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Apps and online care

Monument 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.

Monument

You sign up online, choose your state and insurance, and meet a doctor by video who checks whether medication for drinking is safe for you; therapy sessions can be added.

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
Monument: Adults who want to cut back or stop drinking with a doctor's help, without going to a clinic; People with in-network insurance (e.g. Cigna/Evernorth, Aetna, UnitedHealthcare/Optum) in a state Monument serves
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
Monument: Anyone in crisis: call or text 988
Bicycle Health: Anyone in crisis or overdose: call 911, or call or text 988
Cost
Monument: $25/visit with in-network insurance; $100/session self-pay
Bicycle Health: Copay with insurance (most pay under $35/month); $249/month self-pay
Research
Monument: Early research
Bicycle Health: Limited research
Sells your data
Monument: Not stated
Bicycle Health: No
HIPAA
Monument: No
Bicycle Health: Yes

The same for both: kind of help (a therapist), how you pay (insurance), where (web), privacy (grade c).

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