View Full Version : Is it supposed to cost this much?


SpecialK26
02-29-08, 02:50 PM
Okay. I have a question. I started going to my doctor on Feb.14, 2008. It was $160.00 for an office visit of one hour. She then had me come back yesterday for thirty miniutes. $100.00. Then I am supposed to go back in two more weeks. Again, thirty miniutes, $100.00. Then she said "maybe" we can go to once a month. I have no insurance and so of coarse this is really expensive and very hard to afford. Adding the fact that I have to pay for the medication. Ritalin 10mg x two a day, trazadone 50mg once a day. My question is, do all of you have to see your doctor this often? I am a single mother, and have more bills than money of coarse. Most of us do. My mother (RN) is helping me pay for this and she is saying that I shouldn't have to pay every month like that to get my presciption. Should I find a new doctor?

Attainathon
02-29-08, 07:09 PM
Unfortunately, you most likely will need to see your doc once a month. Ritalin is a Class II drug and they are closely monitored in such a way that often (not sure if this varies by state) the prescribing doc is required to see you for refills.

I too have had some confusion over this with my Adderall scripts, I've read about others who get 90 day scripts, mail order, etc., but when I asked both my doctor and my pharmacy they were both very emphatic that is not possible with my Adderall XR according to my state laws.

My doctor is however allowed to do a "phone consult" every other month and then he will mail my script or leave it for me to pick up. He does not charge me for those consults, but I do have to actually have a scheduled appointment and personally see him the alternate months..

In the beginning I did do a bit or research on the requirements and what I found was pretty much inline with what my doc told me so I can only assume that different states/different laws.. Either that or I just didn't get to the root of it all..

Okay. I have a question. I started going to my doctor on Feb.14, 2008. It was $160.00 for an office visit of one hour. She then had me come back yesterday for thirty miniutes. $100.00. Then I am supposed to go back in two more weeks. Again, thirty miniutes, $100.00. Then she said "maybe" we can go to once a month. I have no insurance and so of coarse this is really expensive and very hard to afford. Adding the fact that I have to pay for the medication. Ritalin 10mg x two a day, trazadone 50mg once a day. My question is, do all of you have to see your doctor this often? I am a single mother, and have more bills than money of coarse. Most of us do. My mother (RN) is helping me pay for this and she is saying that I shouldn't have to pay every month like that to get my presciption. Should I find a new doctor?

Imnapl
02-29-08, 07:51 PM
I see my doctor every three months for my prescription of Ritalin, but I live in Canada.

Tara
02-29-08, 08:10 PM
Over time you may be able to every 3 months. There's a new law that allows MDs to give you 3 post dated prescriptions. However most doctors like to get to know their patients before they give them 3 months worth of prescriptions and send them on their way.

Attainathon
02-29-08, 08:42 PM
Over time you may be able to every 3 months. There's a new law that allows MDs to give you 3 post dated prescriptions. However most doctors like to get to know their patients before they give them 3 months worth of prescriptions and send them on their way.

How new is this law? And do you have any links or anything you could give me so I can bring this up with my doc? I've been seeing him for over 6 years now, so we definitely have a solid relationship, he just seems to be unaware of the ability to do this. I've brought it up twice over the course of a few years and he has checked into it and said that he is not able to do more than one month at a time. Again, I did verify this with a couple of pharmacies in my area at that time..

QueensU_girl
02-29-08, 09:29 PM
There is a physican's billing rate for each province or state, I'd imagine.

Here in Ontario Canada, a psychiatrist charges ~$120/hr or ~$70-80/30 mins.

Your doc sound ++ expensive.

1. Tell her you can only afford to come once/month?

2. Ask for 'Sliding Scale Fees'?

3. Your State's medical board or licensing board, should be able to tell you the "billing rates" of various doctor types in TN (specialists tend to charge more than family doctors).

I wonder if your Doc does "extra billing" or something? (Here in Canada it is banned.)

FrazzleDazzle
02-29-08, 10:24 PM
Are you seeing a pshychiatrist for this medication at these charges? If so, then the rates seem in line. An appointment for a med check should not have to take 30 minutes by an MD though; 15 minute time slot would be more reasonable for an MD med check appointment.

