Yes, We Accept Cigna Medicare Advantage (Cigna HealthSpring)

Restoration Recovery is in-network with Cigna Medicare Advantage (Cigna HealthSpring) 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 Cigna Medicare 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 Cigna Medicare Advantage plan benefits before your first visit, including the current administrator if you’re in the Cigna/HCSC transition window.

What’s Covered Under Cigna Medicare for MAT

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

Cigna Medicare Advantage out-of-pocket for MAT is typically modest: $0–$40 specialist copay per office visit on most plans, and generic buprenorphine under the plan’s Part D benefit is usually on the lowest tier. Sublocade and Brixadi injections administered in-clinic are covered as Part B-type services. Your plan’s annual maximum out-of-pocket caps total spending.

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

Prior Authorization

Cigna Medicare Advantage typically requires prior authorization for extended-release injections (Sublocade and Brixadi). Our team handles prior-auth submission with Cigna; it usually clears within a few business days. Daily generic Suboxone typically does not require prior authorization.

How We Verify Your Cigna Medicare Benefits

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

  1. We collect your Cigna Medicare information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
  2. Our team calls Cigna Medicare directly to verify your benefits for MAT, counseling, and IOP.
  3. We confirm back to you — usually within one business day — what your copay, deductible status, and any prior-authorization requirements look like.
  4. 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. Cigna Medicare coverage is accepted at all of them:

Telehealth follow-up visits are available for established patients at all four locations, covered by Cigna Medicare 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:

  1. Call 423-498-2000 or submit a contact request.
  2. Have your Cigna Medicare insurance card handy for verification.
  3. Tell our intake team you’d like to schedule an evaluation for Suboxone / MAT / counseling, and note what clinic location works best.
  4. 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.

Note About the Cigna / HCSC Medicare Transition

Cigna announced a sale of its Medicare Advantage, Medicare supplement, and prescription drug plan (PDP) business to Health Care Service Corporation (HCSC) in early 2024. The acquisition closed in Q1 2025. Depending on timing and your plan year, your Cigna Medicare Advantage coverage may now be administered by HCSC while still branded “Cigna HealthSpring” or similar during the transition period.

Practically, this doesn’t change whether we’re in-network with you. Our team verifies the active administrator and your benefits directly at intake, whether your card still says Cigna or has updated to reflect the HCSC administration.

Cigna Medicare vs. Commercial Cigna

If your Cigna coverage is through an employer rather than Medicare, see our commercial Cigna coverage page. Benefit designs and prior-auth rules are different.

Related Links

  • Full insurance page — all accepted carriers plus verification form.
  • Suboxone Treatment — how MAT actually works at our clinics.
  • All services — MAT medications, counseling, IOP, telehealth, behavioral health.
  • FAQ — common questions about starting treatment.