Answers to questions you may have.

  1. What Insurance Plans do you accept?
    We currently accept most major insurance plans including all forms of Medicare and Medicaid as well as Anthem, United Healthcare, UMR, PHP, Aetna, Cigna and Tricare.
  2. Will I be able to receive pain medications on my first visit?
    No opiate prescriptions will be issued to new patients. Our staff will make every effort to obtain records from prior physicians, other health providers, and imaging centers as soon as possible. Urine drug screening will be performed at the initial visit and can take 1 week to return for review. If Dr. Kara determines that opiate pain medication may be helpful, he will prescribe it only after all information is reviewed .
  3. Can you call in opiate pain medications to my pharmacy?
    No, opiate pain medication cannot be called in to the pharmacy.
  4. Can I get a new prescription if pain medications are lost or stolen?
    No, pain medication refills will not be issued for lost or stolen medications.
  5. May I call to request pain medication before I'm accepted as a patient?
    Phone calls requesting pain medication during the initial assessment and while Dr. Kara is gathering clinical information are inappropriate. If Dr. Kara feels that your pain warrants immediate treatment with opiate medication, he will do so at the time of the appointment. Any issues arising during the assessment period should be handled by your PCP.
  6. What happens after screening is completed and I'm accepted as a patient?
    Once screening is completed, and if you are felt to be a candidate for ongoing treatment with opiates for chronic pain, we need to monitor for pain relief (analgesia), adverse effects of medication (side effects), activity levels (ongoing functional improvement in activities of daily living such as holding down a job, maintaining a household, and keeping family and interpersonal relationships), and aberrant behaviors (running out of medication early, obtaining pain medications from more than one doctor, etc). Common side effects include nausea, sedation, and constipation. Nausea typically improves within 1-2 weeks.
  7. Have other questions not shown here?
    If you have other questions that are not answered here, please click on the "Contact" link for information on how to contact us by Phone, Fax or send us an Email. Please note, if you need to cancel or reschedule an appointment or have a concern that is urgent or life threatening you will need to call our office.
  8. What takes place after my initial vsit?
    It is common for our clinic to call your pharmacy, your employer, and your family should there be anything out of the ordinary in our evaluation. Criminal database background checks are performed, urine drug screening is mandatory, and screening for abuse potential is essential in preventing addiction, reducing abuse, and eliminating diversion.