Tara
03-01-08, 02:14 AM
This last year maybe?? I'm pretty sure there discussion about it here at ADD Forums too. It may be in the news section. If somebody else doesn't point you to it I'll try and find it tomorrow.


How new is this law? And do you have any links or anything you could give me so I can bring this up with my doc? I've been seeing him for over 6 years now, so we definitely have a solid relationship, he just seems to be unaware of the ability to do this. I've brought it up twice over the course of a few years and he has checked into it and said that he is not able to do more than one month at a time. Again, I did verify this with a couple of pharmacies in my area at that time..

SpecialK26
03-01-08, 11:48 AM
Here in Tn, I know my mom just goes by her doctors office and just picks her script up once a month. She does sometimes write her a script (adderall) in advance for the following month. However it is really hard to get a MD to prescribe you anything like that. They always want to send you to a head doctor.

SpecialK26
03-01-08, 08:41 PM
Also if it cost $160.00 for an hour, I would think half an hour would only be $80.00. That would make more sense. Wouldn't it? I guess $100.00 a month wouldn't be so harsh but I don't think I can afford every two weeks. I guess I will see if she changes it to once a month.

Attainathon
03-01-08, 08:46 PM
Also if it cost $160.00 for an hour, I would think half an hour would only be $80.00. That would make more sense. Wouldn't it? I guess $100.00 a month wouldn't be so harsh but I don't think I can afford every two weeks. I guess I will see if she changes it to once a month.

You'd think so, but not necessarily.. The charge for a half an hour appt is generally a bit more than half of an hour's charge. Most likely because they actually are unable to schedule two 30 min appts where they could have put an hour appointment so they actually lose money..

GiddyMoon
09-07-08, 07:58 PM
There is no reason for her to be charging you $100 a month to simply pick up a prescription. For 7 years I was able to get two months worth at a time but recently the insurance company cracked down and I now have to go in every month..I call ahead, walk up to the front desk and pick it up..they do NOT charge me for an office visit. Every 4-6 months we take the kids in for their heart checks, etc..and then he charges for that.

ozchris
09-08-08, 08:04 AM
My visits are free but for people without health insurance my doctor charges $10 for script pickups.

$100 a month + American medication prices = :(

amythyst
09-10-08, 02:07 PM
I get my prescription from a physician...so no charge there. I tried seeing a psycholgist but that was $150 an hour and even though it helped a bit there is no way I can afford that so I don't do that anymore. Even when I had an insurance plan it only covered around $500 a year for that kind of stuff....not very helpful when you need to go 1-2 times a month.

ikgbixcal
09-20-08, 03:34 PM
i live in tn and the fist time i got med i got a three month prescription. lol stupid doc in tennessee.

adhdogwalker
09-20-08, 08:01 PM
My psychiatrist doesn't take insurance and charges $400 for the initial consult. 45 min. appts. are $300 and medication refills are $170. I pay for all of this out of pocket as I couldn't find a decent doctor through my insurance. I know it's a ton of money and I am certainly not rich but it's worth every penny to me as I had horrible experiences with other psychiatriasts and I have comorbid ADHD and bipolar and tend to have bizarre reactions to medications (it took us a year to get me stabilized on my meds). My psychiatrist has never charged me for a phone consult when I'm a real mess and he never rushes through our appointments.

Stace
12-13-08, 03:04 AM
I'm in the UK, and I'm frightened at the cost! I tried to refer myself on the NHS some time ago because I felt my life had spiraled so far out of control that I could lose my husband (I didn't know at that point that I had ADHD) but I didn't hear anything. My (private but fairly cheap) psychotherapist was very concerned about me because she thought I might be Bipolar, and she referred me to Dr Andy Zamar, who she knows (normally at The Priory, but I see him at Harley Street). I think I'm 1,300 down on consultations and tests (some of the cost of which we had to add to our mortgage) and now I find that ongoing treatment (one consultation at least once a month) will cost from 175, and my medicine (Addarall - I have a history of sensitivity to many drugs and we were concerned about Ritilin) will cost from 240 pm. My psychotherapy will have to go for a start.

I think my GP is supportive, but Dr Zamar will also want to monitor my heart from time to time (I'm guessing that he'll want to do his own 300 EEG for this) and you can't get Addarall on the NHS in the UK, so I don't even begin to see how he could help.

I'm in a state of shock!