Viewer MO Ophelia Reviews, Pricing, and Alternatives (December 2025)
Ophelia Reviews & Alternatives (December 2025)
Written by:
Arthur MacWaters
Founder, Legion Health
Reading Ophelia reviews and realizing it might not treat what you actually need help with? You're not alone. Ophelia specializes in opioid addiction treatment, so if you're looking for ADHD care, anxiety medication, or general psychiatric support, you'll need a different service. We're comparing Ophelia with alternatives that treat a wider range of mental health conditions so you can find what actually works for your situation.
TLDR:
Ophelia treats opioid use disorder only; it doesn't provide ADHD care or general psychiatry
Most alternatives charge $99-399/month subscriptions vs. insurance copays under $30
Legion Health accepts all major Texas commercial insurance and books appointments within days
Free FDA-cleared QbCheck testing provides objective ADHD diagnostic data
Legion Health treats anxiety, depression, ADHD, and other conditions with board-certified providers
What is Ophelia and How Does It Work?
Ophelia is a telehealth service focused on treating opioid use disorder (OUD) through virtual medication-assisted treatment. The service operates across 49 states and provides access to Suboxone and FDA-approved medications that reduce cravings and ease withdrawal symptoms.
After connecting with a care coordinator, you schedule a virtual appointment with an addiction medicine specialist who evaluates your needs, prescribes medications, and monitors progress through video visits. Prescriptions are sent directly to your pharmacy after each appointment.
Ophelia accepts most major insurance plans, including Medicaid, Medicare, and commercial coverage. Out-of-pocket costs typically run $195 per month, which includes medication and clinical visits.
While Ophelia clinicians can treat co-occurring conditions like depression and anxiety when they relate to addiction treatment, this isn't full psychiatric care. If you need services for ADHD, general anxiety disorders, or other psychiatric conditions unrelated to OUD, you'll need a different provider.
Why Consider Ophelia Alternatives?
Ophelia doesn't treat ADHD unless opioid addiction is also present. The service doesn't offer ADHD diagnostic assessments or prescribe stimulant medications for attention disorders as a standalone concern.
The same limitation applies to anxiety and depression. While Ophelia clinicians can treat these conditions when they occur alongside substance use issues, you can't access care for anxiety or depression alone. There's no option for general psychiatric medication management outside addiction treatment.
Ophelia restricts eligibility to adults 18 and older with active opioid use. If you need care for multiple psychiatric conditions without a substance use component, you'll need a different service.
Best Ophelia Alternatives in December 2025
Legion Health (Best Overall Alternative for Comprehensive Psychiatric Care)
We provide virtual psychiatric medication management for adults with anxiety, depression, ADHD, and other common mental health conditions, driven by a mission born from necessity.
Unlike Ophelia's opioid treatment focus, Legion Health delivers board-certified virtual psychiatry services across a broad range of conditions through our Texas-based telehealth service.
Our care model accepts all major commercial insurance plans, covering 95% of commercially-insured Texans with typical copays under $30 per visit. You can book your first appointment within days and access evening slots when you need them. We integrate free FDA-cleared ADHD testing (QbCheck) into evaluations, giving you objective data alongside clinical assessment.
We maintain strict safety protocols for controlled substances and coordinate with your primary care provider when needed. Our board-certified psychiatric providers deliver medication management with ongoing follow-up and support.
Best suited for adults in Texas with commercial insurance who need psychiatric medication management and want quick access to quality care at an affordable price.
Cerebral
Cerebral offers virtual mental health care including therapy and medication management through a subscription-based service available nationwide. Monthly subscriptions run $99-$325 depending on your plan, operating on cash-pay rather than insurance billing.
Cerebral faced regulatory scrutiny in 2022 related to ADHD medication prescribing and shifted away from controlled substances in many states. The service doesn't offer objective ADHD diagnostic tools.
Good for individuals comfortable with subscription pricing who want therapy alongside medication for straightforward conditions.
Talkiatry
Talkiatry provides virtual psychiatry with in-network insurance coverage across over 30 states, offering medication management for depression, anxiety, bipolar disorder, and other conditions. Appointment availability often involves wait times of several weeks in many markets. The service doesn't provide objective ADHD testing tools and isn't available in all states, including Texas.
Good for patients in states where Talkiatry operates who have compatible insurance and can wait for appointments.
