Bicycle Health provides evidence-based medication-assisted treatment (MAT) and therapy for people struggling with opioid addiction. It earned 4 out of 5 stars in our independent review. While services are primarily offered online in select states, in-person treatment is available in some cities. The monthly plan costs $249, but many major health insurance plans are accepted, which may reduce out-of-pocket costs.
Editor’s Note
We regularly review and update our content to ensure it reflects the most accurate and up-to-date information. In this round of updates, little has changed with Bicycle Health.
Bicycle Health at a Glance
Cost: $249 monthly
Insurance Accepted: Yes
Pros & Cons
Pros - Makes medication-assisted treatment for opioid use disorders accessible
- Accepts several major health insurance plans
- Offers telehealth as well as in-person treatment in some areas
- Same-day treatment available
- Offers online recovery support groups
Cons - Only available in select states
- Customer service was very difficult to get in contact with
- Providers only prescribe Suboxone
- Does not offer treatment for co-occurring mental health conditions
Overview
Bicycle Health offers evidence-based medication-assisted treatment and therapy for those struggling with opioid addiction, and it earned 4 out of 5 stars from our independent review. Its services are mainly offered online in select states, but some cities offer an option to get treated in person. Bicycle Health offers a monthly plan for $249 and accepts many major health insurance plans, so actual costs may be less.
Another great option for medically-assisted treatment for those struggling with opioid addiction is Workit Health. If you’re looking for additional mental health services, BetterHelp is a very accessible cash-pay option for therapy, and Talkspace is great for therapy as well, and they accept a large number of insurance plans. Meanwhile, Brightside Health is a great choice for those looking for both therapy and psychiatry. If you need other options for virtual addiction treatment, read our full guide on the best online MAT programs.
Review our scoring criteria for online medication-assisted treatment programs here.
Review our complete editorial policies here.
Detailed Review of Bicycle Health
Bicycle Health is an online treatment program for opioid use disorders (OUD) that offers medication-assisted treatment and group therapy. The cost of Bicycle Health is $249 monthly, though some insurance plans are accepted, so actual costs may be lower. The monthly cost includes doctor’s visits held via live video, unlimited messaging with your provider, care navigation with a clinical support specialist, and online group therapy.
Getting Started
Getting prescribed Suboxone with Bicycle Health is a quick and easy process. You can meet with a provider and get medication on the same day. To get started, you will need to visit the Bicycle Health website or download the app through the Apple App Store or Google Play Store.
- Schedule a phone call to determine if the program is a good fit for you, or enroll directly online.
- Speak with a scheduling agent who will help you set up an evaluation with a prescriber.
- Get matched with a licensed prescriber.
- Attend a video session for your evaluation.
- Collaborate with your provider to develop a personalized treatment plan.
- Receive a prescription for medication, if appropriate.
- Pick up your medication from a local pharmacy.
- Schedule follow-up appointments as needed.
Medication-Assisted Treatment
Medication-assisted treatment (MAT) for opioid use disorders is Bicycle Health’s main service. MAT involves the use of medications, like Suboxone, to treat symptoms of addiction.1 Medication for opioid use disorders is typically combined with some form of therapy or social support. Bicycle Health offers online support groups in addition to medication.
To qualify for treatment with Bicycle Health, you must speak with an enrollment specialist, either over the phone or through the website or app. The enrollment specialist will review the answers to the initial assessment questions and determine if you are a good candidate for Suboxone. If you are, they will help match you with a medical provider and schedule an appointment for a video evaluation.
Your provider will evaluate you for Suboxone and send it to your local pharmacy if they decide to prescribe it for you. The whole process moves quickly, and you may even be able to get prescribed Suboxone the same day. You and your provider will discuss how often you will meet for appointments. Typically, you will meet more frequently at the beginning of treatment and gradually taper off over time. You can message your provider at any point in between appointments with questions or concerns.
Clinical Support Specialists
When you sign up with Bicycle Health, you will be connected with a clinical support specialist. A clinical support specialist helps you navigate treatment with Bicycle Health by connecting you to your provider(s) and assisting with appointment scheduling, billing, and prescriptions.
Online Support Groups
Bicycle Health offers online support groups as a part of its monthly plan. All support groups are one hour long and run by a recovery coach. Topics vary but may include stress management, managing triggers, relationships in recovery, and self-care. During each group session, participants are encouraged to check in about how they are doing, provide support to one another, and discuss the topic of the group.
Bicycle Cost & Insurance
The cost of Bicycle Health is $249 monthly without insurance, not including the cost of medication. Bicycle Health accepts many major insurance plans, including Aetna, Anthem, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and some Medicare plans. Some states may have Medicaid eligibility as well, but this appears to be quite limited. The website offers a drop-down menu where you can select your state and immediately see which plans are accepted where you live.
