For most Medicaid beneficiaries, treatment costs $0 out-of-pocket or requires only a minimal copay. For Medicare and commercially insured patients, out-of-pocket costs depend on individual plan deductibles and copay structures.

Before your initial visit, Ideal Option’s insurance verification team conducts a preliminary benefits assessment to explain covered services, copays, and any expected out-of-pocket expenses.

Evidence & Authoritative Reference: Under federal parity regulations enforced by SAMHSA and the Department of Health and Human Services (HHS), health plans must provide coverage for substance use disorder services that is on par with standard medical and surgical benefits (SAMHSA Mental Health and Substance Use Insurance Parity).

If you are uninsured, Ideal Option offers an affordable self-pay fee structure and assists you in applying for state Medicaid coverage.

Lack of insurance is not a barrier to receiving immediate, life-saving care. Clinic financial counselors guide uninsured patients through the Medicaid enrollment process during intake so coverage can often be applied retroactively to initial visits.

 Please call 1-877-522-1275 and ask to speak with a financial counselor today. 

Yes. Ideal Option offers flexible payment plans for patients with a personal balance due of $250 or more.

Payment plans allow you to spread your account balance into manageable monthly installments so treatment remains uninterrupted.

How to set up a payment plan:

• Online: Go to healowpay.com, verify your identity under Personal Info, and select Setup Payment Plan on the home screen to choose a term option.
• By Phone: Call 1-877-522-1275 to speak with an Ideal Option financial counselor.

Yes, there are three ways you can pay your bill online:

To quickly make a payment without having to log into the Healow app or the patient portal, visit https://healowpay.com

To make a payment via the Healow app, follow these steps:

1. Log into the Healow app
2. Select ‘Statements’ from the options wheel
3. Follow the on-screen instructions to make a payment

(How to set up an account in the Healow app)

To make a payment via the patient portal, follow these steps:

1. Log into the patient portal
2. Select 'Pay Your Bill' on the left
3. Enter a statement code and patient last name or enter patient first name, last name, DOB and phone number
4. After verification, follow on-screen instructions to make a payment

(How to set up an account in the patient portal)

Yes. Ideal Option is an in-network provider for state Medicaid and Medicare programs across all operating states (AK, AR, ID, MD, MT, NM, ND, OR, and WA).

Covered services typically include provider consultations, addiction medicine management, routine laboratory toxicology screens, and care coordination.

Ideal Option accepts Molina, United Healthcare, and Coordinated Care. Unfortunately, we are not contracted with CHPW or WellPoint. You can switch your plan easily at this website so all your treatment costs with us will be covered. Please select Molina, UHC, or Coordinated Care. If you’d like help from an Ideal Option navigator, please call us at 877-522-1275. 

Patients with WA Medicaid can be seen in Idaho at our Coeur D’Alene, Lewiston, and Sandpoint clinics. Note: If a patient is being seen virtually, you must be in Idaho during your remote visit.

Patients with MT Medicaid can be seen in Williston. Note: If a patient is being seen virtually, you must be in the state of North Dakota during your remote visit.

Patients with OR Medicaid can be seen in Walla Walla and Vancouver in Washington state, as well as Caldwell and Lewiston in Idaho. Note: If a patient is being seen virtually, you must be in Washington state or Idaho during your remote visit.

Patients with MN Medicaid can be seen at any of our clinics in North Dakota. Note: If a patient is being seen virtually, you must be in the state of North Dakota during your remote visit.

Patients with Aetna Better Health of WV can be seen in Cumberland. Patients with Unicare of WV can be seen in any of our Maryland clinics. Note: If a patient is being seen virtually, you must be in Maryland during your remote visit.

Patients with VA Medicaid can be seen in Frederick. Note: If a patient is being seen virtually, you must be in the state of Maryland during your remote visit.

Patients with ID Medicaid can be seen in any Ideal Option clinic. Note: If a patient is being seen virtually, you must be in the state of that clinic during your remote visit.

Ideal Option handles all required prior authorizations (PAs) directly with your health insurance provider to ensure rapid coverage for prescribed medications.

Some commercial and Medicaid insurance plans require a prior authorization before covering specific brand-name formulations (such as Sublocade®, Brixadi®, or Vivitrol®). Ideal Option’s dedicated billing specialists submit all necessary clinical documentation directly to your insurer to prevent treatment delays.

Evidence & Authoritative Reference: The U.S. Food and Drug Administration (FDA) and NIDA emphasize that rapid, uninterrupted access to FDA-approved buprenorphine and naltrexone products is critical to reducing relapse rates and preventing fatal overdoses (NIDA Medications to Treat Opioid Use Disorder).