What's the success rate? What's considered success?
Officially 78%. Higher with strict adherence to the method. That's why we focus on proper method execution in our accelerator videos.
Success is reached when the impulse to drink is brought under control and drinking stays within safe levels. In the United States, safe levels are 1 drink a day for women and 2 drinks a day for men (2015-2020 U.S. Dietary Guidelines for Americans).
How does signup work? I'm having trouble with the signup process.
Once the questionnaire is completed, check your inbox for our verification email and click the PayPal logo in that email. After entering your payment card details on our PayPal account page, you'll automatically be taken to our physician scheduling page.
If you're facing a financial hardship from the covid response you may apply to our price reduction program by contacting firstname.lastname@example.org. We invite those facing hardships to apply. We'll send you a link and the application takes less than five minutes.
On our physician scheduling page you'll set up Google Meet for video chat with your Alcure physician, grab a coupon for your discounted medication that will be e-prescribed to a pharmacy close to you, and then select a date and time to have your initial video chat medical exam.
After that check your email for confirmation of the video chat appointment at the designated date and time. When your appointment comes, be ready and your Alcure physician will email you a link to start the video chat just a few minutes before the scheduled start time!
If you run into a snafu or have any other questions about signup, reach us at email@example.com and we'll get you squared asap.
How does the Alcure platform work?
You'll start with a video chat medical assessment following completion of our medical questionnaire. You'll have unlimited access to your Alcure physician via email and video chat as you progress through the program afterward, to handle medication dosing adjustments, key to success, and any related medical issues or questions about treatment.
You'll also receive over 10 hours of curated tutorial video content delivered in three video modules over your first three months of treatment. Our "accelerator videos" as we call them are also key to your success, as they cover precision medication dosing strategies and coaching to overcome external causes of excess drinking. Clients enjoy the ability to watch certain parts of our videos as many times as needed to cement core concepts and reach their goals in the fastest time possible.
We also provide unlimited email and 1:1 video chat coaching support whenever you need it to supplement our video content.
Our cofounder, Sarah Novia, manages all your therapy needs if you reside in California or Connecticut. For clients in our other states, Alcure partners with Lion Rock Online Counseling, one of the leading video chat therapy providers in the country to fulfill your counseling needs. Therapy support is charged separately.
Are there any long-term obligations?
How is my information kept secure?
Alcure is powered by Google Cloud, a suite of robust data systems and apps used by nearly one-half million small and large companies in the U.S., and with a large footprint in the Hospital & Health Care industry. All your information is electronically encrypted to regulatory standards under HIPAA (Health Insurance Portability and Accountability Act) with Google Cloud.
What kind of technology will I need?
Almost all clients prefer accessing our service through a mobile device such as an iPhone, iPad, Android phone or tablet, all of which come equipped with high-speed internet, a camera and microphone. You can also use a desktop or laptop computer.
Start by downloading Google Meet (not to be confused with just "Hangouts") from your device's app store for video chat sessions. Once installed, it will deploy automatically when using our service. Google Hangouts is not an encrypted video chat platform for your privacy.
For desktop or laptop, use the Google Chrome, Apple Safari, Microsoft Edge or Firefox browser to access your email account and video chat links we send you. If you'll be using a traditional desktop computer make sure you have a webcam (most of which are also equipped with a microphone).
What medication is used?
We e-prescribe naltrexone, but differently than the way your web research may explain it's used. We prescribe it for targeted dosing, meaning it's paired with drinking episodes and avoided at all other times, to produce what medical science calls extinction. That core model is sometimes called the Sinclair Method, which you can read about on our blog page here.
What's it like to drink on the medication?
Reports vary but most won't notice much of a difference when drinking with naltrexone in their system.
Is the medication habit forming or does it have side effects?
No. Naltrexone is a non-controlled FDA approved medication and is not habit forming.
The side effects, if any, are usually minimal and go away quickly. Side effects are mitigated with other safe, prescription or OTC medications. Other medications prescribed or recommended are separately priced.
A very small group of clients will experience more adverse side effects and may not be able to tolerate naltrexone.
Do I have to request refills of the medication?
Yes. Reach out to your Alcure physician when you're down to about 10 days' worth of naltrexone to provide lead time. Sometimes your physician may provide refills with your initial or subsequent prescriptions depending upon your situation. Always reach out well in advance before you're completely out, though.
Do I have to abstain from drinking for a period first?
No. You begin treatment right away.
Once I get my stuff under control, do I have to keep taking the medication?
Only when you drink. By always following the dosing protocol relapse is avoided.
What happens when I only need a maintenance supply of the medication?
When to switch to maintenance use is a decision for you and your Alcure physician but generally the transition happens within nine months and after controlled drinking is reached within about 4-6 months.
Maintenance use involves periodic reassessment by your Alcure physician before receiving a new e-prescription and will vary with each patient. With an active account you'll have the same unlimited access to your physician for mutual check-ins and maintenance e-prescriptions, and to support for coaching as needed.
Can I get reimbursed from my medical insurance?
In most cases yes. We provide you a "superbill" each month if you elect to use insurance. A superbill is a detailed receipt identifying the billing codes used by insurance companies to process payments for the type of treatment we provide.
We cannot guarantee reimbursement and you may wish to consult your insurance company first for eligibility. Ask us for an example superbill to run by your insurance company in advance.
What if Alcure is not in my state?
No worries we can still help. With our physician reciprocity program, we'll put your regular doctor in contact with one of ours to collaborate on medication prescribing and treatment protocol. Once you're able to obtain a prescription of the medication we use from your regular doctor, you can access our accelerator video modules that walk you through the medication dosing protocol in detail and address secondary causes of excess drinking. Our free email and video chat coaching are also equally available to you. Click here for details.