Telehealth Providers for Suboxone (Comparison)

What this page is. A neutral, every-claim-cited comparison of US telehealth providers that prescribe buprenorphine for opioid use disorder (OUD), including the subset that explicitly mention kratom or 7-OH on their own sites. There is no “best” here. Different providers fit different situations (insurance vs. cash, group-based vs. solo, broad state coverage vs. specialty kratom content). Information was verified directly from each provider’s site, Trustpilot, BBB, app-store listings, and court/regulatory filings on 2026-05-24. Prices, states, and insurance lists change. Always re-check on the provider’s own site before booking.

The case for telehealth

Buprenorphine is one of several options people in this community use to come off 7-OH and kratom synthetics, others include SR-17, tapering with leaf kratom, and cold-turkey with helper meds. This page is specifically about telehealth providers that handle the buprenorphine path (Suboxone is buprenorphine + naloxone; Subutex is buprenorphine alone), since that’s the part where a prescriber relationship is the bottleneck for most people. If you’re weighing approaches in general, Start Here and the Compounds section are the broader picture.

Naltrexone (LDN, ULDN, Vivitrol) is not a path off opioids. It’s an opioid antagonist, taking it while there are still opioids on your receptors will trigger immediate, severe precipitated withdrawal. LDN and ULDN come in after acute withdrawal as recovery support for the endorphin system. Don’t let any provider, telehealth or otherwise, start you on naltrexone before you’re at least 7–10 days fully opioid-free. See Naltrexone (Overview) for the full picture.

Why telehealth specifically: most primary-care doctors haven’t heard of 7-OH, MGM-15, or the related synthetics, and the explanation step alone can be exhausting. Telehealth providers that work in OUD daily skip that friction.

The trade-off is the usual one: convenience, same-day or near-same-day appointments, and a national footprint, versus the local relationship a good primary-care doctor or specialty addiction clinic can offer. This page only covers the telehealth side.

At a glance

If you’re in Kentucky or Tennessee

Most national telehealth-MAT providers don’t serve these two states. Both have historically had stricter telemed rules for controlled substances than the federal Ryan Haight / DEA framework most other states follow. Realistic options as of 2026-05-24:

• Kentucky: Groups Recover Together (virtual) and PursueCare (clinical).
• Tennessee: Groups Recover Together (virtual). Pelago may be available only if it’s contracted through your employer or health plan, no direct consumer signup.

If neither fits, the local-clinic path through SAMHSA’s helpline (1-800-662-4357) is usually the next-best route.

Bicycle Health

“The Nation’s #1 Telehealth Treatment Program for Opioid Use Disorder” (bicyclehealth.com, accessed 2026-05-24).

States. Their locations page lists 27 states: AZ, CA, CO, CT, DE, FL, ID, IL, IA, ME, MD, MI, MN, MT, NE, NV, NM, NC, ND, OR, PA, SD, TX, VA, WA, WI, WY. A separate state-coverage page returned a shorter 18-state list on the same date (internal contradiction, confirm your state directly).

Treatment model. Long-term maintenance on buprenorphine/naloxone (Suboxone) with progressively-less-frequent visits. The pricing page bundles “Doctor’s visits, unlimited instant messaging, care navigation, online therapy groups” into one monthly fee. Recent BBB and app-store reviews report a current requirement of weekly or near-weekly groups on top of medication visits, patient-reported, not in the published policy.

Medications. Buprenorphine/naloxone is the only MOUD their site names. “Comfort medications for withdrawal symptoms” are mentioned but not enumerated. Naltrexone, Vivitrol, methadone, and Subutex are not listed.

Cost. Self-pay $249/month (bundled). Medication separate: “$0–150 per month” depending on insurance.

Insurance. Yes, UnitedHealthcare, Anthem, Aetna, Blue Cross Blue Shield, Cigna, Medicare named on the homepage. Per-state subpages list Medicaid coverage where applicable.

Reviews & complaints.

