Yes, We Accept UnitedHealthcare Medicare Advantage

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

What’s Covered Under UHC Medicare for MAT

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

UHC 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 (typically $0–$10 for a monthly supply). Sublocade and Brixadi injections administered in-clinic are covered as Part B-type services. The plan’s annual maximum out-of-pocket caps total spending.

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

Prior Authorization

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

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

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

AARP-Branded MedicareComplete Plans

Many UHC Medicare Advantage plans are co-branded with AARP and marketed as “AARP MedicareComplete”. These are UnitedHealthcare plans underwritten and administered by UHC; the AARP brand is a licensing arrangement. If your card carries both logos, your coverage rules are UHC MA rules, and this page applies.

UHC MA vs. Other UHC Products

UnitedHealthcare runs three distinct product lines that often get confused:

  • UHC Medicare Advantage (this page) — for Medicare-eligible patients on an MA plan.
  • UHC Community Plan — UHC’s Tennessee Medicaid (TennCare) product.
  • UHC Commercial — employer-group and ACA marketplace plans.

Each has different coverage rules and copay structures. Our intake team verifies which UHC product your card reflects.

Frequently Asked Questions

Does UnitedHealthcare Medicare Advantage cover Suboxone treatment at Restoration Recovery?

Yes. UnitedHealthcare Medicare Advantage covers medication-assisted treatment including buprenorphine (Suboxone), and Restoration Recovery is in-network for MAT visits at all four of our clinics. The Suboxone prescription itself is typically covered under the plan’s Part D / drug formulary.

Do I need a referral for MAT with UnitedHealthcare Medicare Advantage?

It depends on the plan type. UnitedHealthcare Medicare Advantage HMO plans typically require a PCP referral for specialist visits; PPO MA plans usually do not. Our intake team verifies your specific plan’s referral policy before your first visit.

What’s my copay with UnitedHealthcare Medicare Advantage?

Medicare Advantage plans typically have predictable copay tiers for specialist visits and formulary tiers for Suboxone prescriptions. Specific copays depend on your UnitedHealthcare Medicare Advantage plan’s benefit structure. We verify your benefits before your first visit so you know what to expect.

Does UnitedHealthcare Medicare Advantage cover monthly Sublocade or Brixadi injections?

Yes. UnitedHealthcare Medicare Advantage covers physician-administered injections like Sublocade and Brixadi under the plan’s medical benefit (Part B-equivalent), usually with prior authorization. Our team handles the paperwork. Injections are administered at our Chattanooga and Cleveland clinics (our Ringgold clinic is preparing to begin scheduling).

Can I use telehealth with UnitedHealthcare Medicare Advantage?

Yes. Medicare Advantage plans cover behavioral-health telehealth, including video visits for MAT follow-up. Our telehealth services are available to established UnitedHealthcare Medicare Advantage patients across Tennessee and Georgia.

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