Yes, We Accept Humana Medicare Advantage

Restoration Recovery is in-network with Humana 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 Humana 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 Humana Medicare Advantage plan benefits before your first visit.

What’s Covered Under Humana MA for MAT

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

Humana Medicare Advantage out-of-pocket for MAT: $0–$45 specialist copay per office visit on most plans, and generic buprenorphine on the plan’s lowest Part D tier. Sublocade and Brixadi injections administered in-clinic are covered as Part B-type services. Humana Gold Plus HMO plans often have lower copays than HumanaChoice PPO plans for in-network visits. Your plan’s annual maximum out-of-pocket limit caps total spending.

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

Prior Authorization

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

How We Verify Your Humana MA 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 Humana MA information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
  2. Our team calls Humana MA 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. Humana MA coverage is accepted at all of them:

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

  1. Call 423-498-2000 or submit a contact request.
  2. Have your Humana MA 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.

Humana’s Strong Tennessee MA Presence

Humana is one of the largest Medicare Advantage carriers in Tennessee, particularly in East Tennessee around Chattanooga, Knoxville, and the Tri-Cities. If you’re a Tennessee resident on an MA plan, there’s a reasonable chance it’s a Humana product. The most common plans we see at our clinics:

  • Humana Gold Plus (HMO): low premium, network-restricted, lowest in-network copays.
  • HumanaChoice (PPO): higher premium but out-of-network flexibility; in-network visits still preferred for cost.
  • Humana Honor (PPO): marketed to veterans; typical MA benefit design.

All of these typically cover MAT at our clinics.

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.