Boulder Care Reviews, Pricing, and Alternatives (December 2025)
Boulder Care Reviews & Alternatives (December 2025)
Written by:
Arthur MacWaters
Founder, Legion Health
You've probably come across Boulder Care if you're researching telehealth treatment for opioid or alcohol use disorder. They're a well-regarded option for people seeking harm-reduction-based addiction treatment. However, Boulder Care operates in only six states and focuses solely on two specific conditions. If you’re looking for psychiatric care for depression, anxiety, ADHD, or bipolar disorder, or if you need treatment outside their service area, it makes sense to compare Boulder Care alternatives that offer broader mental health support. Here’s how the major options stack up.
TLDR:
Boulder Care treats opioid and alcohol use disorders in six states through app-based care
Legion Health treats anxiety, depression, and ADHD with board-certified providers in Texas
Most Legion Health patients pay under $30 per visit through insurance copays
Free FDA-cleared QbCheck testing provides objective ADHD diagnosis data
Legion Health accepts most major commercial insurance plans covering 95% of insured Texans
What Is Boulder Care and How Does It Work?
Boulder Care is a telehealth service that treats substance use disorders, with a focus on opioid use disorder and alcohol use disorder. The service delivers outpatient medication-assisted treatment, including buprenorphine prescriptions for managing withdrawal symptoms and cravings.
Care is delivered through a smartphone app that connects patients with an interdisciplinary team:
Addiction medicine clinicians who oversee treatment plans
Peer recovery specialists with personal recovery experience who provide support
Care advocates who manage scheduling and insurance coordination
Case managers who connect patients with social services
Boulder Care uses a harm reduction approach. Patients are not discharged for missed appointments, returning to substance use, or using other substances. There are no abstinence requirements to stay enrolled in the program.
The service accepts multiple insurance plans, including Medicaid and Medicare, in select states. Self-pay options are available in some areas. Boulder Care currently operates in Alaska, Colorado, Oregon, Washington, North Carolina, and Ohio, though coverage and payment options vary by state.
Why Consider Boulder Care Alternatives?
Boulder Care serves people with opioid or alcohol use disorders. If you need help with other substances or require psychiatric treatment for depression, anxiety, or ADHD, this specialized focus won't cover what you need.
Because the service only operates in six states, individuals residing outside these states can't access their care.
Their app-based delivery works well for many people, but some situations require in-person appointments. Managing acute withdrawal or complex co-occurring mental health conditions often requires closer medical oversight than an app can provide.
Insurance acceptance varies by state. Not every payer Boulder Care works with is contracted in all six states they serve. If your plan isn't accepted, you may face higher costs than with providers who have broader insurance networks.
Best Boulder Care Alternatives in December 2025
Legion Health (Best Overall Alternative)
A Texas-based telepsychiatry provider offering virtual psychiatric care for adults with anxiety, depression, ADHD, bipolar disorder, PTSD, and insomnia. Board-certified psychiatric providers deliver care through medication management and psychiatric evaluation.
What Legion Health offers:
Board-certified psychiatric providers delivering evidence-based medication management for mental health conditions
Appointment access is quick and accessible, with coverage from most major commercial plans in Texas
FDA-cleared objective ADHD testing with QbCheck is provided free to patients, with responsible prescribing protocols for controlled substances
Whole-person care approach coordinating with primary care physicians and combining medication with therapy recommendations and lifestyle guidance
Good for: Texas residents with commercial insurance seeking psychiatric medication management for mental health conditions with quick access and care coordination.
Bottom line: The superior choice for individuals seeking expert psychiatric care for mental health conditions with insurance coverage, rapid access, and rigorous clinical standards, including objective diagnostic tools and primary care coordination.
Bicycle Health
A telehealth addiction treatment service providing medication-assisted treatment for opioid use disorder through virtual care with buprenorphine prescriptions, virtual visits with addiction medicine clinicians, insurance coverage with some plans, plus self-pay options, and care coordination through telehealth.
Good for: Individuals with opioid use disorder seeking MAT through a telehealth experience.
Key limitation: Limited to opioid use disorder only. Does not treat alcohol use disorder or provide psychiatric medication management for co-occurring conditions like anxiety, depression, or ADHD.
Monument
A digital health service focused on alcohol use disorder treatment through online therapy, physician consultations, support groups, medication management for alcohol use disorder, and self-paced programs.