• BBB: rated F, 1.43 / 5 across 23 customer reviews (BBB profile URL no longer resolves; data accessed 2026-05-24). BBB noted “Failure to respond to 5 complaint(s) filed against business.” Themes across reviews and complaints: surprise billing, balances escalating over short periods, mandatory group sessions disputed by patients, insurance coverage stopping without notification.
• App Store: 3.6 / 5 across ~162 ratings.
• Trustpilot: no profile located.

Kratom / 7-OH. Educational blog posts discuss kratom and mention 7-hydroxymitragynine as one of kratom’s two psychoactive compounds. No kratom-specific clinical protocol published, kratom users would be folded into the standard buprenorphine program.

Notable issues. No regulatory action surfaced. The BBB rating and billing-complaint pattern are well-attested across BBB, App Store, and Trustpilot search snippets, but have not (as of 2026-05-24) become a lawsuit, FTC action, or news investigation that we could find.

Boulder Care

“Online addiction care, on your terms” (boulder.care, accessed 2026-05-24).

States. 7, Colorado, Michigan, New Mexico, North Carolina, Ohio, Oregon, Washington, per the Eligibility & Insurance page.

Treatment model. Telehealth-first, video-and-chat with a care team that includes Peer Recovery Specialists (people with lived experience), case managers, and care navigators. Counseling-like peer support is included; in-house licensed therapy is not advertised.

Medications. Buprenorphine, primarily Suboxone, for OUD; naltrexone and acamprosate (Campral) for alcohol use disorder. Site is silent on adjunct comfort meds (clonidine, gabapentin, hydroxyzine, etc.).

Cost. Not published. Boulder Care directs users to its eligibility checker rather than listing self-pay rates. The Eligibility & Insurance page mentions an “affordable self-pay option in select states” without a specific number.

Insurance. Yes, broad Medicaid coverage by state is their distinguishing trait. Per their eligibility page (verbatim, 2026-05-24):

• Colorado: CCHA, Health First Colorado, Medicare Colorado, Wellcare.
• Michigan: Priority Health (commercial; no Medicaid listed).
• New Mexico: Turquoise Care, Presbyterian, BCBS.
• North Carolina: AmeriHealth Caritas, Carolina Complete Health, Healthy Blue, UHC Community Plan, WellCare.
• Ohio: Anthem, Aetna Better Health (OhioRISE), AmeriHealth Caritas, Buckeye, CareSource, Devoted Health, Humana Healthy Horizons, Molina, UHC Community Plan, OH Medicaid.
• Oregon: AllCare, Columbia Pacific, Health Share, Jackson Care Connect, Trillium, Umpqua, Oregon Health Plan, United Behavioral Health.
• Washington: Community Health Plan of WA, Coordinated Care, Humana, Molina, UHC, Wellpoint, WA Apple Health (Medicaid), WA Medicare.

Reviews & complaints.

• App Store: 4.9 / 5 across ~3,900 ratings (one of the higher patient-app ratings in this category).
• BBB: no profile located for the telehealth company.
• Trustpilot: no profile located.

Kratom / 7-OH. Yes, explicit. A 2026 blog post, “What is Kratom? Understanding its Uses and Risks,” features clinical guidance from Dr. Shannon Boustead, MD (Boulder Care addiction medicine). The post addresses 7-OH directly, Boustead is quoted that “kratom is often sold in a synthetic form called ‘7-OH,’ and there’s no reliable way to verify the dose,” and that “naloxone fully reverses 7-OH toxicity, because 7-OH acts like a classical opioid.” This is the closest thing to a kratom-specific clinical voice we found on any of the providers reviewed.

Notable issues. None found. No lawsuits, regulatory actions, or breach disclosures surfaced.

Bright Heart Health

“Telemedicine for addiction, pain, or eating disorder regardless of location, schedule, or finances” (brighthearthealth.com, accessed via search 2026-05-24, their site sits behind Imperva so direct page fetches were blocked).

States. State-specific pages confirmed for at least California, Arkansas, Arizona, New Mexico, North Carolina, Washington, and Indiana. A definitive, current list could not be confirmed from primary sources.

