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 Post subject: Moved, having issues
PostPosted: Fri Jan 09, 2015 3:16 pm 
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Hello,

I'm hoping someone here has advice.

I just moved to AZ from UT and was under the care of a suboxone dr for 5 years there. He helped me out when I left until we knew my insurance would kick in and I would be covered.

All the doctors I've called (3) are requiring that I meet the deductible on my insurance and they all want around $1000 a month for me to become a patient.

I paid my doc in UT $75 a month (after the first visit).

Does it seem right that the deductible need to be met? Have prices of suboxone doctors changed that much in 5 years?

I'm extremely stressed out about this.

Thanks in advance.


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 Post subject: Re: Moved, having issues
PostPosted: Fri Jan 09, 2015 5:07 pm 
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Hey nilzone & welcome!!

I'm not gonna be able to answer any of ur questions about insurance or deductibles cause I have no insurance unfortunately and my clinic doesn't accept insurance anyway. People at my clinic that have insurance only get the benefits of it with their medicine. Now, that being said, that seems super duper expensive to me...1,000.00?? My clinic is 350 a month and I have heard as much as 500 a month but that's way expensive to me. A thousand seems unreal. I don't live in ur state so maybe that's the norm there but I haven't ever heard of that before. Can u call more, is there other options besides the one's u have called already? Also make sure these places are legit and maybe research it a little bit more. U can call some local pharmacies and ask them if they can recommend a doctor or clinic that they're familiar with. I'm not saying this isn't normal but I personally have never heard of this before, and maybe that's because I have no insurance and that's why I don't understand. Someone will come along and give u better advice who has insurance. Please keep us updated.

Welcome :)

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Jennifer


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 Post subject: Re: Moved, having issues
PostPosted: Fri Jan 09, 2015 6:00 pm 
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Thanks for the reply.

Sorry that you don't have insurance. :( I was self-pay for years and the only real expense was the medicine itself. And that alone sucked. :(

I called one and found one cheaper, but still out of budget. It's going to take me a couple months to save up for just the initial visit. I guess I'm frustrated that I've been doing this for so long and I finally get insurance (which would have been fine for my previous dr) and can't use it. I'm at the tail end, where I'm down to only needing 1mg a day from 18mg when I started, and all the doctors I've called want to treat me like a new patient.

I've tried tapering off several times the last few months because I'm so sick of being dependent on it .... this is what happens ... for 2 days I'm basically stuck in bed (growing pain feeling/exhaustion) ... then I get this burst of energy/joy for a day .... then for the next few days (I've only lasted 4 in this condition before breaking down and calling my dr in UT) I have intense physical anxiety where my chest is tight and it feels like every nerve in my body is on fire. I'm constantly yawning and stretching (and sneezing oddly enough) involuntarily. I feel like all my muscles need to be stretched, but can never shake the anxiety. I can't sleep unless I take sleeping meds (way too many) and when I do it's only for an hour here and there. I'm worried that I have an underlying condition but suboxone fixes all of it in minutes. Mentally and emotionally I feel prepared, but physically .... I don't know why my body won't just follow along. Does anyone know if that anxiety thing is normal? Should I just take a couple weeks off work and ride it out?


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 Post subject: Re: Moved, having issues
PostPosted: Fri Jan 09, 2015 6:36 pm 
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Hello,

I can't answer your insurance questions but I wanted to share this with you. I moved to a new state a bit more than 3 years ago. I had been on 8mg/day for 3 years at that point doing well. My Dr. did like yours and made sure I had enough meds to get the new insurance and Dr. going. I had 5 months supply of meds. I waited a month and then had trouble finding a Dr who seemed genuine like my previous, amazing Dr. who specialized in addiction. My Dr. had also given me advice about how to taper which was basically to cut my dose down slowly over time without it feeling too bad. Even just cutting down certain days or once a week still makes the overall level go down in your system but I was able to decrease my dose about every 2 weeks, sometimes 3 or 4 weeks though if I didn't feel up to it. The other thing he said is don't set hard dates which could mess everything up if you feel like you can't do it.

I basically did just that over the past 3 years. Learned to cut my strips into tiny pieces and I just slowly went down to a very low dose (~8 micrograms when I stopped and that was split to 2 doses!) and eventually stopped. It took a long time but I rarely had any WD symptoms that were unbearable. A very few nights that I had to take benadryl to sleep. It's been almost 6 weeks since I jumped off and I have been feeling fine so far honestly. Plus it helped me learn to be more patient and also work on acceptance & learning that I don't control everything. :)

Just throwing this out there because when I was still on sub I wanted to eventually try life without it and never thought it would happen even after being on TINY doses.

Still I wouldn't change a thing, sub definitely helped save my life.

Good luck with the Dr. search!


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 Post subject: Re: Moved, having issues
PostPosted: Sat Jan 10, 2015 10:39 am 
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Nilzone

I may be able to help with the insurance question. If you have a high deductible with your insurance they are not wrong in asking that you pay until you meet the deductible. I hope it was a misunderstanding and they mean you have to pay $1000 to meet your deductible over time not just for 1 visit. Any type of doctor you would go to would make you pay until your deductible is met.

There are more than 2 types of insurance, using just 2 to keep this short LOL

First you have to know the type of insurance coverage you have...there is HMO or PPO. HMO usually does NOT have "out of network" which means you have to go to a doctor that is on the insurance company list of participating providers and usually need a referral to see a specialist.

If you have a PPO with "in and out" of network coverage it means you don't need a referral and will have coverage with most doctors.

Both types now have deductibles which stinks. With the PPO type of insurance either the doctor office or you can send in claims to meet the deductible. You have to do that in order to meet your deductible.

Most if not all doctors office can electronically find out how much is left towards your deductible.

I have a $750 deductible and my insurance only "allows" $65 for an office visit so it will take me 11 months to meet the deductible if i only go to the sub doctor.

If you have any questions or need me to clarify something please ask.


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