Frequently Asked Questions
How long do I have to wait to take Suboxone after my last methadone use?
- Usually 48-72 hours. Taking suboxone too early after the last dose of methadone can put you in serious withdrawal. This scenario, known as precipitated withdrawal which is very unpleasant for the user so please make sure to tell your medical provider the timing of your last methadone dose.
How long after my last opioid use do I have to wait to take Suboxone?
- 18-24 hours
What is Suboxone?
- Suboxone is a brand name for buprenorphine. Zubsolv and Bunavail are names of some other generic forms. Buprenorphine combined with naloxone is FDA approved for treating opioid addiction. Along with methadone, buprenorphine is one of the major parts of Medication Assisted Treatment for opioid dependence.
- Suboxone is taken under the tongue. Unlike methadone, Suboxone prescriptions are allowed to be taken at home in the comfort of your own privacy.
- It reduces and eliminates the craving for opioid usage.
What medications do you use to treat opioid dependence?
- Suboxone or Vivitrol
What if you don’t accept my insurance and I would like to pay for my treatment?
- Make sure to consult with our insurance coordinator first by calling (413) 271-7136 ext 109. If you have an active insurance plan that doesn’t cover our services, we will make sure you have a payment plan in place. You can pay by Visa or MasterCard as well.
What insurance plans does Right Choice Health Group accept?
- Tufts Health Plan
- Blue Cross Blue Shield (BCBS)
- Harvard Pilgrim
- Neighborhood Health Plan (NHP)
- United Health Care (UHC)
- Healthy New England (Be Healthy and Commercial)
- Commonwealth Care Alliance (CCA)
- VT Medicaid
- Beacon Health Strategies
- MBHP / Value Options
- United Behavioral Health (UBH) / OPTUM
Are you taking new patients?
- Always. We do not let our patients wait and we schedule them immediately. If we cannot fit a new patient intake at a certain location, we make sure the patient is seen at one of our nearby locations.
Why should I trust Right Choice Health Group over other addiction treatment programs?
Our Primary Beliefs:
- Every individual should be treated with dignity and respect
- Stigma is more dangerous than overdose itself
- Addiction is a disease an s no a choice. We understand the impact it can have on the individual’s family and loved ones. We use a Medication Assisted Treatment regimen that is tailored to the individual’s needs and goals.
Can I get sick if I stop Suboxone for a few days?
- Yes. You should consult with your medical provider before considering the stoppage of Suboxone so you can follow a tolerable tapering protocol.
What is Vivitrol?
- Vivitrol is an injectable form of the medication known as Naltrexone. It is FDA approved to treat both opioid and alcohol addiction. Unlike Suboxone, Vivitrol injection is given every 28 days in the buttock muscle. Vivitrol is not an opioid. It is an opioid receptor blocker. Vivitrol cannot be used if a patient is pregnancy.
How would I know if Vivitrol is the right treatment for me?
- You and your medical provider can make that determination after a complete history and physical. To be on Vivitrol, you must be extremely committed and able to stay without using opioids for at least one week.
If I decide on a non-opioid based treatment such as Vivitrol, how will Right Choice help me go through my withdrawal symptoms?
- Our trained and experienced medical providers will make sure you are treated adequately during the outpatient detox under our care. You will be prescribed comfort medications to take home. You may need to come to the clinic at least every other day to get evaluated and your comfort medications adjusted accordingly. It is gravely dangerous to use heroin/alcohol or benzos while you’re on prescribed comfort medications.
What are your protocols on vivitrol for opioid addiction?
- Heroin: you must be clean for at least 7 days prior to a Vivitrol injection consideration
- Methadone: must be clean for 14 days
- Suboxone to Vivitrol switch: 12-14-day clean time to prevent precipitated withdrawal
What are your protocols on Vivitrol for alcohol addiction?
- If you have a history of alcohol withdrawal related seizures or DT’s in the past, you will be recommended to go to an inpatient detox or hospital for safe detoxification from alcohol before we can consider admitting you to our outpatient clinic program. Your safety is our number one concern while you are our patient. Have your detox center make an appointment with Right Choice for an intake visit before your discharge from the inpatient detox place. At that visit we will go over further treatment plans with you.
- If you have no history of DT or Seizure, our licensed and trained medical provider will complete a history and physical on your intake visit. Labs will be ordered and reviewed at your next visit. If you are considered to be safe for Vivitrol treatment, a Vivitrol prescription will be sent to the specialty pharmacy. You will be given comfort medications to ease your withdrawal from alcohol. You will be seen more frequently during this outpatient detox period at our clinic. Remember, you cannot drink alcohol and take these comfort medications at the same time. Not following this rule can lead to intoxication and a lethal overdose.
I have hepatitis C, can I get a Vivitrol shot?
- Absolutely! Having Hepatitis C is not contraindicated to be treated with Vivitrol.
Do I need a liver biopsy or colonoscopy before starting Hepatitis C treatment at Right Choice?
- Not necessarily. Most of the patients can be treated without having any of these invasive procedures like liver biopsy or colonoscopy. When you are ready for Hep-C treatment, our hepatitis C treatment specialist will discuss these issues with you.
I have surgery scheduled next week, should I consider Vivitrol?
- No. Since Vivitrol is a slow release Naltrexone which blocks your pain receptors, your surgeon may find it difficult to help you with adequate pain control. I would rather recommend you to consider oral naltrexone and stop it 2-3 days prior to the surgery. Once you’re done with surgery and the pain is gone, you can consider Vivitrol. Again, this is an issue that you and your treatment provider should discuss prior to making a decision on Vivitrol use while awaiting an elective surgery.
