Monument Review 2024: Cost, Pros & Cons, & Who It’s Right For

Why You Can Trust My Review

I have spent a considerable amount of time researching the quality of care for online medication-assisted treatment programs, the qualifications of their staff, and the therapeutic techniques used to treat substance use disorders. Through my addiction recovery research and extensive interviews with each company’s representatives, I’ve been able to identify specific services and features that contribute to a patient’s success.

Our star-rating system is designed to guide those with substance use disorders towards treatment programs that are safe and effective. Because Monument offers tiered payment plans that provide a range of services, it earned 5 out of 5 stars in our Cost of Care category. However, points were deducted in our MAT Options category because they only treat alcohol use disorder.

Monument Earned 4 out of 5 Stars

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Detailed Scoring Breakdown

Medication-Assisted Treatment Options (3 out of 5)

Dual Diagnosis Services (2 out of 5)

Mental Health Support (5 out of 5)

Additional Resources (5 out of 5)

Geographic Location (4 out of 5)

Cost of Care (3 out of 5)

Insurance & Out-of-Network Benefits (5 out of 5)

Reliability & Longevity (5 out of 5)

Care Team Credentials & Expertise (5 out of 5)

Customer Service (5 out of 5)

Privacy & HIPAA (3 out of 5)

Review our scoring criteria for online medication-assisted treatment providers here.
Review our complete editorial policies here.

Randi Sprintis, M.S.

How to Sign Up for Monument

You can sign up for treatment by visiting the Monument website.

What Is Monument?

Monument is an online medication-assisted treatment program that helps those who want to quit or cut back on drinking. It also provides one-on-one therapy and peer support groups. Monument is available in select states, offers several payment plans, and accepts insurance. Costs range from $9.99 to $249+ monthly.

Monument is currently available in New York, New Jersey, Connecticut, California, Pennsylvania, Washington, Washington D.C., Virginia, Georgia, Colorado, Oregon, North Carolina, South Carolina, Texas, Kentucky, Florida, Ohio, Arizona, Iowa, and Michigan. Monument offers three different care plan packages with tiered levels of service. When you sign up for the program, a Monument enrollment advisor will help you choose the best care plan for you. You can even choose to join Monument for free as a community member and gain access to their anonymous community forum and online peer support group meetings moderated by therapists.

After you choose a care plan and create an account, you’ll be matched with a physician who will conduct a medical evaluation and ask you about your personal goals. You can choose to cut back or quit drinking completely. If medication is right for you, a prescription will be sent to your local pharmacy or an online pharmacy, such as Amazon Pharmacy, which will deliver your prescription directly to your door.

Patients who choose therapy along with physician care will be matched with a licensed therapist. Monument will send you an email with your therapist’s information, background, and a link to schedule your first appointment after registration. Monument refers to this as their alcohol therapy program. Much like their MAT program, you and your therapist will discuss your personal goals with drinking and they will design a therapeutic curriculum that meets your needs. You can choose to have weekly or bi-weekly sessions with your therapist.

Monument also encourages community connection by offering online peer support meetings multiple times throughout the week. The peer support group meetings are moderated by licensed therapists. They cover topics like preventing relapse, navigating sobriety, and managing relationships throughout recovery. These services are offered for free for anyone who wants to join the Monument community. Members are not required to share or be on camera throughout the meetings. Your level of engagement in the meetings is completely up to you.

Who Might Want an Alternative to Monument?

You may want an alternative to Monument if you have a severe case of alcohol use disorder and you need inpatient care, you need dual-diagnosis services, or you are struggling with multiple addictions.

Severe Cases of Alcohol Use Disorder

Because all of Monument’s services are solely offered through telehealth, it may not be the best option for those with severe cases of alcoholism. You may benefit from inpatient or residential treatment centers that provide 24-hour care. For help finding an addiction treatment facility, you can call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or use the Behavioral Health Treatment Services Locator tool.