Mindpath Health
Mindpath Health combines physical clinics with telehealth for psychiatry and therapy services. The hybrid model accepts insurance at many locations and treats anxiety, depression, ADHD, and other conditions.
Appointment availability varies by location, with limited clinic presence in many states including Texas. No specialized ADHD diagnostic tools are offered.
Good for patients who prefer in-person visit options and live near clinic locations.
Brightside Health
Brightside Health focuses on depression and anxiety treatment through a subscription service with optional therapy add-ons. The service doesn't treat ADHD or prescribe controlled substances.
Feature Comparison: Ophelia vs Top Alternatives
The table below compares Ophelia with alternatives covered earlier. Ophelia specializes in opioid use disorder, while most alternatives treat general psychiatric conditions like anxiety, depression, and ADHD.
Feature | Ophelia | Legion Health | Cerebral | Talkiatry | Brightside |
|---|---|---|---|---|---|
Primary Focus | Opioid use disorder treatment | Comprehensive psychiatry (anxiety, depression, ADHD) | Mental health conditions | Psychiatry for various conditions | Depression & anxiety only |
ADHD Treatment | No (not primary diagnosis) | Yes, with objective QbCheck testing | Limited, no controlled substances in many states | Yes, but no objective testing | No |
Insurance Coverage | Medicaid, Medicare, commercial | All major commercial plans in Texas | Subscription only (no insurance billing) | Varies by state/plan | Subscription only |
Typical Out-of-Pocket Cost | $195-245/month or insurance copay | Usually under $30 (insurance copay) | $99-325/month subscription | Insurance copay | $299-399/month |
Appointment Wait Time | Days to weeks | Within days (often next-day) | Varies | Several weeks in many markets | 1-2 weeks |
Controlled Substance Prescribing | Yes (buprenorphine for OUD) | Yes, with rigorous protocols | No longer in most states | Yes | No |
Objective Diagnostic Tools | Clinical evaluation | FDA-cleared QbCheck for ADHD (free) | None | None | None |
Service Area | 49 states + D.C. | Texas only | Most states | 30+ states | Nationwide |
Insurance-based providers eliminate high monthly subscription fees, while subscription services can run $300+ monthly regardless of visit frequency.
Why Legion Health is the Best Ophelia Alternative
If you need psychiatric medication management for anxiety, depression, or ADHD rather than opioid use disorder treatment, we offer a different service model for these conditions.
We accept all major commercial insurance in Texas, where most patients pay under $30 per visit instead of monthly subscription fees. You get appointments within days, board-certified psychiatric providers, and medication management without cash-pay costs.
Our free QbCheck ADHD testing provides objective diagnostic data, while our prescribing protocols handle controlled substances responsibly when clinically appropriate.
Final thoughts on mental health care options
Ophelia serves a specific need for opioid use disorder, but most people searching for alternatives need general psychiatric care. Mental health services like Legion Health treat anxiety, depression, and ADHD through insurance-based care with board-certified psychiatric providers. You can book within days, access free ADHD testing, and avoid monthly subscription fees that run hundreds of dollars.
FAQ
What's the main difference between Ophelia and general telepsychiatry services?
Ophelia treats opioid use disorder through medication-assisted treatment with Suboxone and related medications, while general telepsychiatry services treat conditions like anxiety, depression, and ADHD without requiring a substance use diagnosis.
Can I use my insurance for online psychiatric care in Texas?
Yes, Legion Health accepts all major commercial insurance plans in Texas, covering about 95% of commercially-insured Texans with typical copays under $30 per visit instead of monthly subscription fees.
How quickly can I get an appointment with a psychiatric provider?
Wait times vary by service—Legion Health offers appointments within days (sometimes next-day), while other platforms like Talkiatry often require several weeks in many markets.
What is QbCheck and why does it matter for ADHD diagnosis?
QbCheck is an FDA-cleared digital assessment tool that measures attention, impulsivity, and activity levels during testing, providing objective data alongside clinical evaluation to improve diagnostic confidence for ADHD.
Do subscription-based mental health services accept insurance?
Most subscription services like Cerebral and Brightside operate on cash-pay models ranging from $99-$399 monthly and don't bill insurance directly, while insurance-based providers bill your plan and you pay only your copay.
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