Insurance Information
I strongly encourage you to understand your health insurance coverage. Though I bill insurance for services, patients are financially responsible for copays, coinsurance, deductibles and non-covered services. Because plans vary widely and to avoid surprises, I recommend you contact your insurance company and gather some information about your policy and coverage. For your convenience, you may print this Health Insurance Verification Form and use it as a guide when calling your insurance company. Please BRING THIS FORM to your initial visit or turn in digitally with your other paperwork.
If your insurance company, policy or coverage changes, it’s always a good idea to recheck your benefits as they may change.
Insurance Contracts
These are the insurance companies I am currently credentialed with – this means I am “in network.”
- Aetna (naturopathic only)
- American Specialty Health (ASH) (Except HealthNet)
- Cigna (naturopathic only)
- Blue Cross Blue Shield
- First Choice/Axis Network
- Moda / ODS
- Pacific Source
- Providence
- TriWest Healthcare Alliance / TriCare
- United Health Care and UMR (acupuncture only)
Car Accident?
You have the right to healthcare if you’ve been involved in an auto accident whether you were the driver, passenger, a cyclist or pedestrian. Don’t let insurance concerns prevent you from getting treatment. Oregon is a Personal Injury Protection state, which means your or another driver’s car insurance includes personal injury protection. This covers treatment for up to two years from the date of your accident and your benefits will cover evaluation and treatment at my office.
Medicare
Medicare Advantage, or MedAdvantage plans often have coverage for both naturopathic medicine and acupuncture treatment. If you are a Medicare subscriber, please check your card for the words Medicare Advantage or MedAdvantage. If you only have the regular Medicare card or a Supplement, you likely do not have coverage. Discounted cash pricing is available if you do not have coverage.
Other than these plans, due to federal regulations, I do not participate in Medicare, Tricare, or Veteran’s Administration (VA) plans. Click here to get involved with including naturopathic medicine in Medicare.
Medicaid – Oregon Health Plan
I am now able to accept a limited number of Oregon Health Plan options. If you have OHP, please schedule a discovery call so that we can review your insurance before scheduling a visit.
- Providence OHP – I can accept Providence OHP patients with an authorization only. This authorization must be generated by your PCP. If you do not have an authorization, please schedule an appointment with your PCP to request one.
- Care Oregon – I can accept Care Oregon patients for naturopathic services only.
Workers Compensation
Workers compensation policies vary and I generally do not accept workers compensation cases. I do make an exception for individuals who have a referral for acupuncture from a medical provider serving as their primary for the workers compensation case. If you are seeking care for a workers compensation case, please schedule a discovery call with me first.
High Deductible? No Insurance? Discounts available.
Patients with insurance plans with high deductibles have the option for their insurance to be billed for services or not. Most often, it is recommended that patients with high deductibles do have their insurance billed. The “patient responsibility” for services may be about the same or less than our discounted fees and your payments are applied to your deductible. However, if you prefer not to have your insurance billed, this is an option and other discount options are available. Note that if you opt out of insurance billing, the charges not submitted to insurance are not and cannot later be applied to your deductible.
For patients with no health insurance coverage, payment in full is due at the time of service. When paid in full, I offer a 20% discount on most services. For acupuncture services, multi-treatment packages are available – please inquire for details.