For your convenience, our most common questions are answered right here.
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What is Sisu, anyway?
Sisu is a Finnish word that does not translate neatly into English. It is often used to describe inner strength, grit, courage, resilience, and determination in the face of difficulty. It reflects the idea of choosing a path and staying with it, even when the road is hard.
For many people living with addiction or chronic pain, that kind of strength matters. The name Sisu Health reflects the courage it takes to keep going, keep trying, and keep moving forward.
Sisu is about taking action against the odds and displaying courage and resoluteness in the face of adversity. Deciding on a course of action and then sticking to that decision against repeated failures is Sisu. It’s something every person struggling with addiction or chronic pain needs.
What kinds of insurance do you accept?
We do not accept medical insurance as payment for visits. This allows us to focus on your care without insurance companies directing treatment decisions.
However, we can provide receipts and documentation that you may submit to your insurance company for possible reimbursement, which may reduce your out-of-pocket cost. Insurance may still be used for medications and lab work, depending on your coverage.
How long are your appointments?
Initial visits are typically 60 to 90 minutes. That time allows us to get to know you, understand your current situation, talk through your goals, review your options, and discuss next steps.
We believe these conversations should be clear and understandable, so we explain things in plain language rather than confusing medical jargon.
Will you prescribe buprenorphine without the naltrexone if I’m not pregnant?
No.
How long will I need to be in treatment?
There is no one-size-fits-all answer. Every person comes to treatment with a different history, different challenges, and different goals.
While the guiding principles of treatment are consistent, care is individualized for each patient. Addiction is a chronic condition, much like other lifelong illnesses. That does not necessarily mean treatment must continue forever, but it does mean the condition should be understood and respected over the long term.
How long have you been doing this? What kind of experience do you have?
Dr. Kozma has been treating patients with addiction and pain management needs since 2002. He began this work during residency, when he trained with Dr. Stanley Evans, and has focused his career on caring for people living with pain and addiction ever since.
Over the years, Dr. Kozma has worked at the former Mercy Recovery Center, practiced outpatient medicine for 13 years at the office of Dr. Stanley Evans, served as Medical Director for Crooked River Counseling in Norway and South Paris, Maine, and spoken publicly on a range of addiction-related topics. He is also board certified by the American Board of Addiction Medicine and has helped many patients build safer, more stable lives.
How much will my visits cost?
Your first visit is 60 to 90 minutes and costs $250. Follow-up visits are 30 minutes and also cost $250.
We do not accept insurance as payment for visits, but we can provide receipts and documentation you may submit for possible out-of-network reimbursement.