Suboxone Treatment in San Francisco — Private Pay, No Insurance

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

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San Francisco's addiction treatment paradox

San Francisco is simultaneously one of the most progressive cities in the country on harm reduction and one of the most challenging places to get private, discreet addiction treatment. The city has built an extensive public treatment infrastructure — clinics, programs, and services aimed primarily at the city's visible unhoused population and Medi-Cal recipients.

For a different population — the tech worker in SoMa, the financial professional in the Financial District, the healthcare executive in Mission Bay — the city's public treatment system is not what they are looking for. They need something private. Something that does not require sitting in a waiting room, does not generate an insurance claim, and does not involve disclosing their situation to anyone beyond their treating provider.

The Bay Area's concentration of high-earning professionals creates particularly strong demand for this model. Stock options vest. Companies go public. Background checks get run. The consequences of a substance use disorder record appearing where it should not can be significant — and in San Francisco's professional culture, that calculation is one many people make quietly and alone.

Rezolv Health San Francisco was built for this patient.

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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 — a Walgreens in the Mission, a Safeway in the Richmond, a specialty pharmacy in the Financial District. You pick it up. You attend a monthly telehealth follow-up. That is your entire care experience.

Nothing in your insurance file. Nothing in the mail. Nothing that surfaces in a background check.

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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 monthly by a licensed physician. According to SAMHSA, buprenorphine significantly reduces overdose risk, illicit opioid use, and treatment dropout — it is evidence-based medicine, not a substitute addiction.

Alcohol use disorder: Naltrexone and other FDA-approved medications for alcohol use disorder, prescribed and managed by telehealth.

Kratom addiction: Physician-supervised treatment for Kratom dependence — withdrawal management, tapering support, and a structured cessation plan. Available for Bay Area patients by telehealth.

Pricing: $249 per month, flat rate. Covers all appointments and prescription management. Medication separate. HSA and FSA funds are generally eligible — confirm with your plan administrator.

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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. In a city where professional reputation and career trajectory are closely tied to personal history, many patients make this choice deliberately.

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, no intake fee, and no cancellation penalty.

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.

Do you treat Kratom addiction in San Francisco? Yes. Rezolv Health California offers physician-supervised Kratom addiction treatment for Bay Area patients. Kratom dependence is increasingly common and significantly undertreated — most clinics and programs are not equipped to address it. We provide medical management of withdrawal and a structured plan toward cessation.

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

Can I use an HSA or FSA for treatment? Generally yes. HSA and FSA funds are typically eligible for qualified medical expenses including physician visits. Confirm with your plan administrator before applying funds to your membership.