Understanding your coverage

We accept a wide variety of insurance coverage. Below are the insurance plans for which we are considered in-network or out-of-network. It’s important to review and understand your own insurance coverage. A referral from a primary care provider is required for some insurance plans.

Prior to a procedure, our business office will contact you regarding your insurance coverage and expected charges. Generally, all insurance carriers, including Medicare, reimburse outpatient centers just as they would other healthcare facilities. Standard charges have been established for all procedures.

Your financial responsibility at the time of service will be any deductible and/or co-insurance. As a courtesy to you, we will bill your insurance. You will be billed for any services and/or charges not covered by your insurance plan. We encourage you to contact your insurance carrier with any questions regarding your coverage and patient responsibility.

We are considered in-network with the following insurance plans:

  • Aetna
  • Atrio
  • Blue Cross Blue Shield of Oregon
  • Cigna (Great West Healthcare)
  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
  • Coventry/First Health — EBMS; some Kaiser Plans
  • First Choice Health
  • GEHA
  • Health Net (all plans)
  • Healthcare Management Administrators (HMA)
  • LifeWise
  • Majoris Health Systems
  • Medicaid/Oregon Health Plan (OHP)/Division of Medical Assistance Programs (DMAP) (these plans are accepted on a case-by-case basis)
  • Medicare Part B
  • MODA: all plans including Synergy and Affinity plans
  • PacificSource
  • Providence Health Plans: PPO, EPO and HMO (HMO requires a referral)
  • Providence Preferred, including UMR and GEHA
  • Railroad Medicare
  • Samaritan Health Plans
  • Trillium Medicare
  • UMR
  • United HealthCare
  • Veterans Administration — unless approved by the VA

We are considered out of network with the following insurance, which means that your share of the cost will be higher. Please contact your insurance to understand your out-of-network benefits. If our practice is considered out-of-network by your insurance plan, please have your physician send us a referral. Our doctors will review your case and make a determination about our ability to provide treatment. Once a determination is made, we will contact you.

  • Kaiser Permanente

For Patients