Thank you for booking your first visit with Kemet Health! The following page will help you prepare for your visit, and we encourage you to read it in its entirety.

 

What To Expect At Your First Appointment: Assessment

If you are visiting Kemet Health for the first time, please expect to be at our clinic for 1 hour. Please also bring with you: valid photo ID; money for treatment; and your insurance cards.

During your first visit, you can expect to spend 10 minutes of your visit doing intake tasks. This includes signing consent forms and undergoing a new patient orientation.

Following your intake, you will spend 40 minutes with our counselor, who will conduct an initial assessment to help you determine what will be most beneficial to you and your overall health needs. You will leave our clinic knowing our recommendations and your suggested next steps!

 

What To Expect At Your Second Appointment: Exam & Induction

When you return to Kemet Clinic for your follow-up visit (i.e. second appointment), we will help you take the next steps needed to begin care and recovery. To prepare for this visit, please bring with you: valid photo ID; money for treatment; and your insurance cards.

During your second visit, you can expect to spend 15 - 25 minutes undergoing a thorough physical exam with our on-staff physician. Based on their findings, you will be provided with a thorough collection of information for starting or initiating treatment (induction) - and continuing treatment (maintenance) through the Kemet Health clinic.

As part of this second visit, you will also take your first dose of medication on-site, which will provide our team with the chance to observe your reaction and ensure you safely transition into your Medicated Assisted Treatment (MAT).


 

FAQs

What do I need to bring with me when I come to the clinic?

Please always bring your insurance cards, appropriate payment for treatment (including copays), and a valid form of photo ID (such as a driver’s license). If all of these items are not present at your appointment, we may need to delay the administration of services.

 

How much does treatment cost?

At the moment, treatment costs $149 every two weeks for all patients. Self-paying patients can expect this pricing to remain the same in the months to come.

In the near future, however, we will begin working with specific insurance companies to help cover the cost of care. if you have an insurance plan that we accept at that time, your treatment will generally be covered by that insurance. 
As part of your visit(s), we will keep you informed on any co-pays or changes to the monthly cost.

 

What methods can I use for payment?

Please use check, credit card, or money order. We strongly prefer that you do not bring cash to our clinic. However, cash for copays is acceptable if necessary.

 

What if my check bounces or the credit card doesn’t work?

If your check bounces, then you will be assessed $50.00 in addition to your payment. This will be collected at your next scheduled visit. If your credit card doesn’t work, then we recommend you resolve that with your credit card company.

 

Are prescriptions given at the first appointment?

If absolutely necessary, we will accommodate this need when we can. In these cases, you must complete an assessment with a counselor and then complete a visit with a physician on-staff.

However, generally speaking you must be accepted into Kemet prior to receiving a prescription, as not every patient is indicated for treatment in our clinic. Additionally, certain health conditions may require closer monitoring or prevent treatment entirely.

 

How often do I need to come to the clinic?

This is fully dependent on your current needs. Generally, patients can expect to receive weekly, 2-week, and 4-week prescriptions. As you progress in your recovery, you will earn longer-dated prescriptions.
 
Some insurance plans, however, require more frequent visits. We also require therapy at least 2x per month. Therapy can be a mix of individual and group therapy, and can sometimes be completed the same day as a physician visit.

 

Do I have to do therapy?

Yes! We have counseling staff in-house who are dedicated to working with you on your recovery. 

Counseling is the most important part of rebuilding your life. You may feel that you can do all or most of your recovery on your own; but studies have shown therapy to significantly increase recovery outcomes. With that in mind, we can work with you in many different areas of your life, based on your needs at the time.

 

Do you use Telemedicine at all? Do I have to come to the clinic?

Telemedicine allows you to be treated from home for therapy and physician follow-up appointments. All you need for telemedicine care is a cellphone, tablet, or computer with Internet access. 

We allow some visits through telemedicine, but it does not replace the need for you to be in the clinic at least 1x/month. Additionally, the ability to use telemedicine is a privilege and not a right – some patients may have more access to it than others. Our ultimate goal, should this care model be used, is to make sure it is therapeutic and aiding in your recovery.

 

Can I take my Benzos?

No. Benzodiazepine use is not permitted while in treatment at Kemet. This includes drugs such as Xanax, Klonopin, Ativan, etc. In the event that they do use these types of drugs, patients quickly lose Kemet privileges and may not be allowed to remain in treatment.

 

What if I mess up (i.e. relapse or use other drugs)?

There is no “one size fits all” in treatment for recovery, and so our response to these events will be highly individualized.

To help us determine how best to respond, we have protocols based on the substance used and how it impacts your safety. These include warnings, increased monitoring, more frequent therapy visits, and other restrictions. 

We also have the right to discharge patients and will do so when the potential harm from treatment outweighs the potential benefit.

 

What is a “Prior Authorization?”

Many insurance plans require authorization to pay for your treatment. Often, these prior authorizations are tied to your performance in treatment (including attendance, urine drug tests, and other measures). Without an authorization, your insurance company may not pay for your treatment. If you have questions about what is required for your authorization, or if your authorization has been denied, please call us for additional information and to determine your next steps. 

 

Suboxone and other formulations of buprenorphine products make me sick – can I be prescribed Subutex?

We currently only prescribe Subutex to pregnant patients. This is because Virginia has strict laws regarding Subutex. If you experience adverse effects on your current prescription, please bring your concerns to your doctor to determine appropriate next steps.

 

Can I be prescribed Suboxone films vs. tablets?

Any discussion on the use of films vs. tablets is between you, your insurance plan, and the pharmacy. We are able to prescribe either formulation for you. However, we have no influence over what each formulation will cost you as a patient.

 

What are the differences between Suboxone, Subutex, Zubsolv, and Bunavail?

All of these medications contain buprenorphine as an active ingredient. Subutex is referred to as a “monoproduct” because it contains only buprenorphine. The other three (Suboxone, Zubsolv, and Bunavail) are known as “combination products” because they contain both buprenorphine and naloxone. The naloxone is present to prevent diversion behaviors and only activates when injected or snorted.

 

I have experiences in treatment at other clinics. My other doctor let me (do this or that) – why don’t you?

Every practice has its own policies. We set ours with you and your safety in mind. These policies may not be aligned with your past experiences. But every doctor is different – we follow our rules and other doctors follow theirs.

 

I have pain – can I take buprenorphine? 

Buprenorphine is not indicated by the FDA for anything other than treating opioid dependency. We do not write off-script for buprenorphine products.