You Need Dual-Diagnosis Services

Alcohol use disorder is often accompanied by other mental health conditions, like depression, anxiety, or PTSD. This is referred to as a dual diagnosis. If you or someone you know is looking for treatment for addiction as well as a mental health disorder, you may be better served at Eleanor Health. Eleanor Health’s patients regularly meet with psychiatrists as well as physicians to ensure that they’re getting everything they need and medications are managed safely and effectively.

To learn more about their program, read our in-depth review of Eleanor Health.

Struggling with Multiple Addictions

Since Monument only serves those who want to change their drinking habits, those facing other addictions alongside alcohol will want an alternative. A better choice would be Workit Health. Workit Health is an online medication-assisted treatment program that prescribes several different medications for alcohol use disorder, opioid use disorder, and other stimulant use disorders.

To learn more about their program, read our in-depth review of Workit Health.

Monument User Reviews

Monument is still a fairly new company, making it difficult to find patient reviews online. There are mostly positive reviews posted on Monument’s website, but these are likely hand selected to showcase the best patient experiences. There was one complaint from the Better Business Bureau regarding an issue with a patient’s preference for one medication over another.

Love the Care Teams

All of the reviews posted on Monument’s website express praise for the physicians and therapists. Many reviewers mentioned that they felt a genuine connection with their care team members and found them to be attentive, compassionate, and knowledgeable. Every post on their website included a 5-star rating for the care teams, but again, this may not be a reliable source.

Never Felt Judged

Another common theme I saw in the reviews was a feeling of acceptance and non-judgment with Monument’s care teams. This sentiment stood out to me because it’s reflective of the stigma around drinking. Many patients stated that they looked forward to meeting with their therapists because they felt it was a safe space to talk about drinking without criticism.

An Issue with Medication Preference

I could only find one patient complaint posted on the BBB website. Apparently, the patient wanted to be prescribed baclofen instead of naltrexone and the physician disagreed. While Monument’s program is supposed to be personalized to meet the patient’s needs, I think it’s also important to listen to the physicians and be open to their expert recommendations.

Total Care Weekly – Monthly Membership $249

• One 45-minute therapy session every week
• Unlimited physician appointments
• Medication management
• Chat-based messaging with your physician
• Chat-based messaging with your therapist
• Access to therapist-moderated support groups
• Access to an anonymous 24/7 community forum

Total Care Bi-Weekly – Monthly Membership $149

• Two 45-minute therapy sessions per month
• Unlimited physician appointments
• Medication management
• Chat-based messaging with your physician
• Chat-based messaging with your therapist
• Access to therapist-moderated support groups
• Access to an anonymous 24/7 community forum

Physician Care – Monthly Membership $9.99 (+$45.00 Initial Fee)

• One introductory physician appointment and medical intake assessment
• Additional physician appointments are $45 dollars each
• Medication management
• Chat-based messaging with your physician
• Access to therapist-moderated support groups
• Access to an anonymous 24/7 community forum

Community Membership – Free

• Access to therapist-moderated support groups
• Access to an anonymous 24/7 community forum

Does Monument Accept Insurance?

Yes, Monument accepts many major insurance plans such as Aetna, Cigna, and Blue Cross/Blue Shield. Treatment with Monument is available in New York, New Jersey, Connecticut, California, Pennsylvania, Washington, Washington D.C., Virginia, Georgia, Colorado, Oregon, North Carolina, South Carolina, Texas, Kentucky, Florida, Ohio, Arizona, Iowa, and Michigan.

Out-of-Network Benefits

A billing representative can create an itemized invoice, also called a superbill, for you to submit to your insurance company for reimbursement.

How Does Monument Work?

It’s fairly simple to sign-up for treatment with Monument. Follow the steps listed below to schedule your first appointment.

1. Begin by going to the Monument website and clicking on ‘Get Started’
2. Enter your location and insurance information, and within 24 hours a representative will contact you to discuss the program
3. Create an account on the website
4. View different care membership plans and choose one that’s right for you
5. Get matched with a physician/therapist
6. Schedule your first appointments
7. Create a personalized treatment plan

Monument: Detailed Review

Monument is an online medication-assisted treatment program for those with alcohol use disorder or for anyone who wants to modify their drinking habits. Monument is available in select states and accepts insurance. They offer tiered payment plans for those without insurance that range in levels of care.

