Insurance & Program Costs
There are three components of costs for office-based medication assisted treatment. Here is a quick rundown of what you can expect and a list of the insurance programs that MATClinics accepts.
MATClinics is a medical practice and your visit with us will be billed based on the services provided.
Office Visits—See below for the insurances we accept. All others patients pay out of pocket, but can submit their invoices for reimbursement from their insurance company.
Toxicology Labs (drug testing)—Covered by your insurance
Prescription Medication—Covered by your insurance
We currently accept all Maryland Medicaid programs as well as Medicare Part B. We will begin accepting CareFirst soon.
We accept Medicare Part B. Typically, you will know if you have this plan because you were issued a red, white and blue card. If you have Medicare Part B, you are responsible for paying 20% of the Medicare reimbursement rate out of pocket. We will ask you to pay us after Medicare tells us what you owe us. If you have a supplemental plan, often referred to as Medigap, we will bill your secondary insurance for your co-pay.
We do not accept any Medicare Advantage plans as payment. If you have a Medicare Advantage plan, you will need to pay us out of pocket and then submit your invoices for reimbursement directly from your insurance company.
Maryland Medicaid is managed through managed care organizations (MCOs). Every Maryland Medicaid customer has an MCO. All behavioral health, including addiction treatment, is reimbursed through Beacon Health Options. Beacon will be largely invisible to our patients. The current list of Maryland Medicaid MCOs are listed below:
Aetna Better Health
Amerigroup Community Care
Jai Medical Systems
Kaiser Permanente (Medicaid)
Maryland Physicians Care
MedStar Family Choice
University of Maryland Health Partners
If you have any of these MCOs, we will accept your insurance as payment for your office visits and labs.
MATClinics is in-network and accepts all CareFirst plans, including CareFirst BlueCross BlueShield and CareFirst BlueChoice.
Other Commercial Insurance Plans
MATClinics has begun the process of getting ourselves credentialed with the other major commercial insurance programs (CIGNA, United, Aetna, etc.). We expect those relationships to be in place by the end of June 2019.
In the meantime, if you have commercial insurance, you will need to pay us directly for your care. We can give you detailed invoices that you can submit to your insurance company for reimbursement.
We realize that asking our patients to pay out of pocket can create a significant financial burden. Please talk to your case manager about ways that we can help you manage your payments. It is our objective to minimize, as much as possible, the number of patients that need to pay us directly.