Yes, We Accept Aetna Medicare Advantage

Restoration Recovery is in-network with Aetna Medicare Advantage for medication-assisted treatment (MAT), counseling, and related addiction recovery services at all four of our outpatient clinics across Tennessee and Georgia. If you have Aetna MA coverage, you can use your plan to access Suboxone, Sublocade, or Brixadi — along with counseling and follow-up care — at our Chattanooga, Cleveland, Soddy-Daisy, or Ringgold (GA) locations.

Our intake team verifies your specific Aetna Medicare Advantage plan benefits before your first visit.

What’s Covered Under Aetna MA for MAT

Aetna MA plans that cover addiction treatment generally cover the full continuum of care we offer:

Suboxone (buprenorphine/naloxone): daily film or tablet prescription. This is the most common MAT medication and the one most Aetna MA plans cover with a generic-tier copay.
Sublocade (monthly buprenorphine injection): administered at our clinic. Most Aetna MA plans cover it, though some require prior authorization because of the higher per-injection cost.
Brixadi (weekly, bi-weekly, or monthly buprenorphine injection): similar coverage picture to Sublocade; prior authorization may be needed depending on plan.
Vivitrol (monthly naltrexone injection): for alcohol use disorder. Covered by Aetna MA plans that cover SUD treatment.
Individual counseling and certified peer support: as part of your treatment plan.
Group IOP (intensive outpatient programming): structured group-based care for patients who benefit from a higher level of support.
Telehealth: secure video visits for medication management and counseling follow-up, typically covered at the same rate as in-person visits.
Behavioral health: psychiatric medication management and coordinated care for anxiety, depression, and co-occurring conditions.

Typical Cost and Copay

Aetna Medicare Advantage out-of-pocket costs vary by plan. Most HMO plans carry a $0–$40 specialist copay per office visit, and generic buprenorphine under Part D is typically the lowest copay tier (often $0–$10 for a monthly supply). PPO plans may have slightly different cost-sharing. Sublocade and Brixadi injections administered in-clinic are covered as Part B-type services under the MA plan. Your plan’s maximum out-of-pocket limit caps annual spending even if you have extensive visits.

Exact out-of-pocket cost depends on your specific Aetna MA plan, deductible status, and whether any prior-authorization requirements apply. Our patient services team verifies your benefits before your first visit so you know what to expect. Most Aetna MA patients find the real cost substantially lower than they expect.

Prior Authorization

Aetna Medicare Advantage typically requires prior authorization for extended-release injections (Sublocade and Brixadi). Brand-name Suboxone may require step therapy if generic is preferred. Our team handles prior-auth submission with Aetna MA directly; it usually clears within a few business days. Daily generic Suboxone typically does not require prior authorization.

How We Verify Your Aetna MA Benefits

When you call us at 423-498-2000 or submit a contact request, here is what the intake process looks like:

We collect your Aetna MA information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
Our team calls Aetna MA directly to verify your benefits for MAT, counseling, and IOP.
We confirm back to you — usually within one business day — what your copay, deductible status, and any prior-authorization requirements look like.
You schedule your first visit with confidence in what it will cost. No surprise bills.

Four Clinic Locations

We operate four outpatient clinics across Southeast Tennessee and North Georgia. Aetna MA coverage is accepted at all of them:

Chattanooga, TN: 6141 Shallowford Rd, Suite 100 — Monday through Friday.
Cleveland, TN: 2130 Chambliss Avenue NW — Tuesday and Thursday.
Soddy-Daisy, TN: 210 Walmart Drive, Suite 100 — Monday and Wednesday.
Ringgold, GA: 4962 Battlefield Pkwy — Friday.

Telehealth follow-up visits are available for established patients at all four locations, covered by Aetna MA at the same rate as in-person visits in most cases.

How to Start

Same-week appointments are typically available at all four clinic locations. To begin:

Call 423-498-2000 or submit a contact request.
Have your Aetna MA insurance card handy for verification.
Tell our intake team you’d like to schedule an evaluation for Suboxone / MAT / counseling, and note what clinic location works best.
We verify your benefits, confirm any prior-auth steps, and schedule your first visit — usually within the same week.

Your first visit lasts 60–120 minutes and follows a standard clinical flow: intake (DSM-5 assessment, COWS score if applicable), a counselor conversation, and time with a medical provider. If clinically appropriate, you can leave with a same-day Suboxone prescription. For the full walkthrough, see our first-visit guide.

Aetna MA vs. Commercial Aetna

Aetna Medicare Advantage plans are administratively separate from Aetna’s commercial employer plans. If your card says “Aetna Medicare Advantage”, “Aetna Coventry Medicare”, or includes a Medicare contract number (typically starting with “H” or “R”), you’re on an MA plan and this page applies. If you have Aetna through an employer, see our Aetna commercial coverage page instead.

Common Aetna MA Plans in Tennessee

In Hamilton County, the Aetna MA plans we see most often include Aetna Medicare Premier (PPO), Aetna Medicare Value (HMO), and Aetna Medicare Eagle (marketed to veterans). All typically cover MAT at our clinics; the exact copay depends on plan design. Our intake team pulls your specific plan benefits at verification.

Does Aetna Medicare Advantage Cover Suboxone Treatment?