EnnHealth · Alcohol Use Care
Another route

Alternatives to rehab

Residential treatment is one level of care, not the only one. For many people, outpatient medication management is both appropriate and considerably more practical.

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Rehab is a level of care, not the definition of treatment

Popular understanding compresses "getting help for drinking" into one image: a residential facility, thirty days, away from everything. That is a real level of care and the right one for some people — particularly where withdrawal is medically risky or the home environment makes change impossible.

But it sits at one end of a range. For mild to moderate alcohol use disorder, outpatient medication management is an established approach, and the practical barriers to residential care — cost, work, childcare, the conspicuousness of disappearing for a month — mean that insisting on it often results in no treatment at all.

What outpatient telehealth treatment involves

If you drink daily or heavily, read this first Stopping suddenly after sustained heavy drinking can cause withdrawal that is medically serious — shaking, sweating, a racing heart, confusion, or seizures. Do not stop on your own to "get ready" for treatment. Tell your provider how much and how often you drink; that information shapes how treatment is started safely. If you are in medical distress, call 911.

When residential care is the better answer

We would rather tell you this plainly than sell you the wrong thing. Consider a higher level of care if you have had withdrawal seizures or delirium tremens, if you drink continuously through the day, if you have significant medical complications from drinking, or if your living situation makes any change realistically impossible. Your provider will raise this with you directly if it applies.

One important safety check Naltrexone is not safe to combine with opioids, including prescription pain medication. Your provider screens for this and other contraindications during your evaluation. Individual results vary, and naltrexone is not a substitute for emergency or detox care.

What it costs

Cash-pay — $149/month

  • Initial 45–60 minute evaluation
  • Naltrexone prescription, if appropriate for you
  • Monthly follow-up visits
  • Direct messaging with your provider

Medication is billed separately — generic naltrexone runs roughly $15–60/month at most pharmacies.

Insurance

  • Aetna, BCBS, Cigna, UnitedHealthcare, Humana, Oscar, Ambetter, Medicare, Tricare, VA CCN, Carelon
  • Typical copay $0–$40 per visit

Benefit verification is required before your first visit — we confirm your coverage at no charge.

Ready when you are.

A 45–60 minute video evaluation with a board-certified psychiatric provider. Same-week appointments are typical.

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Common questions

For mild to moderate alcohol use disorder, outpatient medication management is an established and effective approach. For severe cases with medical withdrawal risk, residential care provides monitoring that outpatient care cannot. The right answer depends on severity and medical history, not on which sounds more serious.

Residential programs commonly run into five figures. Outpatient telehealth here is $149/month cash-pay, or insurance with typical copays of $0–$40 per visit, with medication billed separately at roughly $15–60/month.

Yes — that is much of the point. The evaluation takes under an hour and follow-ups are shorter, all by video.

Many people we see have. Relapse after residential treatment is common and is not evidence that treatment cannot work; medication addresses craving in a way that programs alone often do not.

Related

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This page is general health information, not medical advice, and does not create a provider–patient relationship. Only a licensed provider can diagnose alcohol use disorder or determine whether a particular medication is appropriate for you, after a full evaluation. Individual results vary. EnnHealth provides outpatient telehealth care and is not a detox or emergency service.