Treatment model. Telemedicine MAT (buprenorphine), plus intensive outpatient (IOP), telepsychiatry, and an eating-disorder program (Joint Commission accredited for the eating-disorder line as of 2015; current accreditation status not re-verified). Counseling, case management, and drug screening are bundled into the MAT program.

Medications. Buprenorphine/naloxone (Suboxone), buprenorphine mono (Subutex), and oral naltrexone, per a Treatment Atlas listing. Vivitrol (long-acting naltrexone) and methadone are not offered.

Cost. $300 initial / $740 monthly self-pay, sourced from one state-specific landing page (the New Mexico painkiller LP), whether this pricing applies uniformly across all states/programs is not confirmed.

Insurance. Yes, Medicaid, Medicare, and commercial. Carriers include Aetna, Anthem, Cigna, Humana, BCBS, Molina, WellCare, Highmark, Presbyterian, UnitedHealthcare, and Magellan. Medicaid acceptance is named in New Mexico, Tennessee, and Michigan in one source, but state-by-state Medicaid plan lists were not published.

Reviews & complaints.

• BBB: B-, not accredited, 2.33 / 5 across 6 reviews (profile, accessed 2026-05-24). B- is driven by “Failure to respond to 1 complaint(s) filed against business.” Negative-review themes include long virtual wait times (6–9 hours reported) and reports of unexpected medication discontinuations during the program. Sample size small.
• Trustpilot: no profile located.

Kratom / 7-OH. None found on any reviewed Bright Heart page.

Notable issues. A putative class action (N. v. Bright Heart Health, Inc., case no. 3:24-cv-02112, N.D. Cal., filed April 8, 2024) is pending. Specific allegations and status are not publicly visible without PACER. Source: Law360 case summary (accessed 2026-05-24).

Confidant Health

“Precision behavioral health built around real lives, real goals, & real outcomes” (confidanthealth.com, accessed 2026-05-24).

States. 4 clinical states, Connecticut, Virginia, Texas, Florida, per their locations page. Digital resources, recovery coaching, and groups are available nationwide; medication services are not.

Treatment model. Maintenance-oriented buprenorphine via their “Virtual Suboxone Clinic.” Therapy, coaching, and groups are part of the platform. App-based with video clinical visits. The FAQ states “there is no pre-determined period of time for treatment.”

Medications. Buprenorphine/naloxone (Suboxone). Naltrexone is referenced on their alcohol-use-disorder pages; methadone is not mentioned. Adjunct comfort meds are not enumerated.

Cost. No published prices. Confidant uses a sliding-scale “Community Payment Model” with three tiers (Financial Security / Sacrifice / Hardship) and a stated $1/session minimum for some sessions. Specific dollar amounts are shown to the user in-app at booking.

Insurance. Yes. Named carriers: Aetna, Cigna, Anthem, UnitedHealthcare, Humana, Medicare, Medicaid (subsets per page). One app-store reviewer reports the Virginia Optima Medicaid MCO is not accepted, unverified against an official list.

Reviews & complaints.

• App Store: 4.4 / 5 across 69 ratings (small sample).
• Trustpilot: no profile located.
• BBB: no profile for the telehealth company.

Kratom / 7-OH. One educational article on kratom. No kratom or 7-OH service line is advertised. Concentrated 7-OH products are not addressed.

Notable issues. September 2024 unsecured-database exposure. Security researcher Jeremiah Fowler reported ~126,000 files and ~1.7 million logging records left password-less and accessible online, including names, addresses, driver’s-license info, Medicaid cards, prescription medications, drug-test results, and audio recordings and transcripts of therapy/clinical sessions. Access was restricted within hours of notification, but no HHS OCR breach notification had been filed as of the published article. Source: HIPAA Journal coverage (accessed 2026-05-24). A class-action investigation is open at Ahdoot & Wolfson, PC.

Eleanor Health

“Confidential, virtual addiction treatment that fits your life. Medication, therapy, and peer support, all from home.” (eleanorhealth.com, accessed 2026-05-24).

