We accept Insurance, Cash, Personal Checks, Visa and Master card as well as Debit Cards.  Helping you to navigate Payment & Insurance is an important part of your experience at Blue Heron Chiropractic. 

Blue Heron can bill most insurance plans with chiropractic coverage, including MCOs,PPOs and HMO plans. We collect your co-pay or co-insurance percentage at the time of services and bill insurance. Please note, at this time, we are not set up to bill Medicare or Medicare Advantage patients.

We can bill all Motor Vehicle and Worker’s Compensation casesNo referral is required for Motor Vehicle or Worker’s Compensation.

Self-Pay

For Self-Pay, we offer a state-approved Discount Medical Payment Option (DMPO). You can elect to save 50% to 30% as “Self Pay” at time of service. Becoming a member of the DMPO group and paying at the time of service gives you access to a special fee schedule through the DMPO. This schedule essentially provides a 50% discount on the first visit, and 30% on subsequent visits for selected services. This makes the fees at Blue Heron Clinic competitive and affordable for the services you receive.

Fees are based on the Oregon approved fees or appropriate insurance rules. Said discounts are calculated based on services provided.  If you elect optional special services beyond the basic chiropractic services, certain charges will apply but are still within the DMPO discount schedule. Diagnostics  can also increase the base amount. However the 30% DMPO fee schedule applies to this treatment as well.

DMPO AS A SUPPLEMENT

The DMPO option can also be used as a supplement to insurance. For example, where and when insurance does not pay for certain services. If your BCBS policy covers adjustments but does not cover massage therapy, the DMPO discount can be applied.

INSURANCE
If information is made available prior to your appointment, we will attempt to verify coverage for you. It is your responsibility, however, to know your insurance benefits. When contacting us, please have your insurance info available. It’s important to know the specific “name” of your policy, like “Oregon Select Choice”, as well as the “brand”, like “Providence”. We always try to get this info up front, to create clarity and improve satisfaction.

The following is a list of some of the carriers we support. Many carrier names are included under others in “umbrella” fashion.

If you do not see your carrier in the list below, contact the front desk at (503) 280-9759.

LIST OF CARRIERS

THIS FOLLOWING IS NOT THE ONLY LIST OF CARRIERS WE BILL. THIS LIST IS CONSTANTLY UPDATED. PLEASE CALL AND ASK.  When you call, please know if your coverage includes chiropractic. Remember, as above, the “name” of the plan is very important.

Kaiser Permanente One Health Plan Allstate
Complementary Healthcare Plans (CHP Networks) Cigna / Healthways USAA
Blue Cross Blue Shield (BCBS) Aetna Safeco
Providence Health plan Mega Life & Health Nationwide
HealthNet / ASH Wausau Farmers
United Healthcare SAIF Geico
Blue Cross/Blue Shield HMO PPO Regence Anthem Liberty Northwest Encompass
ODS Washington L&I Progressive
Health Care Mgt Admin The Guardian American Family
School District # Associated Administrators State Farm
American Specialty Health (ASH) Networks Republic Indemnity Country Companies
ACN Group / Optum Oregon Worker’s Comp Allied
 Sedgewick ILWU Unitrin
Didn’t fit on chart: Bristol West, Scottsdale, WholeHealth Networks, Health Republic and more!

Please have your current insurance card available so we can copy it. If you call the Front Desk Administrator at (503) 280-9759, you can request that we can help you confirm your insurance.  We will otherwise do this after your first visit. Open all mail form your insurance company before your appointments.

When you call your insurance company to verify your benefits, you will hear the following, which we repeat for you here, because it is important. This is what they tell us, as well:

“Pre-authorization of benefits is not a guarantee of payment. Final determination on the claim is based on necessity and will be made within specific time guidelines upon receipt and review of the supporting documentation.”