Pennsylvania Highmark Medicare Advantage Addiction Recovery
Is PursueCare’s MAT recovery program with Suboxone covered by Highmark Medicare Advantage in Pennsylvania?
Many of our prospective patients want to know if their treatment with PursueCare will be covered by their insurance plan. Fortunately, most health insurance companies provide coverage for Suboxone treatment, and PursueCare’s services, including Suboxone treatment, are covered by Highmark Medicare Advantage in the state of Pennsylvania. However, the exact extent of the coverage Highmark Medicare Advantage offers depends on the specific plan you have.
Insurance plans vary significantly and can be confusing. Some plans require referrals while others don’t. Some plans only cover the brand name version of Suboxone while others cover the generic version. Some plans offer complete coverage while others offer partial coverage. Some plans charge a copay for prescriptions while others don’t. As a result of all these differences, the actual out-of-pocket cost of your treatment with PursueCare may vary.
So while the short answer is yes, the best way to get clear, detailed information regarding your specific Highmark Medicare Advantage plan and details of the coverage it offers regarding treatment with PursueCare is to speak to a member of our team, using the chat function on our website, pursuecare.com. You can also call the number on the back of your insurance card for general information and a summary of your benefits and coverage.
What is Medication-Assisted Treatment (MAT)?
PursueCare provides evidence-backed methods for treatment of Opioid Use Disorder (OUD) that are supported by the American Society of Addiction Medicine (ASAM), Substance Abuse and Mental Health Services Administration (SAMHSA), and other leading organizations advancing best practices in treatment.
Our programs are designed to reduce withdrawal, cravings, pain, and other symptoms of opioid and other substance use addiction, address behaviors that may contribute to addiction and relapse, and provide support for lasting recovery. The form of treatment PursueCare offers is often referred to as Medication-Assisted Treatment (MAT), or Medication and Counseling. This form of treatment combines treatment by licensed doctors that can prescribe medications like Suboxone, Buprenorphine, and Naltrexone, combined with counseling and therapy. Evidence shows that the combination of these forms of treatment in a care plan individually tailored for you can lead to lasting recovery.
MAT for OUD has been proven to be effective for:
- Improving chance of survival.
- Keeping individuals in recovery.
- Lowering opioid use, and activities that may lead to criminal justice involvement.
- Reducing risk of relapse.
- Enabling individuals to regain sense of control and “normalcy,” often supporting improved relationships, employment, childcare, and meeting life goals.
- Improving birth results in pregnant women suffering from OUD.
- Reducing risk of HIV, Hepatitis C, and other related health risks.