States. 19 states listed on the homepage: AZ, CO, FL, GA, ID, IL, LA, MA, MO, MT, NJ, NM, NC, OH, OK, PA, TX, WA, WI. Eleanor has physical clinics in a subset (Durham NC, Hickory NC, Mooresville NC, Baton Rouge LA, San Antonio TX, Seattle WA, Verona NJ), the homepage’s “fully online” framing under-communicates the hybrid model.

Treatment model. MAT + therapy + peer support / recovery coaching. Harm-reduction posture: “personalized care rather than requiring abstinence to begin treatment.” Care team includes medical providers, therapists, psychiatric providers, peer support specialists, and case managers.

Medications. Suboxone explicitly named (“you can do your entire treatment online, including getting a prescription for Suboxone”), plus buprenorphine, naltrexone, and Vivitrol per secondary sources. Methadone is not mentioned (telehealth methadone requires an OTP).

Cost. Eleanor’s own pricing page returned 404 on 2026-05-24. Secondary sources cite ~$249/month for the MAT program, treat as unverified against current Eleanor copy.

Insurance. Yes, Aetna, UnitedHealthcare/Optum, BCBS, Cigna, Horizon, Oscar, Oxford, Ambetter, Wellpoint, select Medicare; Medicaid acceptance in LA, MA, NJ, NC, OH, TX (per secondary source, confirm with Eleanor).

Reviews & complaints.

• Trustpilot: no profile for the US provider located.
• BBB: A+ rated, not BBB-accredited. Customer review volume not surfaced.
• App Store / Google Play: no aggregated patient app found.

Kratom / 7-OH. Blog posts on kratom and Suboxone and kratom addiction exist. No service page names kratom as a treated condition and no 7-OH–specific content was found. A kratom or 7-OH patient would presumably be treated under the OUD pathway, but this is inference.

Notable issues. Trade-press reporting (BHB, Aug 2025) noted dissolution of Eleanor Health’s Community Outreach team and earlier 2022 layoffs despite $52M+ raised in 2024. Organizational signal, not a clinical red flag. No regulatory action found.

Groups Recover Together

“Real recovery. Built for you.” (joingroups.com, accessed 2026-05-24).

States. 14 states with services confirmed: Florida, Indiana, Iowa, Kentucky, Maine, New Hampshire, New Mexico, New York, Ohio, Tennessee, Texas, Virginia, Washington, West Virginia. Virtual care is offered in 11 of those (Florida, Indiana, Iowa, Kentucky, Maine, New Hampshire, Tennessee, Texas, Virginia, Washington, West Virginia). They also operate 100+ physical offices. One of the few options that covers both KY and TN. Source: locations.joingroups.com.

Treatment model. Group-based. Weekly one-hour counselor-led group sessions are core, not optional, plus weekly urine drug screens. Monthly check-in with a prescribing doctor for the medication piece. Source: How we help. Members can do groups in-person or via the Groups app.

Medications. Suboxone (buprenorphine/naloxone). Site is silent on adjuncts and on whether anything other than Suboxone is offered. No mention of naltrexone, Vivitrol, methadone, or comfort meds.

Cost. $50/week self-pay in Maine and New Hampshire, effective April 28, 2025, per their self-pay policy post. Self-pay rates in other states are not posted.

Insurance. Yes, Aetna, Anthem, Ambetter, BCBS, CareSource, Cigna, Humana, Harvard Pilgrim, AmeriHealth Caritas NH, WellPoint, plus UHC and Optum per search snippets. Medicaid acceptance is state-by-state. (Insurance page.)

Reviews & complaints.

• CARF accredited (3-year accreditation, first accredited 2018) for Office-Based Opioid Treatment. Source: CARF directory.
• BBB: A+ rated, not accredited; multiple location-specific profiles exist.
• Trustpilot: no profile.
• Employee-side Glassdoor mentions 2026 layoffs and “lack of strategy and direction”, relevant only as context for organizational stability.