Medication Costs
Medication is not included in the monthly fee. Suboxone is generally covered by health insurance, but the cost of medication varies depending on your insurance coverage. Generally, costs range from $0 to $150.
Who Does Bicycle Health Serve?
Bicycle Health provides virtual medication-assisted treatment (MAT) for individuals with opioid use disorder (OUD) across 32 states so far, though they continue to grow.
Bicycle Health operates in 32 states, including: Arizona, California, Colorado, Connecticut, Delaware, Florida, Idaho, Illinois, Iowa, Maine, Maryland, Michigan, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Oregon, Pennsylvania, South Dakota, Texas, Virginia, Washington, Wisconsin, and Wyoming.
Currently, Bicycle Health’s services are exclusively available within the United States. They do not offer international services at this time.
User Reviews for Bicycle Health
Bicycle Health holds a 3.6-star rating from over 150 reviews in the Apple App Store and a 4.1-star rating from more than 480 reviews in the Google Play Store. Positive feedback often highlights the compassionate care provided by clinicians, while negative reviews frequently mention unresolved issues with customer service and billing.
Reviews from Apple App Store | 3.6 out of 5 stars | >150 reviews
- Positive reviews highlight the program’s quick response times and user-friendly design. Many users also describe the service as reliable and easy to navigate.
- Negative reviews mention concerns about being evaluated by someone who is not a doctor. One reviewer noted a high charge to their insurance and reported experiencing side effects, including jaundice, from the prescribed medication.
Reviews from Google Play Store | 4.1 out of 5 stars | >480 reviews
- Positive reviews praise the app’s convenience, particularly for those who lack time for in-person consultations. Users frequently describe the platform as helpful and easy to use.
- Negative reviews include complaints about recent updates that made logging in difficult. Some users also mention that the service can be expensive, especially for those without insurance
Alternatives & Competitors
While Bicycle Health is a strong option for individuals experiencing opioid use disorder (OUD), particularly due to its insurance acceptance and supportive care, it may not be the best fit for everyone. Those seeking treatment for multiple addictions may prefer Workit Health, while Ria Health is a top choice for alcohol use disorder. For individuals focused specifically on opioid treatment, Ophelia is another excellent option. Eleanor Health stands out for those with co-occurring mental health conditions or dual diagnoses.
Best for Multiple Addictions - Workit Health
Price: $150 – $300 monthly
Insurance Accepted: Yes
Available Nationwide? No
Workit Health offers comprehensive treatment for select substance use and mental health disorders. With Workit Health, you can get treated for opioid, alcohol, or stimulant addictions, as well as depression and anxiety. The service also offers coaching to assist with problematic behaviors, like gambling, smoking, sex and pornography, and disordered eating. Compared to Bicycle Health, Workit Health offers considerably more services and treats a wider range of conditions.
Like Bicycle Health, Workit Health is only available in certain states. The opioid treatment program through Workit Health costs $150 – $300 monthly. The plan includes virtual appointments with a provider, medication-assisted treatment, unlimited messaging with your care team, at-home drug testing, and access to virtual workshops and events. Workit Health also accepts some health insurance plans.
You can learn more about this option in our Workit Health review.
Pros & Cons
Pros - Provides accessible medication-assisted treatment for multiple substance use disorders
- Treats co-occurring mental and physical health conditions, including depression, anxiety, HIV, and Hepatitis C
- Emphasizes a whole-person approach to recovery
- Offers a wide range of therapeutic and educational online courses
- Services are available via their website and mobile app
Cons - Out-of-pocket costs vary based on the treatment plan
- Limited to availability in certain states
- Does not include one-on-one therapy sessions
- Not available to individuals under 18
Best for Alcohol Use Disorder - Ria Health
Price: $449 monthly
Insurance Accepted: Yes
Available Nationwide? No
Ria Health is an online medication-assisted treatment (MAT) program designed for individuals seeking support with alcohol use. It offers personalized care plans tailored to each person’s goals—whether that’s cutting back or quitting entirely. Services are available in all 50 states and include access to recovery coaches and a Bluetooth breathalyzer for tracking progress. Monthly costs range from $175 to $449, but many insurance plans are accepted, which may reduce out-of-pocket expenses.
While Ria Health is ideal for those focused on alcohol-related recovery, Bicycle Health is a strong choice for individuals seeking structured support for opioid addiction. Both platforms offer discreet, at-home access to evidence-based care.
To learn more, read our full Ria Health app review.
