Yes, We Accept Medicare

Restoration Recovery is in-network with Medicare 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 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 Medicare and (if applicable) Medigap or Part D benefits before your first visit so you know your coinsurance, copay, and pharmacy costs up front.

What’s Covered Under Medicare for MAT

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

Under traditional Medicare, office visits for MAT are covered by Part B. After you meet your Part B annual deductible, Medicare pays 80% of the Medicare-approved amount and you typically pay 20% coinsurance per visit — unless you have a Medigap (supplement) policy that covers the coinsurance, in which case your out-of-pocket can be close to $0. Oral Suboxone (generic buprenorphine/naloxone) is covered under Part D (prescription drug coverage); copays depend on your Part D plan’s formulary and tier, but generic buprenorphine typically lands on the lowest tier. Sublocade and Brixadi injections administered in-clinic are covered under Part B when clinically indicated.

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

Prior Authorization

Traditional Medicare generally does not require prior authorization for office-based MAT visits or generic buprenorphine. Sublocade and Brixadi injections often require prior authorization under Part B, because of the higher per-injection cost. Our team handles any prior-auth documentation with Medicare or your Medigap carrier. Brand-name Suboxone may require step-therapy paperwork if generic buprenorphine is the preferred option under your Part D plan.

How We Verify Your Medicare 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 Medicare information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
Our team calls Medicare 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. Medicare 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 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:

Call 423-498-2000 or submit a contact request.
Have your Medicare 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.

Part B vs. Part D for MAT

Medicare covers MAT across two benefit categories, and which one applies depends on where the service happens:

Part B (medical): covers your office visits with our providers and counselors, any injections administered in our clinic (Sublocade, Brixadi, Vivitrol), and in-clinic counseling.
Part D (prescription drug): covers your oral Suboxone (generic buprenorphine/naloxone) picked up at a retail pharmacy. You need a standalone Part D plan or a Medicare Advantage plan with integrated Part D for oral MAT medication coverage.

If you have traditional Medicare (Part A + Part B) without Part D, you can still see us for office-based care, but your oral Suboxone prescription won’t be covered at the pharmacy until Part D is added. Our intake team flags this at verification.

Medigap (Supplement) Coverage

If you carry a Medicare supplement (Medigap) policy alongside traditional Medicare, it typically covers the 20% coinsurance that Part B doesn’t. Many Medicare patients carrying Plan G or Plan N see very low out-of-pocket costs for MAT visits as a result. Our team verifies Medigap benefits alongside Medicare when you provide both cards.

Medicare Advantage (Part C) Is Different

If you have a Medicare Advantage plan rather than traditional Medicare, your coverage rules come from the MA plan’s contract, not the standard Medicare rules. We’ve put together carrier-specific guidance for the most common MA plans we see: Aetna MA, BCBS MA, Cigna MA, Humana MA, and UHC MA. Your Medicare Advantage card will indicate the carrier.

Does Medicare Cover Suboxone Treatment in Tennessee?