Opening January 2027 in West Virginia, Ohio, and Kentucky. Join the waitlist →

Questions and answers

Everything people ask before they call. Don't see yours? Call us; asking doesn't commit you to anything.

Getting started

How do I get started?

Call us at (386) 916-2117, Monday through Friday, 8am to 4pm ET, or fill out the get-started form online any time and we'll call you back. We check your insurance and book your first appointment, usually for the same or next business day.

What happens at the first appointment?

You'll have an individual video session with a professional counselor, then a video visit with a licensed physician or nurse practitioner. If we're the right fit, your prescription is sent to your pharmacy before the visit ends. Plan on about an hour total.

Do I need to come to an office?

No. Everything is by video from your phone or computer. You never need to travel to see us.

How fast can I get medication?

Your prescription is e-sent to your pharmacy during your first visit, and first visits are often available the same day you call.

What if I'm not sure I'm ready?

Call anyway. Asking questions doesn't commit you to anything, and the person you talk to will not pressure you.

Can I sign up a family member?

Treatment is voluntary, so we need to speak with the person directly. But you can call to ask questions on their behalf, and we'll help make the first call easier for them.

Suboxone and medication

What is Suboxone?

A medication that combines buprenorphine and naloxone. It relieves opioid withdrawal and cravings without making you high, so you can feel normal and get on with your life. More on our Suboxone page.

Is it just trading one addiction for another?

No. Taken as prescribed it doesn't make you high or sick. Your body becomes physically dependent, the same as with many long-term medications, but that isn't addiction. Many people taper off over time; many stay on it. Both are valid.

How do I start it at home?

You wait until you're in mild withdrawal, take a small first dose under the tongue, and add more over the first day if needed. Your provider coaches you through it by video and text.

I'm on methadone. Can I switch?

Usually, yes. People on 50 mg or less generally switch directly; higher doses may need a taper or a gradual overlap. Your provider plans it with you.

Which pharmacy do you send it to?

Whichever one you choose. Tell us your pharmacy and your provider sends the prescription there electronically.

Do you prescribe brand Suboxone or generic?

Either, depending on your insurance and what your pharmacy stocks. Generic buprenorphine/naloxone works the same way.

Will you send naloxone (Narcan)?

Yes. Every patient gets a naloxone prescription, and we can mail a kit free of charge.

What if I run out early or lose my medication?

Contact your care team right away. We have a written policy for lost or stolen medication; early replacement isn't automatic, but we'll work with you.

Counseling and drug screens

Do I have to do counseling?

Yes. Counseling is part of the program: one hour a week, by video, individual or small group. Most patients tell us it's the part they didn't expect to value.

Do I have to do drug screens?

Yes. We mail you a kit and you complete it at home during a short video check-in. Results stay between you and your care team.

What happens if I have a positive screen?

We talk. A positive screen isn't a discharge; it's a reason to adjust your plan. Patterns of unexpected results may mean more support or a higher level of care, and we'll be honest with you about that.

How often are screens?

More often early on, then less as you stabilize. The schedule depends on your state's rules and your progress; your care team will tell you what to expect.

Insurance and cost

Do you take Medicaid?

Yes, in West Virginia, Ohio, and Kentucky, including all managed care plans.

Do you take Medicare?

Yes, Original Medicare and Medicare Advantage.

Do you take private insurance?

Yes, most commercial plans. We verify your benefits before your first visit.

What if I don't have insurance?

We help you apply for Medicaid, and self-pay visits are $75 each. See the insurance page.

Will my insurance cover the medication?

Almost always. Some plans require prior authorization for brand-name films; we handle that.

Privacy

Is my information private?

Yes. Your records are protected by HIPAA and by 42 CFR Part 2, the federal law that gives substance use treatment records extra protection. We can't share that you're a patient without your written consent, except in narrow situations required by law.

Will my employer find out?

Not from us. We don't share information with employers without your written consent.

Can you talk to my probation officer or court?

Only if you sign a release asking us to. Many patients do, and we're glad to provide documentation of your participation.

Practical

What are your hours?

Phone line and appointments: Monday through Friday, 8am to 4pm ET. You can start online any time. In an emergency call 911; in crisis call or text 988.

Do I need a phone, ID, or address?

A phone or computer with a camera and some form of ID. You don't need a permanent address.

What states do you serve?

West Virginia, Ohio, and Kentucky, with more coming. See where we serve.

How do I log in to the patient portal?

The patient portal is coming soon. Once you're enrolled you'll receive an invitation by email.

Still have a question?

Call (386) 916-2117, Mon–Fri 8am–4pm ET, or start online and we'll call you.

Start online

Ready when you are

Call Mon–Fri 8am–4pm ET, or start online any time and we'll call you back.

Call (386) 916-2117