Monument

Monument is a New York-based telehealth company founded in 2019 with a mission to make effective alcohol use disorder treatment as accessible as possible. The company operates at the intersection of medication-assisted treatment (MAT), evidence-based therapy, and peer community support — a combination that mirrors the clinical gold standard for AUD treatment (behavioral therapy plus pharmacotherapy) but delivers it entirely through a virtual platform. Monument's physician prescribers offer naltrexone and disulfiram as medication options. Naltrexone reduces alcohol cravings by blocking opioid receptors involved in alcohol's reward response, and is typically prescribed as a daily oral tablet or as Vivitrol (monthly injection). Disulfiram creates aversive reactions if alcohol is consumed, functioning as a deterrent. Both medications are FDA-approved for alcohol use disorder and are prescribed after a video consultation with a Monument physician who reviews the patient's complete health history, current medications, and liver function. The therapy component connects patients with licensed therapists who specialize in alcohol use disorder. Sessions are conducted weekly via video and are grounded in evidence-based approaches including cognitive behavioral therapy (CBT) and motivational interviewing (MI). Monument therapists do not provide general mental health therapy — they specialize exclusively in alcohol treatment, which allows for more focused, relevant care than a generalist therapist would provide. Beyond physician and therapy appointments, Monument offers an anonymous community forum and therapist-moderated support groups accessible 24/7. These group-based elements add a peer support dimension that research consistently links to improved recovery outcomes, without requiring patients to attend in-person AA or SMART Recovery meetings. Monument accepts major commercial insurance including United Healthcare, Cigna, Aetna, and Anthem, and the per-visit cost for insured patients is typically $25. The platform currently operates in 18 states: Arizona, California, Colorado, Connecticut, Washington DC, Florida, Georgia, Iowa, Kentucky, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Virginia, and Washington. Patients with severe physical alcohol dependence requiring medically supervised detox are advised to seek inpatient or intensive outpatient care before enrolling. AUD treatment (behavioral therapy plus pharmacotherapy) but delivers it entirely through a virtual platform. Monument's physician prescribers offer naltrexone and disulfiram as medication options. Naltrexone reduces alcohol cravings by blocking opioid receptors involved in alcohol's reward response, and is typically prescribed as a daily oral tablet or as Vivitrol (monthly injection). Disulfiram creates aversive reactions if alcohol is consumed, functioning as a deterrent. Both medications are FDA-approved for alcohol use disorder and are prescribed after a video consultation with a Monument physician who reviews the patient's complete health history, current medications, and liver function. The therapy component connects patients with licensed therapists who specialize in alcohol use disorder. Sessions are conducted weekly via video and are grounded in evidence-based approaches including cognitive behavioral therapy (CBT) and motivational interviewing (MI). Monument therapists do not provide general mental health therapy — they specialize exclusively in alcohol treatment, which allows for more focused, relevant care than a generalist therapist would provide. Beyond physician and therapy appointments, Monument offers an anonymous community forum and therapist-moderated support groups accessible 24/7. These group-based elements add a peer support dimension that research consistently links to improved recovery outcomes, without requiring patients to attend in-person AA or SMART Recovery meetings. Monument accepts major commercial insurance including United Healthcare, Cigna, Aetna, and Anthem, and the per-visit cost for insured patients is typically $25. The platform currently operates in 18 states: Arizona, California, Colorado, Connecticut, Washington DC, Florida, Georgia, Iowa, Kentucky, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Virginia, and Washington. Patients with severe physical alcohol dependence requiring medically supervised detox are advised to seek inpatient or intensive outpatient care before enrolling.

Who it suits

Adults in one of Monument's 18 supported states (AZ, CA, CO, CT, DC, FL, GA, IA, KY, NJ, NY, OH, OR, PA, SC, TX, VA, WA) who want to reduce or quit drinking through a private, virtual treatment program that combines physician-supervised medication options, weekly therapy, and peer community support. Monument is an excellent fit for patients who are apprehensive about in-person treatment settings or who want to maintain privacy. It is not suitable for patients with severe physical dependence who need medically supervised alcohol detox, or those in states not yet covered by the platform.

How Monument compares

Monument competes with Ria Health and Workit Health in the alcohol use disorder telehealth space. Monument's differentiator is the combination of physician-prescribed MAT (naltrexone or disulfiram), licensed therapy, anonymous peer community forums, and therapist-moderated support groups in one platform — a more integrated model than Ria Health (medication-only focus) or Workit Health (primarily group-based). Compared to Tempest or traditional in-person IOP programs, Monument is fully virtual and significantly more accessible for patients who want to reduce or quit drinking without in-person treatment. Monument is not appropriate for patients with severe AUD requiring medically supervised detox, which is a contraindication for outpatient telehealth.

Care offered

• Mental Health & Psychiatry

Included

• Therapy / Counseling
• Medication Management

Convenience

• Pharmacy / Medication Delivery

Cost

Pricing not confirmed. Check Monument's website for current prices.

Insured patients typically pay $25 per visit for both physician and therapy appointments. Monument is in-network with United Healthcare, Cigna, Aetna, Anthem, and most major commercial insurers. Without insurance, sessions are a flat $100 per visit. There is no separate platform or subscription fee — patients pay per appointment. Naltrexone and disulfiram prescriptions are billed separately through the pharmacy.

Insurance

Plans listed: Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare.

Coverage varies by plan. Confirm yours with the provider before booking.

Self-pay is also accepted.

States served by telehealth

20 states

• CA
• TX
• FL
• NY
• IL
• PA
• OH
• GA
• NC
• NJ
• WA
• CO
• AZ
• VA
• MA
• MD
• MN
• TN
• CT
• MI

Telehealth providers must be licensed in the state where you are during the visit.

How to start

Visit joinmonument.com, select your state, and enter your insurance information to check coverage. Complete the online intake questionnaire covering your drinking patterns and health history, then schedule your first physician appointment. You can begin therapy scheduling immediately after your physician visit.