Pros & Cons
Pros - Supports co-occurring mental health conditions
- Services are offered nationwide across all 50 states
- Easily accessible through a mobile app or personal device
- Personalized treatment plans allow you to either reduce alcohol use or stop entirely
- Includes a Bluetooth breathalyzer to help track progress
- Provides recovery support through licensed mental health counselors
Cons - Limited to treating alcohol use disorder; other addictions are not covered
- Services are not available to individuals under 18
- Does not accept Medicaid or Medicare Advantage at this time
Best for Opioid Use Disorder - Ophelia
Price: $195 monthly
Insurance Accepted: Yes
Available Nationwide? No
Ophelia is a service that also offers Suboxone for those experiencing opioid use disorders. Ophelia provides many of the same features as Bicycle Health, including video appointments, support, and care coordination. One feature that sets Ophelia apart is that it also offers treatment for depression, anxiety, and insomnia. If you are experiencing one of these conditions along with an opioid use disorder, then your Ophelia provider can provide treatment for both your addiction and mental health concerns.
Like Bicycle Health, Ophelia is only available in select states. Bicycle Health is currently available in more states than Ophelia, but both companies have plans to expand. The cost of Ophelia is $195 monthly. It includes video appointments with a medical provider, care coordination, diagnosis and treatment of depression, anxiety, and insomnia, and optional individual and group peer support. Ophelia also accepts some health insurance plans.
To learn more, read our full Ophelia Health review.
Pros & Cons
Pros - Offers fast, convenient access to medication-assisted treatment for opioid use
- Accepts many major insurance providers
- Provides evaluation and treatment for conditions like depression, anxiety, and insomnia
- Includes 24/7 access to triage nurses for urgent concerns through virtual support
Cons - Services are limited to certain states
- Does not offer individual counseling or talk therapy
- Treatment is focused solely on opioid use disorder and does not extend to other addictions
- Customer service can be unresponsive or unclear during the pre-enrollment phase
Best for Dual-Diagnosis - Eleanor Health
Price: $249 monthly
Insurance Accepted: Yes
Available Nationwide? No
Eleanor Health and Bicycle Health both offer medication-assisted treatment (MAT), but they differ significantly in scope, structure, and the types of support they provide. Eleanor Health uses a hybrid care model with services available both virtually and at physical clinic locations in seven states. It’s particularly well-suited for individuals with dual diagnoses, offering integrated support for both substance use and co-occurring mental health conditions. Each care plan includes therapy, medication management, and recovery coaching.
In contrast, Bicycle Health focuses specifically on opioid use disorder and provides virtual care in a wider range of states, with limited in-person options available in select cities. Its treatment model centers on medication management and medical support rather than therapy or counseling. The program costs $249 monthly, though many major insurance plans are accepted, which can reduce the overall expense. While Eleanor Health takes a more comprehensive, whole-person approach to recovery, Bicycle Health offers a streamlined and accessible option for those seeking focused treatment for opioid addiction.
To learn more, read our full Eleanor Health review.
Pros & Cons
Pros - Offers medications to treat a variety of substance use disorders
- Care is available both virtually and in person, depending on location
- Includes therapy and psychiatric support for co-occurring mental health issues
- Emphasizes personalized, whole-person treatment rather than a one-size-fits-all model
Cons - Only operates in a limited number of states
- Does not provide flat-rate or bundled pricing options
- Services are not available for minors under 18
Why You Can Trust My Review
As a licensed psychologist, I specialize in perinatal and postpartum mood disorders, grief counseling for miscarriage, stillbirth, and infant loss, infertility support, and therapy for both new and experienced parents. I’ve been writing for Choosing Therapy since 2020 and began independently reviewing online therapy and psychiatry platforms in 2022. With my background in evaluating mental health and substance use disorder (SUD) services, I bring a well-informed and trusted perspective to my reviews. Based on my in-depth assessment, I gave Bicycle Health a rating of 4 out of 5 stars.
Year Founded: 2017
Founders: Ankit Gupta
Headquarters: Boston, MA
Publicly Traded: No
Bicycle Health was founded in 2017 by Ankit Gupta to make high-quality medical and behavioral healthcare more accessible for individuals with opioid use disorder. The name “Bicycle Health” symbolizes a vehicle for recovery, supporting individuals on their path to healing. Gupta recognized that many people struggling with opioid addiction initially turned to opioids for pain management and later felt too ashamed to seek help.
The company began with a physical clinic in Redwood City, California. In 2020, it expanded to offer virtual care nationwide. In 2022, Bicycle Health secured $50 million in funding to support its continued growth and mission.4 The platform reached profitability in Q4 2024 and raised another $16.5 million in funding in January 2025 to continue its expansion.5
The company aims to expand into more states, grow its team of clinicians, and further research its treatment model. Today, Bicycle Health is committed to providing affordable, evidence-based care for those facing opioid use disorder.6
Frequently Asked Questions
Does Bicycle Health Accept Insurance?
