Yes, We Accept Medicare Advantage

Restoration Recovery is in-network with 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 Medicare Advantage 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 Medicare Advantage plan benefits before your first visit, including any carrier-specific prior-auth or step-therapy rules.

What’s Covered Under Medicare Advantage for MAT

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

Medicare Advantage copays vary substantially by carrier and plan design. In general, in-network specialist copays range $0–$50 per office visit, and generic buprenorphine under the plan’s Part D benefit is typically on the lowest tier ($0–$10 for a monthly supply). Sublocade and Brixadi injections administered in-clinic are covered as Part B-type services. Every MA plan has an annual maximum out-of-pocket limit capping your total spending, set by Medicare rules. The exact copay depends on which specific plan you’re enrolled in; our team pulls your benefits at intake.

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

Prior Authorization

Most Medicare Advantage plans require prior authorization for extended-release injections (Sublocade, Brixadi). Some plans require step therapy for brand-name Suboxone. Our team handles prior-auth submission for your specific MA carrier; most requests clear within a few business days. Daily generic Suboxone typically does not require prior authorization.

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

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

Which MA Carrier Do You Have?

Your Medicare Advantage card shows the carrier. Click through to the page for your specific plan for carrier-specific details on copays, prior-auth rules, and common plan names:

MA vs. Traditional Medicare

If you’re on Original Medicare (Part A + Part B, often with a Medigap supplement), see our traditional Medicare coverage page. The coverage rules are different: traditional Medicare uses fee-for-service rules with 80/20 cost-sharing, while MA plans set their own copay structure (typically lower) and often include Part D drug coverage bundled in.

Medicare’s 2020 MAT Coverage Mandate

Medicare added coverage for office-based opioid treatment (OBOT) and buprenorphine-based MAT in January 2020 following the SUPPORT Act. Before 2020, Medicare only covered methadone-based MAT through a narrower Opioid Treatment Program benefit. The expansion means MAT with Suboxone, Sublocade, and Brixadi is now widely available to Medicare beneficiaries, including at office-based outpatient clinics like ours.

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.