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Apps and online care

Ideal Option vs Bicycle Health

They differ on 6 of 10 things we check. No winner here: the better one is the one that fits what you need and how you'd pay.

Ideal Option

You visit an Ideal Option clinic, usually in person for the first appointment, where an addiction medicine clinician can start buprenorphine or other medication for opioid, alcohol or stimulant use, with counseling and follow-up visits by clinic or video.

Bicycle Health

You book a video visit with a Bicycle Health clinician, who can prescribe buprenorphine (Suboxone), often the same day, and you keep regular check-ins plus optional coaching and support groups.

Where they differ

Good for
Ideal Option: Adults with opioid use disorder, including fentanyl, who want to start buprenorphine quickly; People with Medicaid or Medicare looking for medication treatment for addiction
Bicycle Health: Adults with opioid use disorder who want to start buprenorphine (Suboxone) quickly by video; People with commercial insurance, Medicaid or Medicare in one of Bicycle's 27 states
Probably not for
Ideal Option: Anyone in crisis: call or text 988; for an overdose call 911
Bicycle Health: Anyone in crisis or overdose: call 911, or call or text 988
Cost
Ideal Option: Copay with insurance (Medicaid, Medicare, commercial); self-pay price not published
Bicycle Health: Copay with insurance (most pay under $35/month); $249/month self-pay
Research
Ideal Option: Early research
Bicycle Health: Limited research
Privacy
Ideal Option: Grade B+
Bicycle Health: Grade C
HIPAA
Ideal Option: Not stated
Bicycle Health: Yes

The same for both: kind of help (a therapist), how you pay (insurance), where (web), sells your data (no).

In crisis or thinking about suicide? In the US, call or text 988. This page is information from our reviews, not medical advice.