Kratom / 7-OH. One blog post, Can You Take Kratom With Suboxone?, which notes Suboxone has been used to treat kratom withdrawal but does not advertise kratom or 7-OH as treated conditions. No 7-OH content.

Notable issues. No lawsuits, FTC, or DEA actions surfaced. The group-mandatory model is a fit issue to consider before signing up: this is not the platform for someone who wants medication-only check-ins.

Ophelia

“Reduce opioid cravings and manage withdrawal with Suboxone®, Get the gold standard of treatment at home.” (ophelia.com, accessed 2026-05-24).

States. 15, Arizona, California, Connecticut, Delaware, Florida, Maine, Maryland, Montana, New Jersey, New York, Pennsylvania, Texas, Vermont, Virginia, Washington. Per ophelia.com/insurance-and-pricing. A 2025/2026 press release claims “49 states + DC” via licensure expansion; their own UI only lists 15, treat the higher figure as unverified until their site catches up.

Treatment model. Maintenance with buprenorphine/naloxone. Visit cadence per their how-it-works: weekly for the first month, then every two weeks for ~one month, then monthly. All visits via Zoom; no in-person required. Care Coordinators provide support calls; dedicated counseling/therapy is not advertised as a distinct service.

Medications. Suboxone or generic buprenorphine+naloxone primarily. Site mentions “medication for symptoms related to withdrawal during induction, such as nausea or trouble sleeping, and medication for depressive, anxiety, and insomnia disorders” but does not enumerate specific drug names. Methadone and naltrexone are not advertised.

Cost. Self-pay $245/month bundled (all visits + medication management + comfort meds + mental health support + 7-day support). With insurance: “most patients pay less than $10 a month.” Medication billed separately by pharmacy. $20 fees for late cancellations and no-shows.

Insurance. Yes, broad. Carriers include Aetna, AmeriHealth, multiple BCBS plans, Cigna, Geisinger, Healthfirst, Highmark, Humana, Independence Blue Cross, MultiPlan, Tricare East, UnitedHealthcare, UPMC, plus Medicare/Medicaid in many of their 15 states. Full list on their insurance and pricing page.

Reviews & complaints.

• BBB: Customer review average 1 / 5 stars across 6 reviews; not accredited; documented failure to respond to formal complaints. Letter grade fetched as D- or F on 2026-05-24 (sources disagreed). Profile.
• Trustpilot: page exists but returned 403 to direct fetch; reported score not independently verifiable.
• Self-reported reviews: their /reviews page cites “1,700+ five-star reviews from patients”, curated on their own site.

Kratom / 7-OH. Yes, explicit. A blog post titled “Suboxone vs. Kratom vs. 7-OH: What’s the Difference?” addresses 7-hydroxymitragynine directly: characterizes commercial 7-OH products as “chemically enriched or semi-synthetic,” notes it’s “10x more potent than mitragynine and 13x more potent than morphine,” warns against stopping cold turkey, and states their clinicians “have experience working with people who are using kratom or 7-OH and want to switch to a safer, FDA-approved medication.”

Notable issues. No regulatory action surfaced. The BBB pattern (1/5 with documented complaint non-response) is the most concrete negative signal.

Pelago

“Specialty substance use care, built for real life.” (pelagohealth.com, accessed 2026-05-24). Formerly known as Quit Genius.

Access model, important. Pelago is B2B: a benefit contracted through your employer or health plan, not a direct-to-consumer service. There is no consumer signup page; the Am I Covered checker confirms whether your employer/plan offers it. If your benefit doesn’t include Pelago, the door is closed.

States. Industry coverage describes a nationwide MAT provider network. Pelago’s own site does not publish a state-by-state licensure list. BCBSRI added Pelago as a member benefit nationally effective Jan 1, 2025.

Treatment model. Virtual clinic combining CBT and MAT. Initial appointment with a provider; medication management for “up to 12 months or longer”; monthly counselor sessions; urine drug screening at the initial counselor visit and monthly thereafter. Source: opioid program member manual.

Medications. Suboxone (buprenorphine/naloxone). Mailed to members’ homes. Adjuncts not named on their site.

