Welcome to the Forum. Methadone scares the shi* out of me so I never even considered that route, legitimate pain or addiction. So, admittedly I know squat about methadone except what I've read on these Boards. I'm even more scared of Methadone now than I ever was after reading posts here!
Does that stop me from adding my two cents? Of course not! It just makes sense to me that you ought to be able to transition from meth to a different opiate. I just don't know much you would need to take to make a smooth transition because I don't know what dose = what dose if that makes sense. In terms of your PM doctor, honesty is ALWAYS the best policy. In cases like this starting with a lie will only at some point be uncovered and you'll be setting yourself up for exposure and likely be labelled as a seeker. Not good. My guess is your PM doctor will totally understand. I am self-employed and I too enjoy the status of one of the non-insured. I am in recovery from opiate addiction coming up on two years. My doctors know my situation including the lack of insurance and I have been treated with the utmost respect and with compassion. Further, in order to set up a plan for this transition and make it workable, I'm sure they have to know all the details. It just may be that they will need to do some adjusting to get you where you need to be.
HONESTY! As an addict, that was a lesson hard learned and to my surprise, it works like a charm.
"Out of suffering have emerged the strongest souls; the most massive characters are seared with scars." Kahil Gibran (1883-1931).