Monument is a medication-assisted treatment (MAT) program for those who want to cut back or quit drinking. The program earned 4 out of 5 stars from our independent review. Treatment is available in select states, and many insurance plans are accepted. Instead of a monthly subscription like most of its competitors, you only pay Monument after sessions with your doctor or therapist. Patients with insurance typically pay $25 per medical or therapy session, while those without coverage can expect to pay $100 per visit.
Editor’s Note
We regularly review and update our content to ensure that it contains the most accurate and up-to-date information. In this round of updates, we note that Monument now offers online healthcare alongside its mental health and addiction-related offerings. Our review will still focus on its plan for those wanting to change their relationship with alcohol, but it could be worth checking out its other features, especially for those with in-network insurance.
Monument at a Glance
Cost: With insurance: $25/session; Without Insurance: $100/session
Insurance Accepted? Yes
Services: MAT for AUD; Therapy; Primary & Urgent Care; Moderated Support Groups; Community Forum
Pros & Cons:
Pros
- Offers one-on-one sessions with a licensed therapist
- Addresses co-occurring mental & physical health concerns
- Treatment plans can be customized to cut back or quit drinking entirely
- Includes virtual meetings with peer support groups
Cons
- Only available in seven states
- Currently accepts Medicare plans, but not Medicaid
Overview
Monument is an online medication-assisted treatment (MAT) program that helps those who want to quit or cut back on drinking. It also provides one-on-one therapy and peer support groups. All of Monument’s recovery therapists are licensed mental health professionals with a strong background in addiction recovery and alcohol therapy. Monument’s physicians can prescribe naltrexone and disulfiram.
Sessions with Monument are billed individually, with insured patients typically paying $25 per visit for both therapy and primary care appointments. If you don’t use insurance, it’s a flat rate of $100 per session. However, treatment with Monument is currently only available in seven states. If you’re struggling with alcohol use disorder (AUD) or you’re hoping to transform your relationship with alcohol, or simply looking for online mental and physical healthcare, Monument could be an excellent option.
If Monument is not available in your state, then we suggest Ria Health for alcohol use disorder treatment, as they accept insurance and are available in all 50 states. For those looking for care for opioid use disorder (OUD), Workit Health or Ophelia Health are both great options that accept insurance coverage.
Detailed Review of Monument
Monument is an online medication-assisted treatment (MAT) 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. It also now offers comprehensive mental and medical healthcare through online visits with doctors and therapists.
Review our scoring criteria for online medication-assisted treatment providers here.
Review our complete editorial policies here.
Getting Started
It’s fairly simple to sign up for treatment with Monument. Follow the steps listed below to schedule your first appointment.
- Begin by going to the Monument website and clicking on ‘Get Started’
- Enter your reason for signing up and create an account on the website
- Check to see if your insurance is in-network or select “Do not check my coverage” if you’re willing to pay $100 per session
- Select whether you want to see a therapist, physician, or both
- Schedule a time that works for you
- Get matched with a physician/therapist
- Work with your physician/therapist to create a personalized treatment plan
Medication-Assisted Treatment
Monument’s physicians all prescribe naltrexone and disulfiram. Both are FDA-approved medications for treating alcohol use disorder, but they work in very different ways.
Naltrexone is for patients who 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
Mental Health Therapy
All Monument recovery therapists are licensed mental health professionals with specialized experience in alcohol therapy and addiction recovery. They use evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI), both of which are shown to be effective in treating alcohol use disorder (AUD). Depending on your chosen care plan, you can meet with your therapist weekly or bi-weekly.
While Monument providers don’t prescribe medications for co-occurring mental health conditions, your therapist can still support you through related challenges. Recovery therapists work to equip you with tools to manage cravings, build healthier coping mechanisms, and shift negative thinking patterns.3
Community Forums & Moderated Support Groups
Two standout features of Monument’s services are its moderated peer support group meetings and active community forums. The forums function like message boards, organized into themed channels, such as one for reducing alcohol consumption and another for members who are fully committed to sobriety.
Recovery therapists host multiple peer support meetings each week, covering a wide range of topics like using self-care to prevent relapse, managing relationships during recovery, and practicing mindfulness to reduce cravings. Some meetings are tailored to specific communities, including the LGBTQ+ population, women, and Black, Indigenous, and People of Color (BIPOC). Participation is entirely optional, and attendees can choose to remain anonymous.
Medical Care with Monument
In addition to MAT and mental health services, Monument now offers primary care visits for common conditions such as cold and flu symptoms, COVID-19, chronic disease management, sinus infections, skin concerns, urinary tract infections, migraines, and more.
How Much Does Monument Cost?
For therapy or primary medical care, costs are $25 per session for those with insurance coverage. For those without insurance, sessions are $100 whether you meet with a doctor or a therapist.