Cost. Free to the member when offered via employer/plan; no direct-pay path exists. Pelago’s pricing page references “utilization-based pricing” sold to employers.

Insurance / employer partners. Publicly named: BCBS of Rhode Island, OPEH&W Health Plan. Pelago does not publish a full partner list.

Reviews & complaints.

• App Store: 4.5 / 5 across ~5.2K ratings.
• Google Play: 3.77 / 5 across ~2.4K ratings.
• Trustpilot: the Trustpilot page for “pelago.co” is for Pelago by Singapore Airlines (a travel platform), not Pelago Health. Don’t confuse them.

Kratom / 7-OH. None found. No mention of kratom, mitragynine, 7-OH, or kratom-derived synthetics on Pelago’s site.

Notable issues. Access gating is the biggest one for our audience. No regulatory action surfaced.

PursueCare

“Personalized Virtual Addiction Treatment Right on Your Phone.” (pursuecare.com, accessed 2026-05-24).

States. 6 clinical states: Connecticut, Kentucky, Maine, New Hampshire, Ohio, West Virginia. (Their mail-order pharmacy ships to 20 states, but that’s separate from clinical telehealth.) One of two telehealth providers in KY.

Treatment model. Both taper and maintenance models, their Patient FAQ notes “some people may begin to taper down their recovery medications after 12-18 months.” Weekly visits in the first month, then monthly maintenance. Counseling is integrated. Fully virtual via app, video, and web portal.

Medications. Suboxone (buprenorphine/naloxone) and Subutex (buprenorphine mono). Sublocade and Brixadi (long-acting injectable buprenorphine) are dispensed via the in-house PursueCareRx pharmacy. Vivitrol referenced for opioid/alcohol. Adjuncts not enumerated on the OUD-specific pages.

Cost. Self-pay sessions start at $50. A monthly subscription (”~$85/month for psychiatry”) is referenced by a secondary source but not on PursueCare’s own published pages.

Insurance. Yes, “most insurances.” Carriers per a secondary source: Aetna, Anthem, CareSource, Cigna, Humana, Molina, Highmark, UnitedHealthcare, WellCare, Wellpoint. Medicaid in supported states, but no state-by-state matrix published.

Reviews & complaints.

• BBB: A+ accredited (2020). Customer reviews 1.6 / 5 across 10 reviews. Themes: provider no-shows, medication refill delays during provider transitions, high staff turnover. Most recent serious complaint Feb 2026. Profile.
• App Store: 4.8 / 5 across 539 ratings.
• Trustpilot: no profile located.

Kratom / 7-OH. Yes, explicit. Lists “Kratom & 7-OH recovery” as a service. Published an educational/positioning page on 7-OH stating their teams are “developing specific protocols”. That’s forward-looking, not an established protocol yet.

Notable issues. The BBB pattern of refill delays during provider transitions is significant for an MOUD program where a missed refill can mean acute withdrawal. Small sample (10 reviews) but consistent theme. No regulatory action found.

QuickMD

“Take control of your health with online doctor visits, Get affordable care from actual doctors, whenever you need it.” (quick.md, accessed 2026-05-24).

States. General telemedicine in all 50 states + DC. Addiction treatment specifically in 41 + DC. Per their states map, addiction treatment is not available in Alaska, Arkansas, Hawaii, Kentucky, Montana, Rhode Island, South Dakota, Tennessee, and West Virginia.

Treatment model. Pay-per-visit cash-pay, no subscription, no required counseling. Induction visit prescribes a 7-day supply; first follow-up included if completed within 14 days; monthly visits thereafter. Some states require periodic in-person visits to maintain telemedicine MAT, state list not enumerated on their FAQ.

Medications. Suboxone (buprenorphine/naloxone) is the default. Subutex is available only by exception, for documented allergy or naloxone sensitivity (per a support article). Methadone, naltrexone, Vivitrol, and Sublocade/Brixadi are not mentioned on their site. The site does not enumerate adjunct comfort meds (clonidine, gabapentin, hydroxyzine, trazodone, etc.).

