As a follow up to my original post, and in response to your reply:
I have been through so much since my first post that I don't remember if I responded to your reply or not.
Fortunately, at that time, I was able to continue going to the clinic.
But now, I find myself in this position again. I am faced with not being able to pay for my medication,
I am writing out of stress, what is your advice? I have been applying for jobs in my field, which is medical billing and collections, and
for employment NOT in my field. I don't understand why I can't get a job. I guess I am just reaching out.
From: Dann White <dwtoo@...
To: DOLOPHINEA_CAFE <DOLOPHINEA_CAFE@yahoogroups.com
Sent: Sun, Feb 17, 2013 6:23 pm
Subject: RE: [METHADONIA ] question.....
First: Are there any publicly owned clinics (state, county, or non-profit
foundation owned) in your area that you could transfer to? Often programs
that accept Medicaid will have other means by which they can subsidize
treatment for those who are unable to pay.
If you have prescription insurance, or had it as part of your benefits on
the job you lost, you can usually get your doses covered by your plan. The
central Pharmacy personnel at Colonial Management, I believe they are in
Orlando -but your clinic will know, knows very well the information you need
to submit to your plan in order to get your claim approved. If you had this,
and weren't using it, you can submit claims for services rendered for 1 to
as many as 5 years ago.
It is important to note that you are subnmitting claims for medication,
clinics do not charge fees for counseling and other parts of their support
services that are not rendered by Doctors or licensed psychologists,. Clinic
physician appointments, that you pay separately for may be billed to your
medical coverage - but when you pay the $14, you are paying for your dose
and as such it should be covered by your prescrtiption coverage. I once got
$4800 od charges covered in one fell swoop for 18 months of dosing.
There is a State Methadone Authority that oversees programs in Florida, it
is usually under the department of health or health, (the clinic should give
you the number) they may have advice for you, and may even require the
program to detox you before discharging you for non-payment.
I am fairly certain that the American Association for Treatment of Opiate
Dependence's (AATOD's) Canon of Ethics states that their members should:
Ensure that discharge from treatment is conducted in accordance with sound
and medically acceptable practice. The patient will be assured of due
process if the discharge is administrative in nature. Colonial is very
likely still a member of that group and may be moved by reminding them of
this expectation. Further, I would consider filing a complaint with the
Florida Board of Medicine against the physician involved, virtually no
hospital or treatment program would attempt a sudden withdrawal from
methadone, because of the severe symptoms and long duration - I can almost
assure you the medical board would not appreciate risking the patient over
the cost of a couple of dollars of methadone.
There is another side to this coin. Obviously you were in great distress and
spending far more than $14 per day when you approached your program and
requested treatment. Methadone Maintenance Treatment is not a temporary fix,
nor is it a short-term proposition. Considered by many, including our
federal government, of being the "Gold Standard" of treatment for opiate
dependence; MMT works best when the patient remains in MMT for 5+ years,
some have remained much longer - but statistical studies show that patient
have the best chance of living drug-free after about 5 years or more of
compliant participation in MMT.
Addiction is a terminal illness, it does not disappear when one clears up
their legal problems, gets a job, or gets married. Leaving treatment over a
fee of $14 dollars a day, when statistics indicate one is at peril of
relapse to active using would be asinine. Imagine if one were diagnosed with
cancer, would they consider that treatment an expense they couldn't afford?
Somehow, I don't think so.
My point is this. Have a look at what else you are spending, for cigarettes,
eating out, car payments, whatever!! If I were to relapse, $14 would seem
like nothing compared to what I would spend on using. Very simply, if it
means flipping burgers, I am paying for treatment.
I fully agree no one should be feetoxed, (detoxed for non-payment) but if
they are no non-profit programs where you live, you might want to consider
relocating for a while. Forcing them to detox you slowly will still only get
you a few days of treatment, and unless you are at the appropriate place in
treatment, leaving treatment would be ill-advised.
Think this over, let me know where you are with this in a day or two, and
whether or not these resources worked out for you, if not I may have another
thought or two about what else you might try, at any rate, for the time
being, don't mess things up until you have tried some of these. Best wishes,
Certified Methadone Advocate (RETIRED)
] On Behalf Of strawberry332
Sent: Sunday, February 17, 2013 12:29 PM
Subject: Re: [METHADONIA ] question.....
Oh, I'm so sorry, I meant to add that. I am in South Florida - Broward
County. The clinic is the Clinic in Sunrise. (CMG: Colonial Management
I find it hard to believe that they just allow someone who has been on the
clinic for so long to drift away without help. I am on two-week take homes
and have been for a long time. My reason for staying on for so long -not
that I need to explain- is the fear of being sick. I am past the point where
I want to abuse drugs. :)
--- In DOLOPHINEA_CAFE@yahoogroups.com
, Dann White < dwtoo@...>
> What state are you in, and which clinic do u attend? I may be able to
refer u to some1 to help you.
> Sent from my iPhone
> On Feb 17, 2013, at 12:06 PM, "strawberry332" <
> > Hello, I'm new to the group. I have a question that I'm not sure anyone
can answer. I am 55 and I've been on a relatively low dose of Methadone
since 1997. I'm on 45 mgs now. I started at 35 or 40.
> > Anyway, I've lost my job and can no longer afford the $14 a day
> > dose. The clinic I go to - Colonial Management Group, does nothing to
help people in this situation, which astounds me. If you can't pay, you
can't dose. I'm just curious if anyone knows if this is legal? I'm sure
they can do whatever they want, but I would like to know if there is any
recourse for me?
> > Thanks
> > Katzmeow
> > ------------------------------------
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