Monument works with several major insurance providers, including:
- Aetna
- BlueCross BlueShield
- Cigna
- Elevance Health
- Empire BlueCross BlueShield
- Magellan Health
- Oxford Health Plans
- United Healthcare
Who Does Monument Serve?
Monument serves adults aged 18 and older who are looking for a range of online mental and physical health support, including cutting back on or quitting drinking. Monument is currently only available in California, Colorado, Connecticut, Florida, New Jersey, New York, and Pennsylvania.
User Reviews for Monument
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 were two complaints from the Better Business Bureau regarding subscriptions.
Reviews from Better Business Bureau | A+ Rating
Monument received an A+ rating from the Better Business Bureau. There are no reviews available on the platform, but there are two complaints, which are both related to issues regarding the cancellation of subscriptions.
Alternatives & Competitors
Monument may not be ideal if you have severe alcohol use disorder requiring inpatient care, need support for multiple addictions, or are seeking integrated dual-diagnosis treatment.
Ria Health offers MAT for alcohol use in all 50 states, while Workit Health supports multiple substance use disorders. For dual-diagnosis care that combines MAT with therapy, Eleanor Health is a top option. If you’re struggling with opioid use disorder, Ophelia Health may be the best fit.
For more options, explore our full guide to the best virtual addiction programs.
Best for National Coverage - Ria Health
Price: $175 – $449 monthly
Insurance Accepted: Yes
Services: MAT for AUD; Therapy; Coaching
Monument and Ria Health are both online MAT programs designed to help people reduce or quit drinking, but they differ in availability, pricing, and features. Monument is available in select states and offers affordable prices at $25 per session for those with insurance. Ria Health is accessible in all 50 states and includes medication management, coaching, and a Bluetooth breathalyzer in plans ranging from $175 to $449 monthly.
Both programs accept many major insurance plans, but Monument may be a more budget-friendly choice for self-pay users seeking community support and therapy. Ria Health, on the other hand, may be a better option for those wanting nationwide access and progress-tracking tools built into their care.
To learn more, read our full Ria Health review.
Pros & Cons
Pros
- Provides support for co-occurring mental health conditions like anxiety and depression
- Available in all 50 states
- Services can be accessed through the app or any personal device
- Offers flexible care plans for cutting back or quitting alcohol
- Includes a Bluetooth breathalyzer to monitor progress
- Recovery coaching provided by licensed mental health professionals
Cons
- Only treats alcohol use disorder
- Not available to individuals under 18
- Does not accept Medicaid or Medicare Advantage
Most Comprehensive MAT - Workit Health
Price: $150 – $300 monthly
Insurance Accepted: Yes
Services: MAT for OUD & AUD; Coaching; Support Groups, and more
Monument and Workit Health both offer virtual medication-assisted treatment (MAT), but they differ in focus and scope. Monument treats only alcohol use disorder (AUD) with options for medication, therapy, and peer support. Pricing starts at $25 per session, with insurance accepted in select states.
Workit Health supports a wider range of addictions, including opioids and alcohol, and also treats co-occurring mental and physical health conditions. Services are offered in ten states and are fully accessible online. Monthly costs range from $150 to $300, depending on the care plan. For broader support and greater flexibility, Workit Health may be the more comprehensive option.
To learn more, read our in-depth review of Workit Health.
Pros & Cons
Pros
- Provides accessible medication-assisted treatment for multiple substance use disorders
- Includes care for co-occurring mental health conditions (e.g., depression, anxiety) and physical health issues like HIV or Hepatitis C
- Emphasizes a whole-person approach with both MAT and behavioral therapy support
- Offers access to hundreds of self-guided therapeutic and educational courses
- Services are available via mobile app or online platform
Cons
- Out-of-pocket costs vary by treatment plan and insurance coverage
- Currently available only in select states
- One-on-one therapy sessions are not included
- Services are limited to individuals age 18 and older
Best for Dual-Diagnosis - Eleanor Health
Cost: $249 monthly
Insurance Accepted: Yes
Services: MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support
Monument and Eleanor Health both support individuals in recovery, but they differ in focus and scope. Monument specializes in alcohol use disorder (AUD), offering virtual care with medications like naltrexone or disulfiram, optional therapy, and peer support. Plans start at $25 per session, with insurance accepted in select states.
Eleanor Health takes a broader approach, treating multiple substance use disorders and co-occurring mental health conditions. Services include MAT, therapy, and recovery coaching, available online or in person at select clinics. It accepts many major insurers, and self-pay costs start at $249 monthly. While Monument suits those focused solely on alcohol recovery, Eleanor Health may be better for those needing more comprehensive care.
To learn more, read our full Eleanor Health review.
