Question 1

What is Community Supported Direct Care?

Accepted Answer

Community Supported Direct Care is a direct-pay healthcare model with transparent pricing and no insurance middleman. You pay for visits directly, and pricing includes equity tiers so that those with greater financial stability help sustain access to care for others in the community. There is no membership or subscription fee at this time. You pay per visit.

Question 2

Wait Why Do You Want to Move Away From Insurance?

Accepted Answer

I want to be transparent about why I am intentionally moving toward a more community supported, equity based model of care.

In Oregon, naturopathic physicians do not have pay equity with other primary care providers, including MDs, DOs, NPs, and PAs. For the same visit types and billing codes, reimbursement is often lower, inconsistent, or denied altogether. Insurance companies may require prior authorizations simply to be seen by a naturopath, exclude licensed services, or retroactively deny care.

I have patients who pay more in monthly insurance premiums than I receive in an entire year of care from their plan.

These are not isolated issues. They reflect a healthcare system that prioritizes profit and bureaucracy over care. In the current political and economic climate, continued reliance on this model harms patients, practitioners, and clinic staff. It pushes healthcare into a transactional framework where time, relationship, and healing are devalued.

My long term vision is to move away from capitalistic, transactional healthcare models and toward true health care models where everyone involved is supported. This means patients receiving care without fear of denials or surprise bills, practitioners being fairly compensated for their labor, and staff working within sustainable and humane systems.

As part of this vision, I am committed to always accepting OHP. Access to care matters deeply to me, and this commitment exists alongside my broader goal of building a transparent, community supported, equity based practice that allows all of us to be cared for.

Question 3

What if I'm uninsured?

Accepted Answer

You are welcome here, even if you don’t have insurance. While I recommend maintaining coverage for emergencies or hospital care, insurance is not required to work with me. This practice operates on a Community Supported Direct Care model with transparent, equity-based pricing (learn more)(https://www.andynd.com/equitypricing).

I offer discounted cash-pay rates for labs and imaging, and if you need specialty care, I will help you find options that are both clinically appropriate and financially manageable.

Question 4

Do you accept insurance?

Accepted Answer

Yes. I currently accept the following plans:
• Blue Cross Blue Shield
• Providence Health Plan
• Oregon Health Plan
• Aetna

At this time, I am participating with a limited number of insurers. My long-term vision is to transition away from the traditional insurance-based model and toward a Community Supported Direct Care approach rooted in equity, transparency, and sustainability for both patients and providers.

That said, I strongly recommend that all patients maintain health insurance. While I provide comprehensive primary care, services such as hospitalizations, emergency care, advanced imaging, and specialty consultations are outside the scope of a direct-care practice and are best covered by insurance. Many patients choose a high-deductible plan paired with an HSA, or another coverage model, to ensure protection for unexpected or large medical expenses.

Question 5

Do you take Oregon Health Plan?

Accepted Answer

Yes!

Access to care through the Oregon Health Plan matters deeply to me. OHP is a critical safety net that allows many people to receive care they would otherwise be unable to access, and I believe strongly that income, disability status, family structure, or life circumstance should never be a barrier to receiving compassionate, high quality healthcare. I am committed to always accepting OHP as part of my practice because equitable access to care is a core value of my work.

Question 6

Do you accept Medicare patients?

Accepted Answer

Yes, I welcome Medicare patients. You will sign a waiver stating that neither you nor I will bill Medicare for visits in this practice. Appointments will be paid at the time of visit using the Community Supported Direct Care model.

Medicare can still be used for most labs, imaging, prescriptions, and specialist care ordered outside the practice.

Question 7

What about vaccines?

Accepted Answer

I respect each family’s choices regarding vaccinations and am here to support you, whatever decision you make. My goal is to provide safe and non-judgmental care, and I will never turn anyone away based on their choice to vaccinate or not. Your family's health and well-being are my top priority.

I do not currently offer vaccines at my clinic, but will provide you with reliable referrals to help meet your family's preventative healthcare goals.

Question 8

What if I need labs or imaging?

Accepted Answer

When testing is needed, I’ve got your back! If you’re using insurance, labs and imaging are billed directly through the facility performing the test according to your plan benefits. If you’re uninsured, do not have lab benefits, have a high deductible, or prefer not to use insurance, I can arrange discounted cash-pay options instead. I’ve secured reduced pricing for many common labs and imaging studies, and we review costs beforehand so you know what to expect.

Question 9

What if I need to see a specialist?

Accepted Answer

If specialty care is needed, I’ll help connect you with the right provider and coordinate care so communication stays clear and collaborative. Any fees for specialist visits are set by that office and depend on your insurance plan or their cash-pay structure.

Question 10

Can I use my HSA or FSA to pay for Community Supported Direct Care?

Accepted Answer

In most cases, yes. Visits are typically eligible expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). I can provide detailed receipts or documentation if needed. Because plans vary, I recommend confirming specific eligibility requirements with your HSA or FSA administrator.

Question 11

What if I need a prescription medication?

Accepted Answer

If a prescription is part of your care plan, I can write it for you as long as you are an established patient in the practice. You may use your insurance at the pharmacy of your choice, or pay out of pocket if you prefer. When helpful, I can also provide GoodRx discount options to help lower medication costs.

Question 12

Where are you located?

Accepted Answer

New Location Near Ladd's Addition (Portland, OR)
I'm excited to share that beginning early March 2026, I will be seeing patients at my new practice location at:

2410 SE 10th St. STE 2 (Upstairs), Portland, Oregon 97214

Andy Turner, ND

Services

Postpartum Care

Holistic Primary Care

Women's Health

Pediatric Medicine

Menopause

Integrative Pelvic Therapy

Gender Affirming Care

Childfree Wellness

Fertility Support

Modalities

Naturopathic Medicine

Uterine & Abdominal Massage

Integrative Pelvic Floor Therapy

Embodied Alignment

Community Supported Direct Care

CSDC Pricing

From the Blog: Nature's Cure for Modern Living

Low Dose Naltrexone and Fertility

Stepping into Private Practice

Childfree Wellness

Diaphragmatic Breathing for a Happier Pelvic Floor

Contact
& Schedule