Frequently Asked Questions

What are the system requirements for telemedicine?

Participating in our online program requires the installation of our telemedicine platform VSEE Clinic:

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Do you accept insurance?
No, we are a membership program and do not accept insurance, however, ancillary services (outsourced in-house lab, counseling, etc) are usually covered by your insurance plan.  Being a membership program means we provide individualized care based the individual needs of each patient instead of providing a one-size-fits-all treatment plan based on what that the insurance company reimburses.  Additionally, we have found that having patients pay out of pocket for care dramatically increases their investment and commitment to their own care, sobriety, and treatment outcomes.  As you can see in the graphic below, the clinical course of addiction is a long road and usually has a pattern of going in and out of several programs during the period where they are seeking help. Insurance-based programs are great during the beginning of this phase because every patient gets the same exact treatment plan.  This allows for a greater number of patients, but it often fails to get to the root cause of each patient’s problem or carry them past the early phases of treatment.  Insurance-based programs focus on the net revenue of each patient and the maximum reimbursement obtained from the insurance companies.  This often requires several visits per week and a patient can sometimes be just a number for them.  Our approach is much, much different.  We focus on exactly what the patient needs at that specific time of their treatment, working on fully individualizing their care plan.  As the patient progresses through our program, we are able to change focus and form new goals as other goals are met focusing on steady, forward progress.  For a more detailed explanation of why we chose a membership model vs an insurance model please go here.

Wellness Recovery's chart showing the clinical course of addiction and achievement of stable recovery

How much does it cost?

Our membership program costs $300 per month.  This includes the following:

  • Personalized addiction recovery treatment (including medication assisted treatment)
  • Physician visits
  • Personalized nutrition consults, plans, and support
  • Specialized testing including nutritional deficiencies
  • Nutraceutical supplements
  • Referrals to specialists
  • On-site counseling and case management
  • Availability for emergent patient needs 7 days a week

Monthly fee can be split into multiple payments and the frequency can be whatever works best for you.

How soon can I get an appointment?

Our goal is to accommodate new patients with a visit within 1 week of inquiry.

A $25 scheduling fee is required as a good faith, serious commitment to sobriety.

What's the highest dose of buprenorphine/naloxone you prescribe?

Our provider will not exceed the Kentucky state recommendations of prescribing more than two, 8/2mg buprenorphine films or tablets a day (16mg/day).  Opiate receptors get saturated at 16mg and anything above that only causes side effects without providing any clinical benefit.

Even though 2 per day is the maximum dose that could be prescribed, it is not a guarantee a patient would receive that amount.  Patients are evaluated and prescribed the appropriate dose specific to their needs.  Doses that are too high are counter productive and less effective.

Do I have to come to the office in withdrawal?

All patients must present in opiate withdrawal (72 hours without any opiates, street drugs, or non-prescribed buprenorphine products) unless they are seamlessly transferring from another buprenorphine-based treatment facility.  In that case it would be our goal to make the transition as smooth as possible and continue the currently prescribed treatment plan, assuming the dose and plan are appropriate for the patient’s needs.

Do you accept pregnant patients?

Yes.  Pregnant patients must have proof of a clinical diagnosis and due date along with a current OBGYN. Further communication will be made in order for the OB provider and our provider to co-treat.

What if I was prescribed a benzodiazepine (Ativan®, Klonopin®, Valium®, Xanax®, etc.)?

We have a zero tolerance policy for benzodiazepines. If you require a benzodiazepine prescription it must be prescribed by a board-certified psychiatrist.  The psychiatrist must also sign an agreement to co-treat while you are under the care of our Physician.  Buprenorphine has a safety profile that greatly reduces the risk of the drug from slowing-down or stopping breathing (known as respiratory depression), which is the main cause of death in opiate use disorder. Other opiates (heroin, methadone, oxycodone, hydrocodone, etc.) and especially fentanyl don’t have this safety profile.  When benzodiazepines (or alcohol) are combined with buprenorphine, they change the safety profile of buprenorphine which could lead to respiratory depression.

Will you take over my gabapentin prescription?

Our provider is happy to care for your substance use disorder, physical, mental, emotional, and spiritual health, however, since gabapentin is considered a controlled substance in the state of Kentucky, we do not prescribe it and won’t take over the prescription from another practitioner.  Since gabapentin will show up on your drug screen, you may only continue taking it if you show us a valid prescription. We will likely want to coordinate care with your prescribing provider.

What if I’m allergic to naloxone?

Documented proof of an allergic reaction from a verifiable source is required. The documentation will then be reviewed by the Physician and deemed appropriate before patients may be permitted to schedule their first appointment.

How often do I have to come in for an appointment?

Patients are seen weekly during the first month of treatment.  If the patient was fully compliant during the first month of the program the patient will move to an every other week schedule.  After 6 months of being fully compliant in our program, patients have the opportunity to move to monthly visits. This timeline is adjustable based on the patient’s needs and stability.  Since we are a membership program, patients are able to come as often as needed for support.

What do I need to bring to my first visit?
  • Photo ID
  • Insurance Card (for outsourced in-house lab and counseling services)
  • An accurate/detailed list of current medications
  • Payment for visit