From the community: members report having success requesting helper meds, gabapentin, clonidine, hydroxyzine, trazodone, during their QuickMD visits. This is provider discretion, not a published QuickMD policy: some clinicians on the platform will write these readily, others won’t or will want you established first. Worth asking. Benzodiazepines are off-limits, no exceptions. QuickMD’s FAQ explicitly excludes them (“QuickMD does not prescribe controlled substances or high-risk medications, including: Barbiturates, Narcotics, Benzodiazepines”). Asking will slow the visit down without changing the answer.

Cost (per their pricing page, accessed 2026-05-24):

• $99 induction visit
• $99 follow-up visits (first follow-up within 14 days is included in the induction fee)
• $19 per 30-minute counseling session (optional, addiction patients only)
• Medication is separate, billed by the pharmacy.

Insurance. No, cash-pay only. Their FAQ: “QuickMD does not accept insurance at this time.” Your insurance can still cover the medication at your chosen pharmacy.

Reviews & complaints.

• App Store: 4.8 / 5 across ~4,900 ratings.
• Google Play: 4.87 / 5 across ~3,600 ratings.
• Trustpilot: page returned 403 on verification; search snippets reported ~4.0/5 across ~1,159 reviews (live number uncertain).
• BBB: profile exists; “not rated”, BBB notes “BBB does not have sufficient information to issue a rating on this business.” Complaint themes include double-billing, $35 missed-appointment / rescheduling fees, and refunds converted to non-redeemable app credits.

Kratom / 7-OH. Yes, extensive. Multiple dedicated articles including Kratom vs. 7-OH, What Is 7-OH, How to Quit 7-OH, and Can You Take Suboxone for Kratom Use Disorder?. Their “How to Quit 7-OH” article notably argues 7-OH itself can’t be tapered and instructs stopping completely before beginning buprenorphine treatment.

Notable issues. No regulatory action surfaced. Billing-complaint pattern (refund-to-credit conversion, prescriptions held over outstanding balances) is well-attested across BBB, App Store, and Trustpilot snippets but has not become a lawsuit or news investigation as of 2026-05-24.

Workit Health

“The most trusted app for addiction treatment.” (workithealth.com, accessed 2026-05-24).

States. 14, Arizona, California, Florida, Illinois, Michigan, Montana, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Texas, Washington. Per workithealth.com/locations.

Treatment model. App-based, fully online. Initial 1:1 video with a clinician for induction; ongoing care includes monthly group follow-up visits (“Shared Follow-up Appointments”), behavioral health support, unlimited chat with the care team, and self-paced therapeutic courses. No in-person required. Drug screens shipped to home. No 1-on-1 therapy (counselor-led groups only, per a 2025 ChoosingTherapy review).

Medications. Suboxone (buprenorphine/naloxone) and naltrexone for OUD; naltrexone and Campral for AUD. Site references prescribing “other medications for co-occurring conditions like anxiety and depression” without enumerating drug names.

Cost. Not published on their site. Workit defers to in-app quoting. Secondary source (ChoosingTherapy, Oct 2025): “OUD self-pay $75 per week (billed monthly at $300).” Treat as unverified against current Workit copy.

Insurance. Yes. Per their insurance page: “We accept many major insurance plan, Medicaid and Medicare in several states, or self-pay.” Named carriers include Aetna, BCBS (varies by state), Cigna, UHC, Humana, Oscar, and VA Health Administration. Medicaid is state-limited.

Reviews & complaints.

• App Store: 4.7 / 5 across 936 ratings (Workit’s own /reviews page claims 32K+ “App Store reviews”, figure not reconcilable with the 936 visible on Apple, possibly iOS + Android + in-app combined).
• BBB: A+, not accredited.
• Trustpilot: page returned 403; live score not confirmed.

Kratom / 7-OH. Yes, explicit. A dedicated page titled “Kratom and 7-OH” addresses both directly. A member story recounts a patient who used “upwards of 240 mg of 7-OH per day,” described 7-OH withdrawal as harder than heroin withdrawal, and was treated via Workit with Suboxone plus comfort meds. Workit acknowledges buprenorphine for kratom/7-OH is off-label, used based on “emerging clinical evidence.”

