Monument

What Monument Is

Monument is an online alcohol-treatment platform that matches patients with licensed therapists and physicians to deliver care via telehealth. The company operates as a network model, connecting individuals to providers who specialize in alcohol use treatment. Monument coordinates care between therapists and doctors, so a patient working with a therapist on behavioral change can also see a physician for medication management through the same platform. The service is designed around reducing friction: appointment management, prescriptions, and provider collaboration all happen in one system, so a patient does not have to coordinate across multiple services.

How Monument Works for Patients

Monument's patient journey begins with an eligibility check. A prospective patient enters their name and date of birth, with an option to skip entering their insurance card; the system instantly checks whether they qualify for Monument's programs. For those with eligible insurance, the service offers flat-rate mental health and medical appointments at $25, making appointments affordable and predictable for insured patients.

After eligibility is confirmed, patients book a one-time or recurring appointment with a top-rated doctor or therapist. The platform highlights same-week availability, meaning urgent needs can often be met quickly. The matching process pairs individuals with providers, though the site does not detail the patient-facing matching logic, whether patients choose from a list, answer questions that drive matching, or are assigned by the platform.

Once matched, the platform itself becomes the locus of care. Patients manage appointments within the same interface their provider uses. All notes, records, and communications stay in Monument's system. If a patient's therapist determines medication would help and the therapist is not a prescriber, the same platform enables a referral or coordination with a Monument physician. This eliminates the friction of seeking a separate psychiatry appointment at a separate clinic or waiting for a referral to be processed.

Monument has delivered over 90,000 appointments with a 4.8-star average rating according to its health-plans page, suggesting scale and patient satisfaction, though this aggregate includes the therapist and physician sides combined.

The company positions itself as a platform for coordinated care. It handles insurance credentialing behind the scenes, so patients do not manage verification themselves. The message to patients is streamlined access to both therapy and medication management without administrative burden.

What the Site Proves About Access and Coverage

Monument operates in seven states: New York, California, New Jersey, Florida, Pennsylvania, Connecticut, and Colorado. Patients outside these states cannot access the service. This geographic boundary is strict, tied to state licensing regulations for the therapists and physicians in its network.

The service accepts most health insurance plans. The platform does not list which specific plans are in-network, but the approach is broad-based rather than restrictive. For patients with insurance, Monument quotes a $25 flat rate for medical or mental health appointments, payable at point of care after insurance processes claims. The affordability is contingent on having qualifying coverage; the site does not publish self-pay rates or what uninsured patients pay.

Monument's therapist network consists of licensed therapists (LCSW, LMFT, LPC, or equivalent) in one of its operating states. The company states it partners with "major commercial and Medicare insurance plans," confirming Medicare enrollment. This means older adults and some disabled individuals with Medicare may access Monument therapists.

The company also serves employers and health plans. The partnerships page notes that Monument has delivered 90,000+ appointments with 4.8-star ratings and works with health plans to increase patient access, positioning itself as a benefits offering within larger health systems. This suggests some patients may access Monument through their employer's mental health benefit rather than individual subscription.

What Monument Leaves Unanswered

The site does not specify what conditions Monument treats beyond alcohol use. While the focus is alcohol treatment, nothing clarifies whether therapists also manage depression, anxiety, or other co-occurring conditions, or whether patients with only depression and no alcohol component are accepted.

Monument does not publish detailed provider profiles or allow patient choice of therapist beyond the matching process. Prospective patients cannot preview provider credentials, specialties, or therapeutic orientation before booking. The "matching" process is a black box from the patient side.

Pricing is partially opaque. While the $25 copay is stated for insured patients, the site does not explain deductible application, out-of-pocket maximums, or whether the $25 rate applies to all appointment types (initial intake, follow-up, medication management) or just some. Uninsured or cash-pay patients get no pricing information.

The site does not clarify whether Monument therapists can prescribe medications themselves or whether they only coordinate with Monument physicians. For an alcohol use patient seeking medication-assisted treatment like naltrexone or acamprosate, or needing anti-anxiety medication, the division of labor between therapist and doctor is not explained.

Likewise, the platforms page mentions "seamless coordination" and "shared EMR," but does not detail the actual therapy or medication-management protocols. What does Monument's alcohol treatment program consist of, cognitive-behavioral therapy, motivational interviewing, contingency management, peer support coordination? The clinical content is not published.

Wait time between booking and seeing a therapist is described only as "same-week availability," which is promising but does not name a specific window for urgent requests.

Who Fits and Who Doesn't

Monument is built for people with qualifying insurance in its seven service states. Someone with employer health coverage in California, New York, or Florida is precisely the intended user: the flat $25 copay makes therapy accessible without high out-of-pocket cost.

It suits people seeking alcohol-specific treatment who value convenience and integrated care. The therapist-plus-doctor model appeals to someone open to medication, since prescribing happens on the same platform without referral friction.

Monument does not work for uninsured patients, since no pricing is published and the platform is built around insurance billing. Someone in a state outside the seven listed, Texas, Washington, Illinois, or most of the mountain west, cannot use Monument, regardless of insurance status or urgency.

It also does not serve patients seeking specialized addiction counseling beyond alcohol or patients who prefer a specific therapeutic modality. The matching process is opaque, so someone needing a particular credential (addiction counselor certification, for example) cannot verify they will get it.

Patients who prefer to choose their own therapist, or who want extensive provider profiles and reviews before committing, would find Monument's matching model less transparent than other platforms.