It is the patient’s responsibility to check and know their own benefits

As a courtesy, PCNH will bill your insurance on your behalf. We require copies of the front and back of your insurance card and Photo ID prior to your appointment to check your benefits. Please add them to your Charm Patient Portal in the Document section and share to: Care Member- Administrative Support, so we can check your benefits.

**Dr. Maria Reebs, DNP-FNP 🦋 accepts PacificSource and Regence / Blue Cross Blue Shield insurance plans, and is now accepting CareOregon on an out-of-network basis**

**We are not able to accept additional Cigna patients at this time (including Cigna HSA's)**

UNACCEPTED PLANS:

• OHP (except CareOregon — see Out-of-Network below)
• Medicare of any kind
• Medicaid, of any kind (except CareOregon, out-of-network, with Dr. Maria Reebs)
• ASH Network (except Aetna)
• Cigna, of any kind
• GEHA
• Kaiser, of any kind
• CHP, of any kind
• Providence
• Trillium, of any kind
• Tricare, of any kind
• Cascade Health Alliance, of any kind
• Klamath Falls, of any kind
• AARP, of any kind
• VA, of any kind
• Regence Legacy LHP Network
• HealthNet, of any kind
• Lifewise, of any kind
• First Choice Health Network

Accepted Oregon-based Insurance Plans:

In-Network:

• Allied Health
• Moda, (including Connexus, Affinity, Beacon, Synergy, CCN, OHSU & HMC)
• Health Management Association (HMA)
• Motor Vehicle Accident insurance
• PacificSource
• Regence / Blue Cross Blue Shield (including Anthem, Bridgespan, Premera, and Regence Group Administrators)

Out-Of-Network (OON):

• United - Out-of-Network
• CareOregon — Out-of-Network (Dr. Maria Reebs, DNP-FNP only)
• Aetna (including Meridian & Meritain. * Out-Of-Network (OON) billing is available.

OTHER:

• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)

CareCredit/ Payment Plans:

• CareCredit: 
• Payment Plans available, please email info@modernvital.com for more information

Note :: please verify with your account directly the following items before you use your account for services here at PCNH: Is Naturopathy/Naturopathic Medicine, Specialists &/or Dietician/Nutritional Counseling covered benefits? Are there limits to your coverage?

Ultimately, it is the patient’s responsibility to know what their benefits are. Make sure to check your benefits prior to your appointment by calling the number on the back of your insurance card. 

For Naturopathic Providers: We use the following CPT codes: 99204, 99205, 99417, 99214, 99215

Disclaimers ::

Your insurance benefits are not a guarantee of payment; they are only a quote from your insurance company.
Please be advised that there is no guarantee with insurance coverage.
Unless otherwise required by state law, this notice is not a guarantee of payment, benefits are subject to all contract limits and the member's status on the date of service. Accumulated amounts such as deductible may change as additional claims are processed.

You are responsible for making sure that all required authorizations, pre-certifications and physician’s prescriptions are in order prior to and during treatment. Since the insurance world likes to change things for all of us (both patients & health care workers) without notice, it’s inevitable that something may fall through the cracks when it comes to insurance coverage. Here are a few examples of what may happen :

• Prior Authorization is/was required.
• Referral from your Primary Care Provider is/was required.
• Underpayments leading to an Outstanding Balance can occur if your plan/coverage changed.

We want your insurance to work with you, not against you!  

Specialty labs are generally not covered by insurance, but we can provide you with a superbill that you can submit to your insurance to try to get reimbursement.

Fees for laboratory testing are not included in the cost of office visits. Please check with your insurance provider for laboratory testing coverage.

If you plan to to pay out-of-pocket for labwork, we recommend Ulta Labs :: Instead of paying a lab you visit to complete your lab order we create for you, you can use Ulta Labs for much cheaper! Note: Ulta Labs works primarily with Quest labs.

The Carroll Food Intolerance Evaluation is not covered by insurance of any kind. This is an out-of-pocket cost.

Private insurance benefits typically cover all or most of the cost of prescription medications. Compounded medications may not be covered. Contact your insurance carrier for details. 

The cost of supplements vary. Supplements are required to be paid in full before they're given out.

Non-lab specialty testing prices will vary. They are rarely/never covered by insurance. Specialty testing kits are required to be paid in full before they're given out.

We accept credit cards, debit cards, Care Credit, checks, and cash.