Notable issues. 2025 class-action settlement on data privacy. Doe v. Workit Health, Inc., Case No. 2:23-cv-11691 (E.D. Mich.), final approval March 6, 2025, $578,680 settlement. Allegations: the Workit site/app used Meta Pixel and Google Analytics in a way that may have transmitted personal/health information to third parties without consent. Workit denied wrongdoing; settlement is not an admission. Source: whprivacysettlement.com (the official settlement site).

Questions to ask any telehealth provider before your first visit

Whichever one you pick, get the answer to these before you give them a credit card. None of these are exotic, any program that treats OUD seriously should be able to answer them quickly.

1. What’s your induction approach for kratom or 7-OH specifically? Are you comfortable with COWS-based timing rather than fixed hours-since-last-dose? Will you start at 2 mg and titrate up rather than starting at 4 mg if I ask?
2. What happens if I precipitate during induction? Do I call you? The on-call provider? An ER? Be specific.
3. What’s your refill policy if I run out on a weekend or holiday? Buprenorphine continuity matters; a 36-hour gap can put you back in withdrawal.
4. Do you have a discharge policy if I lose insurance or miss a payment? Some providers will pause prescribing immediately; others will work with you. Get this in writing if possible.
5. What do you charge? Initial visit, follow-ups, medication management, any missed-appointment fees. Ask about anything that isn’t on the published pricing page.
6. What adjunct meds will you prescribe alongside buprenorphine if I need them? Clonidine, gabapentin, ondansetron, trazodone, baclofen, and the rest of the menu on Helper Medications. Most providers can; some won’t.
7. Are you supportive if my goal is a structured taper rather than long-term maintenance, or vice versa? Both are valid; make sure you and your provider want the same outcome.
8. What’s your data privacy policy? Specifically: do you use tracking pixels or analytics that share data with third parties? (This is asked because at least two providers, Workit Health and Confidant Health, have had primary-sourced data-handling issues in the last two years.)

If your loved one is the one calling rather than you, the For Loved Ones section has a parallel list framed for their angle.

Research methodology

For every provider on this page:

• Primary sources first. Pricing, state lists, insurance carrier lists, and medication policies were taken from the provider’s own pricing page, FAQ, locations page, and insurance page. Each was fetched and verified on 2026-05-24.
• Reviews come with sample sizes and platforms. Trustpilot, BBB, App Store, and Google Play ratings include the platform, score, and count. We did not aggregate them into a composite “rating.”
• Reddit is qualitative only. We didn’t cite Reddit threads as fact-sources for prices or policies. Where Reddit signal mattered, it’s flagged as such.
• Red flags are primary-sourced. Lawsuits, regulatory actions, settlements, and data-breach disclosures are linked to court dockets, regulatory press releases, or reputable news reports, not Reddit.
• We didn’t rank. Providers are alphabetical. Different programs fit different people.

Things we couldn’t verify and flagged in-line:

• Workit Health and Eleanor Health do not publish self-pay prices on their current site; figures cited come from a 2025 third-party review.
• Bicycle Health’s own site returned conflicting state counts (18 vs. 27) on the same day.
• Ophelia’s own site lists 15 states; a press release claims “49 + DC” via licensure. We anchored on the lower figure.
• Trustpilot’s site returned 403 to direct fetching for several providers; scores from search snippets are flagged as such.
• Bright Heart Health’s site sits behind Imperva; we could only verify some of their pages through cached/indexed snippets.

If you spot a figure that’s wrong or stale, please tell us. This page is meant to be re-verified periodically, and the access date next to every claim is there so you can spot when something needs to be checked again.

Reminder: This is community information, not medical advice. No telehealth provider is a perfect fit for everyone. The prescriber relationship matters more than the platform. If a specific provider doesn’t work for you, you can request a different clinician within the same platform, or move to another one.