Good for: Individuals focused on reducing or eliminating alcohol use who prefer a combination of therapy groups and medical support.
Key limitation: Does not treat opioid use disorder or provide psychiatric medication management for primary mental health conditions.
Workit Health
An online addiction treatment provider for alcohol and opioid use disorders, combining therapy, recovery coaching, and medication-assisted treatment through a mobile app with insurance and self-pay options.
Good for: Individuals seeking addiction treatment that combines medication with behavioral therapy and coaching support.
Key limitation: Does not provide specialized psychiatric care for primary mental health conditions or ADHD evaluation and treatment. Lacks objective diagnostic tools like FDA-cleared ADHD testing.
Feature Comparison: Boulder Care vs Top Alternatives
Feature | Boulder Care | Legion Health | Bicycle Health | Monument | Workit Health |
|---|---|---|---|---|---|
Opioid Use Disorder Treatment | ✓ | ✗ | ✓ | ✗ | ✓ |
Alcohol Use Disorder Treatment | ✓ | ✗ | ✗ | ✓ | ✓ |
Mental Health Medication Management | Co-occurring only | ✓ Primary focus | Limited | Limited | Limited |
ADHD Diagnosis & Treatment | ✗ | ✓ With objective testing | ✗ | ✗ | ✗ |
Board-Certified Psychiatric Providers | Addiction specialists | ✓ | Addiction physicians | Physicians | Mixed providers |
Commercial Insurance Coverage | Select states | ✓ Most major Texas plans | Limited | Limited | Yes |
State Availability | 6 states | Texas | Multiple states | Multiple states | Multiple states |
Primary Care Coordination | Limited | ✓ Integrated | No | No | No |
Objective Diagnostic Tools | ✗ | ✓ FDA-cleared QbCheck | ✗ | ✗ | ✗ |
Why Legion Health is the Best Boulder Care Alternative
If you're looking for Boulder Care alternatives for psychiatric medication management, Legion Health treats anxiety, depression, ADHD, bipolar disorder, PTSD, and insomnia. Board-certified psychiatric providers accept most major commercial insurance in Texas, with visits typically costing under $30 through your standard copay.
Clinical features include FDA-cleared QbCheck testing for ADHD evaluations at no cost, coordination with your primary care physician, and rigorous prescribing protocols for controlled substances. Appointments are available within days, with evening slots offered.
Final Thoughts on Boulder Care Treatment Alternatives
Looking at Boulder Care reviews makes sense if you need opioid or alcohol treatment in the six states offered. Legion Health treats the mental health conditions that frequently show up alongside substance use, from depression and anxiety to ADHD and bipolar disorder, with board-certified psychiatric providers in Texas. Legion Health accepts most major commercial plans, and you can book appointments within days. We also work directly with your primary care doctor to coordinate your care.
FAQs
What conditions does Boulder Care treat compared to psychiatric telehealth services?
Boulder Care specializes in opioid and alcohol use disorders through medication-assisted treatment, while psychiatric telehealth services like Legion Health treat primary mental health conditions, including depression, anxiety, ADHD, bipolar disorder, PTSD, and insomnia through board-certified psychiatric providers.
How quickly can I get an appointment with a telepsychiatry provider?
Most telepsychiatry services offer appointments within days, with some providers like Legion Health offering next-day availability and flexible evening slots, compared to traditional in-person psychiatry, which often requires waiting weeks or months.
Does insurance cover online psychiatric medication management?
Many telepsychiatry providers accept commercial insurance plans, with some accepting all major plans in their service area. Most patients pay their standard copay (often under $30 per visit) versus full out-of-pocket costs, though coverage varies by provider and location.
What is objective ADHD testing, and why does it matter?
Objective ADHD testing uses FDA-cleared digital assessment tools like QbCheck to measure attention, impulsivity, and activity levels with concrete data. This adds diagnostic confidence beyond self-reported symptoms alone, helping providers make more informed treatment decisions while tracking progress over time.
Can telepsychiatry providers prescribe controlled medications for ADHD?
Board-certified psychiatric providers can prescribe controlled medications when clinically appropriate, but responsible providers use thorough evaluations, objective testing, and strict safety protocols before prescribing stimulants or other controlled substances to prevent misuse and maintain compliance.
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