Yes, We Accept Wellpoint (formerly Amerigroup, TennCare)

Restoration Recovery is in-network with Wellpoint (formerly Amerigroup, TennCare) 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 Wellpoint 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 Wellpoint benefits before your first visit.

What’s Covered Under Wellpoint for MAT

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

For most Wellpoint members, MAT is covered with $0 copay. TennCare plans don’t typically impose member cost-sharing on medically-necessary behavioral health care, and generic buprenorphine/naloxone (Suboxone) is on Wellpoint’s preferred-drug list. Sublocade and Brixadi injections are covered but often require prior authorization.

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

Prior Authorization

Wellpoint typically requires prior authorization for Sublocade and Brixadi injections, and sometimes for brand-name Suboxone when generic is the preferred option. Our team handles the prior-auth paperwork with Wellpoint; it usually clears within a few business days. Daily generic Suboxone (film or tablet) typically does not require prior authorization.

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

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

The Amerigroup → Wellpoint Rebrand

Amerigroup rebranded to Wellpoint in 2024 as part of parent company Elevance Health’s consolidation of its Medicaid brands. If your card still says Amerigroup, your coverage is the same — the name changed but the plan, network, and benefits didn’t. New cards are being issued as plans renew.

Wellpoint is one of three TennCare MCOs (alongside BlueCare and UHC Community Plan). Coverage for MAT is similar across all three.

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.