Medication-Assisted Treatment

Monument’s physicians all prescribe naltrexone and disulfiram. Both are FDA-approved medications, but they work in very different ways. Naltrexone is for patients that are hoping to cut back on drinking or eventually abstain from alcohol completely, and disulfiram is for those who are committed to being sober and may be struggling with alcohol use disorder.

Naltrexone blocks the reward receptors in the brain that are activated when we drink and it helps to reduce cravings. Disulfiram halts your ability to metabolize alcohol, which will produce a severe physical reaction if you drink while on this drug. When you meet with your physician, you will discuss your personal goals and together decide what medication is best for you.²

Recovery Therapy

All Monument’s recovery therapists are licensed mental health professionals with a strong background in addiction recovery and alcohol therapy. They utilize several therapeutic techniques that have proven to be effective with AUD, such as Cognitive Behavioral Therapy and Motivational Interviewing. You can meet weekly or bi-weekly with a therapist, depending on the care plan you choose. While you won’t be prescribed medicine for co-occurring mental health conditions at Monument, you can discuss these challenges with your therapist. For instance, if you’re suffering from depression or anxiety, it will be addressed in your alcohol therapy sessions. Recovery therapists aim to provide you with tools and techniques to manage cravings, develop healthy coping strategies, and restructure negative thought patterns.³

You can choose to opt out of alcohol therapy by choosing the Physician Care plan where you’ll only receive medicated-assisted treatment. This is Monument’s most affordable plan, so it may be an attractive option if you’re on a tight budget. However, it’s important to keep in mind that research continues to show a holistic approach to treating alcoholism is the most effective. A holistic approach, or whole-person approach, is one that involves both medication and therapy.⁴
If you’re hoping to have a successful experience with Monument’s MAT program, I highly recommend choosing a care plan that includes therapy.

Community Forums & Moderated Support Groups

Two truly incredible features of Monument’s services are the moderated peer support group meetings and community forums. These are included in all of the care plans, but you can also choose the Community Membership and join these groups for free. The community forums are message board channels that have specific themes. For instance, there’s a channel for those who want to reduce drinking and one for those who are committed to staying completely sober. You can also send private messages to other members within the forum.

Recovery therapists host multiple peer group meetings each week. They cover a wide range of topics, like preventing relapse through self-care, navigating relationships while in recovery, and mindfulness techniques to curb cravings. They also offer meetings that are targeted to specific groups, like the LGBTQ+ community, women, and Black, Indigenous, and People of Color (BIPOC). Participation in these meetings is completely voluntary and you can also choose to remain anonymous.

Monument Vs Competitors

If you’re looking to quit or cut back on drinking and you’d like to try medication-assisted treatment, it’s important to weigh your options. Below you’ll find summaries comparing Monument to two of its top competitors.

Monument Vs Ria Health

Ria Health and Monument programs are almost identical. They both create personalized treatment programs to help patients modify their drinking habits or quit alcohol completely, and both companies offer one-on-one recovery counseling with a licensed mental health professional. All of the care is offered online, but Ria Health offers services through a mobile app while Monument’s services are only accessible through the patient portal on their website, which is also mobile friendly.

Ria Health is offered in all 50 states, Monument is only available in select states, and they both accept many major forms of insurance. Monument allows patients to choose between tiered payment plans that range in services offered. Ria Health only offers one out-of-pocket payment plan, which is $449.00 a month.

If you’re on a restricted budget and you want to select your own level of care, Monument probably has a package that will work for you. For example, you can choose to only see a physician and opt out of therapy for less money. However, if you want a more structured program that includes both therapy and clinical services, which I highly recommend, Ria Health is the better option.

Monument Vs WorkIt Health

WorkIt Health and Monument both offer medication-assisted treatment and one-on-one counseling for those with alcohol dependency. However, Workit Health offers several different medications to treat a variety of addictions and dual-diagnosis services to treat other mental health disorders, making Workit Health a better option if you are struggling with multiple addictions or a co-occurring mental health condition.