Pros & Cons
Pros
- Offers multiple medications to support treatment of various substance use disorders
- Provides both online and in-person care in select states
- Includes psychiatry and therapy for co-occurring mental health conditions
- Emphasizes a whole-person approach to recovery
- Offers a standard 60% discount for self-pay patients
Cons
- Out-of-pocket costs vary based on location and provider availability
- Services are limited to select states
- No flat-rate subscription or bundled pricing options
- Not available for individuals under 18
Best for Opioid Use Disorder - Ophelia Health
Cost: $245 monthly
Insurance Accepted: Yes
Services: MAT for OUD
Monument and Ophelia Health are both virtual medication-assisted treatment (MAT) programs, but they serve different needs. Monument is designed for individuals with alcohol use disorder (AUD), offering medications like naltrexone and disulfiram, along with one-on-one therapy and peer support. Ophelia Health focuses on opioid use disorder (OUD), prescribing Suboxone and supporting related conditions like anxiety, depression, and insomnia.
Both offer fully remote care and accept many major insurance plans. Monument’s costs are $25 per session for those with insurance, while Ophelia costs $245 per month, excluding medication. For those seeking structured, medication-based support for opioid addiction, Ophelia may be the better fit.
To learn more, read our full Ophelia Health review.
Pros & Cons
Pros
- Quick access to medication-assisted treatment for opioid use disorder
- Accepts many major insurance providers
- Offers care for co-occurring conditions like anxiety, depression, and insomnia
- 24/7 virtual support available through triage nurses for urgent needs
Cons
- Only available in select states
- Does not provide therapy or counseling services
- Limited to opioid addiction; does not treat alcohol or other substance use
- Customer support can be hard to reach before enrollment
Why You Can Trust My Review
“With nearly a decade of experience in the mental health field, I’ve developed a deep understanding of what individuals struggling with addiction truly need. At ChoosingTherapy.com, I’ve reviewed and rated leading virtual MAT programs, combining hands-on clinical experience with in-depth platform research. My background includes working closely with high-acuity clients, which has given me a practical lens for evaluating what works in real-world recovery.
Monument Health is a great option for those struggling with alcohol use disorder and who have insurance benefits in its coverage area. I was impressed with the amount of extra features such as support groups and forums that Monument offers. Overall, Monument stands out as a thoughtful, accessible option for those seeking structured support to reduce or quit drinking. While it may not be the right fit for everyone, its blend of flexibility, community resources, and evidence-based care makes it a valuable tool in the recovery journey.”
History & News About Monument
Year Founded: 2019
Founders: Mike Russel
Headquarters: New York, NY
Publicly Traded? No
Monument was co-founded by CEO Mike Russell in 2019 after he faced personal challenges with alcohol use disorder. Upon learning about medication-assisted treatment (MAT) from a close friend, he began taking prescribed medication to curb his drinking. Russell has stated that he hasn’t had a drink since the day his prescription arrived, which inspired him to create Monument, a platform designed to provide accessible medication and counseling options for alcohol dependency, offering alternatives beyond total abstinence.
In April 2024, Monument faced scrutiny over its data-sharing practices. The Federal Trade Commission (FTC) fined the company $2.5 million for violating the Opioid Addiction Recovery Fraud Prevention Act of 2018. The FTC’s investigation revealed that Monument had shared sensitive user health data with third-party platforms, including Google and Facebook, through website trackers. As part of the settlement, Monument was banned from disclosing users’ health information to third parties for advertising purposes.
In May of 2025, Monument shifted to offering a full range of mental and physical healthcare online, including primary and urgent care and therapy for a wide range of mental health concerns, which still includes issues with alcohol.
Frequently Asked Questions
Does Monument Accept Insurance?
Yes, Monument accepts many major insurance plans such as Aetna, Cigna, and Blue Cross/Blue Shield.
Are There 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.
What Credentials do Monument 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 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. To learn more, you can check out their Privacy Policy and Terms of Service.
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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Russell, Mike. (2020, January 21). I Needed Help To Stop Drinking, So I Built My Next Startup. Monument Blog. Retrieved from: https://joinmonument.com/resources/i-needed-help-to-stop-drinking-so-i-built-my-next-startup/
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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: Chelsey Church, M.S. (New author)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Fact-checked and edited the entire article for improved readability and clarity. Updated the entire article to the new format and style. Updated pricing throughout (Monument from $9.99 – $249 monthly to $25/session with insurance; $100/session without insurance. Updated Alternatives & Competitors Section (Companies Added: Eleanor Health and Ophelia Health). Updated screenshots throughout the entire article. Updated user review section to include latest ratings.
Author: Randi Sprintis, MS (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added article summary block, new editorial rating, and all related page features.
Author: Randi Sprintis, MS
Medical Reviewer: Benjamin Troy, MD
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