I’m a female patient on Vivitrol, what if I get pregnant while on Vivitrol treatment?
- We recommend that you be on a reliable method of birth control before considering Vivitrol. Again, pregnancy is a natural process and we understand that. In the case if you decide to maintain the pregnancy, you may consider stopping Vivitrol due to the risk for unknown fetal anomalies. You and your addiction treatment provider may decide to start a Subutex treatment 28 days after your last Vivitrol shot. In an extremely rare situation, your provider and you may decide to continue Vivitrol if you are allergic to buprenorphine (Subutex) or risk of stropping Vivitrol maybe put you at overdose risk.
I’m going for a tooth removal (or carpal tunnel surgery) do I need to stop Suboxone?
- No. For minor procedures like tooth removal you may not be require opioid pain control. You can continue suboxone until the day of surgery. Have your dentist or surgeon call us and discuss with our medical providers before prescribing any opiate medication. While your pain control is important, we worry about re introduction of opioids.
I’m pregnant and on Subutex, can I switch my treatment to Right Choice?
I’m pregnant but I can’t stop using heroin, what should I do?
- We recommend you go to a level 3 or level 4-inpatient detox first. It is very important to consider the safety of your unborn baby while your body is going through opioid withdrawal. Those places are equipped to monitor you and your fetus while you will be put on medically supervised detoxification and induction with Subutex. Once you are released from the detox, we will take over your care at Right Choice. All pregnant patients are required to have OB/GYN establishment.
How easy is it to get a detox bed for pregnant patients?
- Usually easier than non-pregnant patient. Detox centers consider pregnant women seeking inpatient detox to be a priority.
Does Right Choice require patients to be in substance abuse counseling and why?
- Yes. Imagine fixing your car without fixing the breaks. You are bound to have an accident within a few minutes of driving without a functioning break. Substance abuse counseling is mandatory because it works like a break when the patient is on medication-assisted treatment for addiction. Researches have proven, combination of substance abuse counseling and medication assisted treatment work better than either of the options alone.
Where do I attend for mandatory substance abuse counseling?
- According to DPH (Department of Public Health), Right Choice is mandated to provide substance abuse counseling for its MAT patients.
- We refer our MAT patients to Mindcare Agency, conveniently located at each Right Choice Office. Right Choice Health Group and Mindcare Agency are integrated programs. One provides MAT treatment whereas the other program provides substance abuse counseling and mental health needs.
What if I have a mental health counselor or psychiatrist, who provides my therapy, is it adequate?
- You can keep your current therapist or psychiatrist. But you are required to attend BSAS licensed substance program to be able to maintain treatment at Right Choice. It’s a mandate by the department of public health. If you’re currently seeing a substance abuse counselor at another BSAS program, you may not need to attend Mindcare Agency except for occasional group meetings.
What are the labs I have to get done as a requirement for your program?
- Liver function tests / GGT
- Basic Metabolic profile
- Lipid Panel
- Viral Hepatitis Pane (Hep A, Hep B, Hep C)
- HIV antibody
- Vitamin D3
- Testosterone Level depending on patient’s history
- TB testing
- Supervised or observed urine drug testing (UDT)
- Buprenorphine level, Urine alcohol level or brethalyzer testing
- Testing for dangerous drugs like fentanyl and other drugs depending on abuse history
What do I need on my first visit?
- We recommend you collect all the intake forms earlier so you can fill them out at home and bring them with you on your first visit. This will save your time in in the office on the day of intake visit. If you would like to fill out all the forms at the office, we recommend you arrive 45 minutes prior to your appointment time. Please show your ID and ask for the intake package. Once you complete and sign all the forms, you will be processed for a medical visit with one of our addiction medicine professionals. Urine sample, blood samples and vitals will be collected before the provider will see you.
What should I bring with me on my first visit?
- Insurance Card
- Government Photo ID
- We will need the name of your primary care provider.
- Depending on your insurance plan, you may need referral from your PCP office before you can be seen at Right Choice. Please discuss with one of our caring professional employees before scheduling your intake visit.
- List of all medications that you are currently taking. We recommend you bring all the pill bottles for proper documentation of your current medications.
- Bring all forms/agreements if you have collected them earlier and filled them out already.
- Correct mailing address, social security number and phone number should be required prior to your intake visit.
Can I rejoin Right Choice after I have left the program?
- Yes you can if you have left the program for over 30 days. You may have to sign a new contract agreement if you have left the program for over 30 days without a prior approval by your medical provider. Please call us for a re admission appointment.
Can I reschedule my initial visit?
- Please make sure to call at least 24 hours earlier if you want to cancel your appointment. Our intake professionals will help you find another day for your intake visit.
Who should I talk to if my billing statement is wrong?
- You should call and talk to one of our insurance and billing specialists immediately. Phone number: (413) 271 – 7136 ext. 130 or 115. They will be able to help you clarify your concerns.
I have called and left message to call me back, how long it takes Right Choice to return my call?
- You should expect to receive a call back within a few hours to up to 24 hours. Please send a message via our website if you still didn’t get a call beck from us.
What if I am having difficulty filling my prescription?
- Please make sure to call your local Right Choice Clinic. Have a pharmacy send a prior authorization request to us via fax if that is the case. Our staff will make sure to contact the prescribing doctor to send a new script.
What are the treatments offered by Right Choice Health Group?
- Heroin or any other opioid addiction
- Alcohol Addiction
- Addiction treatment for pregnant women
- Hepatitis C treatment
- Help to switch from Methadone to Buprenorphine (Suboxone)
- Help for out of state patients through our telemedicine-based remote treatment plan. Ask for details by calling our out of state HOTLINE at (413) – 348 – 0898