Workit Health doesn’t advertise prices on the website because the cost of care will depend on your treatment plan, location, and insurance. Monument provides clear pricing for three monthly payment options and even offers free membership to those who are only seeking an online peer support community. Both Monument and Workit Health are available in select states and accept many forms of insurance.

If you’re trying to decide between Workit Health and Monument to change your drinking habits, both are truly great resources. However, Workit Health goes the extra mile by offering hundreds of therapeutic online courses that cover a wide range of recovery-related topics. Many reviewers of Workit Health mentioned that Workit Health’s coursework was incredibly helpful on their road to recovery. If you’re looking for an educational component in your treatment program, Workit Health is an ideal option.

How Monument Has Evolved

Monument was co-founded by CEO Mike Russell in 2019 after experiencing his own challenges with alcohol use disorder. He first learned about medication-assisted treatment from a close friend and began taking medication shortly afterward to curb his drinking. He states that he hadn’t had a drink since the day his prescription arrived, which is when the idea of Monument was born. He wanted to create a company that made it easy for people to access medication and counseling for alcohol dependency, and create a program that gave people options beyond total abstinence.⁵

Monument in the News

Monument was recently in the news regarding its data-sharing practices. They received a letter from Congress highlighting the monetary scale of the telehealth industry and how programs like Monument target Americans living in rural or medically-underserved areas. The letter accuses Monument of allegedly revealing sensitive or personal health data of this population to third-party platforms, like Google and Facebook.⁶ We reached out to a Monument representative for comment but have not heard back at this time. These allegations led to a deduction of points in our Privacy & Security category.

Final Verdict on Monument

If you’re struggling with AUD or you’re hoping to transform your relationship with alcohol, Monument could be an excellent option. However, I would only recommend the Weekly Care Plan or the Bi-Weekly Care Plan. While the Physician Care Plan is the most affordable, it does not include one-on-one therapy sessions. Evidence shows that you have the strongest chances of success with therapy and medication combined, so I highly suggest considering the holistic approach rather than just Monument’s medication-assisted treatment alone. ⁴

Summary of Monument

Frequently Asked Questions About Monument

Frequently Asked Questions

What Credentials Do Monument Health Providers Hold?

Monument medical providers consist of medical doctors and nurse practitioners with strong backgrounds in alcohol addiction treatment. All recovery therapists are licensed in the mental health field and hold degrees in areas like psychology, counseling, and social work.

How Am I Matched with My Care Team

You’ll be matched with a clinician and a licensed therapist, depending on your chosen care plan. Matches are based on patient preferences and location.

Can I Switch to a Different Clinician or Recovery Coach During My Treatment?

Yes, Monument wants to ensure that all patients have a personalized program that meets their needs, which includes changing their care team members upon request.

What Medications Are Available with Monument?

Monument physicians prescribe disulfiram or naltrexone. Disulfiram, also known by its brand name antabuse, is for those who want to stay completely sober, while naltrexone is designed for those who want to cut back on drinking.

How Do I Get My Prescription?

If medication-assisted treatment is right for you, a prescription will be sent to your preferred local pharmacy or online pharmacy.

Can I use my HSA or FSA?

Yes, you can use your FSA or HSA for mental health treatment with Monument.

How Do I Unenroll from Monument?

You can unenroll from Monument by contacting a customer service representative by phone at 646-960-3553 or by emailing the support team at [email protected].

Does Monument Offer Refunds?

Yes, Monument will provide refunds. When you cancel your membership, they will refund your money for the remainder of the month based on the number of clinician appointments you’ve had so far.

Is Monument HIPAA Compliant?

Monument states that it is HIPAA compliant and aims to keep your personal data safe. However, they have recently been in the news regarding data sharing issues with third parties. We reached out to a representative for comment and have not heard back at this time.⁶ To learn more, you can check out their Privacy Policy and Terms of Service.

For Further Reading

• Addiction: Types, Symptoms, Causes & Treatment Options 
• Addiction: Myths and Facts
• Addiction vs Dependence 
• Best Addiction Recovery Apps