Anyone have any experience with MDProactive and Kaiser? My health insurance is with Kaiser and I don't know if an outsider (MDProactive) can write a script. I didn't find them (Kaiser) on the list of available pharmacies, but maybe I didn't look right. I also didn't find a spot for me to contact MDProactive directly and ask them.
Last Edit: Dec 19, 2018 12:18:52 GMT -5 by calijohn
MDProactive says they don't accept insurance payments, but I suppose you could call Kaiser and explain the situation. Possibly they would reimburse you if you did the paperwork and coded it correctly? Last I heard Kaiser wants your GP to refer you to their addiction specialists, so they may not play well with 3rd parties...
Whelp, I had my appointment with the therapist. She offered me four levels of counseling, all included abstinence. She didn't know anything about TSM, but agreed to look into it. (I'm sending her links.) She did refer me to their psychiatrist, which is good news. Hopefully, that'll my new source of Nal.
OMG. I am so frustrated just reading this, calijohn. It’s such a crapshoot and it seems there’s no way to vet the providers before you/we make an appointment (and get “on the record”). Is there any way you can do the Ria Health thing for a few months (I think $100/month plus blood tests)? It seems like they are open to medication assisted therapy including but not limited to TSM and, given your experience with Nal, would be open to an actual conversation regarding dosage, other meds, etc.
Why is It so hard to get help (other than abstinence advice)?
Hangon rella and joesixpack... My meeting was with a therapist, aka addiction specialist. Next stop is the psychiatrist who can prescribe me meds. I can almost guarantee though that I will get a script for Nal, but with the wrong instructions (non-TSM).
I still have faith.
If you don't know anything about TSM, of course programs are going to abstinence based. I know recall, and in fairness, she did offer a HARM reduction program, so I suppose that wasn't abstinence based.
Here's a response to the info i presented to my therapist. I will do so again when I speak with the psychiatrist. But I'm going to take the milder approach, as I want him to think I'm using Nal for "cravings", as that's the more common method of prescription.
It was a pleasure to meet with you yesterday. I appreciate the information and am curious to look into it. I was able to consult with the rest of the treatment team including the MD, and KP does not utilize the Sinclair Method. We are a behavior modification program through treatment and have the option for medication assisted treatment as needed. Please feel free to let me know if I can help you with anything. You can call my office anytime at (916) XXX-XXXX. The simplest way to correspond with me directly is to reply to this e-mail, or you are welcome to send me an e-mail at anytime in the future.
I will call you at 3:30 today
Message body: From: John XXXX Sent: 1/11/2019 11:38 AM PST To: SANDRA XXXX Subject: TSM
It was a pleasure meeting with you yesterday. Not sure if you've had a chance to look in The Sinclair Method as of yet, but I thought I'd shoot you some links where info can be found: c3foundation.org has a lot of information and watching Claudia's Ted talk entitled How I Overcame Alcoholism explains this method rather succinctly. (https://www.youtube.com/watch?v=6EghiY_s2ts) (it's also linked on the bottom of the C3 page.
I'm still scheduled to speak with you today at 3:30.
I appreciate your time.
I responded to her "I understand Kaiser isn't utilizing this approach and that it is a shame, as this method is a medical way to modify behavior. Unfortunately, it is not well know in the US (unlike the UK where it's commonplace.)"
Perfect. Keep us posted! I think I’ll be asking my GP (once I get the courage) for Nal with or without TSM instructions. I WOULD like to get it on her radar, tho. The more we “normalize” TSM, the better. To be honest, however, I think MDs will balk because of liability issues. (Instructions to drink, etc.) A real paradigm change is needed. Sigh.
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