Does Ambetter Cover Suboxone Treatment in Tennessee?

Yes, We Accept Ambetter

Restoration Recovery is in-network with Ambetter 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 Ambetter 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 Ambetter plan benefits before your first visit, including any cost-sharing reductions that apply.

What’s Covered Under Ambetter for MAT

Ambetter 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 Ambetter plans cover with a generic-tier copay.
Sublocade (monthly buprenorphine injection): administered at our clinic. Most Ambetter 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 Ambetter 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

Ambetter out-of-pocket costs for MAT vary substantially by plan tier. Bronze plans typically have the lowest premium but highest deductibles — you may pay more out of pocket until you meet the deductible. Silver plans (especially Silver plans with cost-sharing reductions for income-qualifying enrollees) typically balance premium and out-of-pocket. Gold plans have higher premiums but lower copays. Our verification call with Ambetter pulls your specific benefits before your first visit.

Exact out-of-pocket cost depends on your specific Ambetter 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 Ambetter patients find the real cost substantially lower than they expect.

Prior Authorization

Ambetter typically requires prior authorization for extended-release injections (Sublocade and Brixadi). Our team handles the prior-auth submission; it usually clears within a few business days. Daily generic Suboxone (film or tablet) typically does not require prior auth.

How We Verify Your Ambetter 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 Ambetter information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
Our team calls Ambetter 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. Ambetter 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 — preparing to begin scheduling; wait list open.

Telehealth follow-up visits are available for established patients at all four locations, covered by Ambetter 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 Ambetter 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.

Ambetter Is an ACA Marketplace Brand

Ambetter is Centene Corporation’s brand for ACA (Affordable Care Act) marketplace plans — the plans sold through healthcare.gov during open enrollment or for qualifying life events. If you obtained coverage through the marketplace and your card says Ambetter, this page applies to you.

Centene also operates Wellpoint (formerly Amerigroup) for some Medicaid populations, but that’s a different product line with different coverage rules.

Cost-Sharing Reductions (CSR)

If you enrolled in a Silver-tier Ambetter plan and your household income qualifies for cost-sharing reductions, your actual copays and deductibles are lower than the plan’s headline numbers. This is automatic and handled at the marketplace level. If you’re not sure whether you have CSRs, it shows on your healthcare.gov account summary.

Frequently Asked Questions

Does Ambetter cover Suboxone treatment at Restoration Recovery?

Yes. Restoration Recovery is in-network with Ambetter for medication-assisted treatment (MAT) at all four of our clinics across Tennessee and Georgia. MAT coverage includes Suboxone (film and tablet), Sublocade, Brixadi, Vivitrol, and Acamprosate.

Do I need a referral from my PCP to start MAT with Ambetter?

It depends on your specific Ambetter plan type. HMO plans typically require a referral from your primary care provider; PPO and open-access plans generally do not. Our intake team verifies your specific plan’s referral requirements before your first visit.

What’s my copay or deductible with Ambetter?

Copays and deductibles vary significantly by Ambetter plan. Some commercial plans cover MAT under a behavioral-health specialist copay; others apply the medical deductible. We verify your specific benefits before your first visit so you know what to expect.

Does Ambetter cover Sublocade or Brixadi injections?

Yes. Commercial Ambetter plans generally cover Sublocade and Brixadi, often requiring prior authorization. Our clinical team handles the paperwork. Injections are administered at our Chattanooga and Cleveland clinics (our Ringgold clinic is preparing to begin scheduling).

What if my Ambetter plan isn’t listed in your directory?

Call us at 423-498-2000. Online provider directories often lag behind actual contracting. Our team can verify your Ambetter benefits directly and confirm in-network status, typically within one business day.