We accept Insurance, Cash, Personal Checks, Visa and Master card as well as some Debit Cards.
Blue Heron can bill many insurance plans with chiropractic coverage, including many MCOs,PPOs and HMO plans. We collect your co-pay or co-insurance percentage at the time of services and bill insurance.
We can bill all Motor Vehicle and Worker’s Compensation cases. No referral is required for Motor Vehicle or Worker’s Compensation.
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 contracted fee schedule. This schedule essentially provides a 50% discount on the first visit, and 30% on subsequent visits for selected services.
Discounts 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. Diagnostics can also increase the base amount. However the 30% DMPO fee schedule applies to this treatment as well.
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.
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
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 Health Plans (CHP Networks)||Cigna / Healthways (varies by plan)||USAA|
|Blue Cross Blue Shield (BCBS)||Aetna (varies by plan)||Safeco|
|Providence Health plan||Mega Life & Health||Nationwide|
|HealthNet / ASH||Wausau||Farmers|
|Blue Cross/Blue Shield HMO PPO Regence Anthem||Liberty Northwest||Encompass|
|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|
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.”