Suboxone Treatment in San Francisco — Private Pay, No Insurance

Physician-led telehealth treatment for opioid use disorder and alcohol use disorder in San Francisco and the Bay Area. No insurance accepted. $249/month. Your care stays between you and your doctor.

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Addiction treatment in San Francisco — with privacy at the center

San Francisco has built one of the most extensive public treatment infrastructures in the country. Harm reduction programs, Medi-Cal-funded clinics, and publicly supported services do important work across the city, and that ecosystem serves a large part of the population well.

We serve a different need.

Our program is designed for professionals who have made a deliberate decision to seek treatment and want to do so with complete privacy. The Bay Area's concentration of people in tech, finance, law, medicine, and the creative industries means there is a significant population for whom discretion in healthcare isn't a preference — it's a professional and personal priority.

Substance use disorders still carry a stigma that other health conditions don't, and the patients drawn to our model understand that. Insurance billing creates a record — claims, diagnostic codes, explanations of benefits — that extends well beyond the clinical relationship. For someone managing a demanding career, a professional license, or a public profile alongside their recovery, the idea of those details residing in an insurance file is a reasonable thing to want to avoid.

We offer a straightforward alternative: a flat monthly fee, no insurance billing, and a direct relationship with a physician. Your care stays exactly where it should — between you and your doctor.

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What private-pay telehealth looks like in the Bay Area

You complete an intake form from your phone or laptop — at home in Pacific Heights, in your car after dropping the kids at school in Marin, during a lunch break in Palo Alto, or at any other moment that works for you. You schedule a video appointment. You meet with a physician who has already reviewed your intake information and is prepared to discuss your situation.

If medication is appropriate, your prescription goes directly to the pharmacy of your choice. You pick it up. You attend periodic telehealth follow-ups as directed by your provider. That is your entire care experience — no insurance file, no claim, no record outside your medical chart.

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Services in San Francisco and the Bay Area

Rezolv Health serves patients throughout San Francisco and the broader Bay Area — including Oakland, Berkeley, Marin County, San Jose, the Peninsula, and the South Bay. All care is delivered by telehealth.

Opioid use disorder: Buprenorphine (Suboxone) treatment, prescribed and managed by a licensed physician through periodic visits.

Alcohol use disorder: Naltrexone and other FDA-approved medications for alcohol use disorder.

Pricing: $249 per month, flat rate. Covers all appointments and prescription management. Medication separate.

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Frequently asked questions

Why would a San Francisco patient choose private pay over Medi-Cal or commercial insurance? Privacy is almost always the reason. San Francisco's public treatment system is excellent for patients whose priority is access and cost. For patients whose priority is discretion — no insurance record, no EOB, no claim — private pay is the only option that provides it.

Does Rezolv Health serve patients in Oakland, Berkeley, and the East Bay? Yes. Telehealth has no geographic boundary within California. Patients in Oakland, Berkeley, Alameda, Walnut Creek, Contra Costa County, and across the Bay Area can be seen by Rezolv Health.

Is the $249 monthly fee the only cost? Yes, for the clinical service. Medication costs are separate and purchased at your pharmacy. There are no additional fees for appointments within the month.

Is there a long-term commitment? No. The membership renews monthly and you can discontinue at any time. There are no contracts and no cancellation fees.

What happens if I need to reschedule my appointment? You can reschedule through the patient portal. Appointments are flexible and we work to accommodate your schedule.

Do you accept insurance in San Francisco? No. Rezolv Health California is a private-pay only practice. We don't bill insurance of any kind — not commercial plans, not Medi-Cal, not Medicare. The flat monthly fee covers your care. This is intentional: it keeps things simple, and it means there's no insurance record of your treatment.

How does the intake process work in San Francisco? You complete a secure online intake form — takes about 10 minutes. Your physician reviews it before your appointment. At the initial video visit, they'll discuss your history, answer your questions, and determine whether medication-assisted treatment is the right fit. If it is, your prescription is sent to any Bay Area pharmacy you choose.

Does Rezolv Health serve the Peninsula and South Bay — Palo Alto, San Jose, Santa Cruz? Yes. All of California is served by telehealth. Patients in Palo Alto, Mountain View, San Jose, Santa Cruz, and anywhere else in the state are eligible. The only requirement is that you are a California resident.

Can I treat alcohol use disorder as well as opioid use disorder? Yes. We treat both opioid use disorder (with buprenorphine/Suboxone) and alcohol use disorder (with naltrexone and other FDA-approved medications). Both are managed by the same telehealth model — periodic visits, prescriptions sent to your pharmacy.

What if my employer does wellness or health screenings? Because we don't bill insurance, your treatment does not appear on any insurance record. Standard workplace wellness screenings don't access your medical records. If you have specific concerns about your employer and your treatment, those are worth discussing with an attorney or HR professional — but from our side, there is no insurance claim and no report to your employer.