Yes, Bicycle Health does accept select health insurance plans. With Bicycle Health, you may be able to use your health insurance for mental health, which will cover some or all of the costs of treatment. Health insurance coverage for Bicycle Health varies by state, so you will have to verify coverage on their website by entering your location. Generally, Bicycle Health is in-network with most major health insurance companies, including Medicare, Aetna, Anthem, Blue Cross Blue Shield, Cigna, and UnitedHealthcare.
Are There Out-of-Network Benefits?
If your insurance is out-of-network with Bicycle Health, you will be able to request a superbill. Bicycle Health will assist you in submitting this claim to your insurance provider.
Can I use my HSA or FSA?
It is unclear if you can use your HSA or FSA to pay for Bicycle Health.
How Do I Unenroll from Bicycle Health?
To cancel your subscription with Bicycle Health, you need to send a message through the app. Your subscription will be canceled at the end of the current billing cycle.
Does Bicycle Health Offer Refunds?
It is unclear how Bicycle Health handles refunds. We reached out to representatives at Bicycle Health but did not receive a response.
Is Bicycle Health HIPAA Compliant?
Yes, Bicycle Health is HIPAA compliant and works to keep your health information private and secure. You can learn more by reviewing their HIPAA Privacy Practices, Privacy Policy, and Terms of Use.
Is Bicycle Health a Legit Company?
Yes. Bicycle Health is a legitimate telehealth provider of medication-assisted treatment for opioid use disorder, with licensed providers prescribing Suboxone alongside behavioral support and care coordination. In our review, it earned high marks for accessibility and insurance coverage; the main limitations are that it treats opioid use disorder specifically and is not a fit for people who need in-person or higher-acuity care.
How Much Does Bicycle Health Cost?
Bicycle Health costs $249 per month without insurance, not including medication. It accepts many major insurance plans, including Aetna, Anthem, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and some Medicare plans, which can substantially reduce out-of-pocket costs. Suboxone itself is billed separately and is generally covered by insurance.
Who Owns Bicycle Health?
Bicycle Health is a privately held, venture-backed company founded in 2017 by Ankit Gupta, who remains its founder and CEO. It launched its virtual medication-assisted treatment platform in 2020 and is not owned by a hospital system or pharmaceutical company.
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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National Institute on Drug Abuse. (2021, December). Medications to treat opioid use disorder research report. Retrieved from: https://nida.nih.gov/download/21349/medications-to-treat-opioid-use-disorder-research-report.pdf?v=99088f7584dac93ddcfa98648065bfbe
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Bicycle Health. (n.d.). Who can prescribe Suboxone?. Retrieved from: https://www.bicyclehealth.com/suboxone-faq/who-can-prescribe-suboxone
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Bicycle Health. (n.d.). Does insurance cover Suboxone treatment?. Retrieved from: https://www.bicyclehealth.com/suboxone-faq/does-insurance-cover-suboxone-treatments
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Gliadkovskaya, A. (2022, June 8). Bicycle Health snags $50M in funding to drive accelerated growth in virtual opioid addiction treatment. Fierce Healthcare. Retrieved from: https://www.fiercehealthcare.com/finance/bicycle-health-raises-50m-expand-its-telehealth-model
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Bicycle Health. (January 29, 2025). Globe Newswire. Bicycle Health reached profitability as it raised $16.5 million to scale virtual opioid use disorder treatment to more patients nationally. Retrieved from: https://www.globenewswire.com/news-release/2025/01/29/3017521/0/en/Bicycle-Health-reached-profitability-as-it-raised-16-5-million-to-scale-virtual-opioid-use-disorder-treatment-to-more-patients-nationally.html
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American Psychological Association. (2019, June 19). “Whole-Person Approach Needed to Solve Opioid Epidemic,” Says APA. Retrieved from: https://www.apa.org/news/press/releases/2019/06/whole-person-opioid-epidemic
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Bicycle Health. (n.d.). Our story. Retrieved from: https://www.bicyclehealth.com/our-story
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Church, C. (2025, April 14). Workit health review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/workit-health-review/
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We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: ChoosingTherapy.com Editorial Team
Primary Changes: Added FAQs covering legitimacy, monthly cost with and without insurance, and company ownership; added internal links from Suboxone, opioid treatment, and methadone guides.
Author: Emily Guarnotta, PsyD (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated user reviews; added funding information.
Author: Emily Guarnotta, PsyD (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Fact-checked and edited the entire article for improved readability and clarity. Updated pricing throughout (Bicycle Health: From $199 monthly to $249 monthly). Updated Alternatives & Competitors Section (Companies Added: Ria Health). Updated screenshots throughout the entire article.
Author: Emily Guarnotta, PsyD (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added review summary and features.
Author: Emily Guarnotta, PsyD
Medical Reviewer: Benjamin Troy, MD
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