to get started today!

4 Cigna Tiers For Suboxone Treatment

Cigna covers PPO and HMO plans for suboxone in four tiers: Bronze, Silver, Gold, and Platinum. 

Get all the benefits provided by the Cigna insurance drug coverage plan at ChoicePoint. For more details, call: 844.445.2565. 

Get Started Now!

What Is The Out-of-Pocket Cost Of Suboxone Treatment?

With Cigna, suboxone costs you around a hundred dollars per month. It depends on the facility (inpatient treatment facility, outpatient center, or online facility) from which you make the purchase, dose, suboxone formulae (suboxone round orange pills and suboxone films), suboxone brand, and your location. Let’s suppose an outpatient clinic in NJ might offer lower-cost suboxone as compared to someone in New York. 

It is worth mentioning that Suboxone without Cigna insurance will cost you an arm and a leg. Visit our website to get yourself registered with our insurance plan. 

How To Get Your Suboxone Prescription Authorized?

There is a checklist that you need to complete to get your prescription approved, regardless of whether the Cigna plan covers Suboxone. Below are some of the requirements you need to keep in mind: 

1. Prior Authorization (PA)

It is important in situations where you require a complex treatment or prescription. The healthcare provider is required to get approval from the insurance company before providing the treatment. Similarly, the pharmacist is required to approve the prescription before handing it to the patient. 

2. Quantity Limits Program (QLP)

It is the highest amount of the drug that a pharmacist can prescribe to you, for example, 7 tablets per week. By limiting the quantity of prescription drugs, this program aims to promote the safe use of the medicines. Their overuse leaves deteriorating impacts on health and may result in increased healthcare expenditure. 

3. Step Therapy

It requires you to treat medical issues first with generic drugs, and if the treatment doesn’t work, you can move to brand-name or expensive drugs.

How Are Cigna’s In-Network And Out-of-Network Different?

We at ChoicePoint accept Cigna for suboxone, but we are not an officially in-network provider. As a part of our out-of-network services, we guide our patients about paperwork, pre-authorization forms, and other procedures to ensure healthcare is not compromised. 

The good thing is that ChoicePoint accepts Cigna for all the addiction treatments, including MAT, alcohol and drug evaluations, psychiatric evaluations, and aftercare programs. Therefore, you can start your recovery journey under an expert medical team today!

Cigna Opioid Addiction And Behavioral Health Treatment 

Not only suboxone, you can also avail Cigna drug and alcohol rehab coverage in New Jersey. Cigna’s comprehensive care coverage includes: 

1. Preventative care and screening 
2. Medication-assisted treatment 
3. Behavioral therapy

1. Preventive Care And Screening 

Cigna provides coverage for substance abuse treatments and behavioral health that includes regular visits, addiction counseling, and mental health screening. 

You can also schedule an appointment online for an opioid addiction evaluation with Cigna telehealth services by calling 844.445.2565. 

2. Medication-Assisted Treatment Coverage With Cigna

Cigna also covers medication-assisted treatment for opioid addiction. It includes FDA-approved drugs for opioid addiction treatment. These are:

• Suboxone

• Buprenorphine
• Naltrexone
• Subutex

3. Behavioural Therapy

All the above medications work effectively when used with behavioral therapies and addiction counseling. Our therapists accept Cigna for both addiction and behavioral counseling. Our therapies include:

• Dialectical Behavior Therapy Program
• Cognitive Behavioral Therapy Program
• Group Therapy Program
• Individual Therapy Program
• Family Therapy Program
• CBT group therapy
• Online dialectical behavioral therapy

Our therapy is just a click away. Visit our website to schedule an appointment with our licensed addiction counselors and therapists. 

Sources

1. Khalili MM. Exploring the Impact of Buprenorphine/naloxone (Suboxone) Use on the Length of Sobriety After Opioid Detoxification. Pain Management Nursing. 2023 Apr 1;24(2):236.
2. Johnson C. Anthem to acquire Cigna, creating new health-insurance giant. The Washington Post. 2015 Jul 24. https://www.reuters.com/article/business/anthem-to-buy-cigna-creating-biggest-u-s-health-insurer-idUSKCN0PY12A/
3. Cigna. (n.d.). Mental health insurance and substance use benefit. https://www.cigna.com/individuals-families/shop-plans/plans-through-employer/mental-health-insurance-and-substance-use-benefits
4. Cigna. (n.d.). Transparency in coverage. https://www.cigna.com/individuals-families/shop-plans/transparency-in-coverage
5. Cigna. (n.d.). PPO. Preferred provider organization plans. https://www.cigna.com/individuals-families/shop-plans/plans-through-employer/ppo
6. Cigna. (n.d.). In-network vs. out-of-network. https://www.cigna.com/knowledge-center/in-network-vs-out-of-network
7. Cigna. (n.d.). Medicare.
   https://www.cigna.com/medicare/