Yes. We currently accept the following plans: • Blue Cross Blue Shield • Oregon Health Plan • Heraya Health Unfortunately, despite the ongoing primary care provider shortage, PacificSource and MODA are not currently accepting new providers, so we are unable to contract with those plans at this time. Due to ongoing issues with non-payment and significant under-reimbursement, we have made the decision to discontinue participation with the following plans: • United Healthcare • First Choice Health • Cigna

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

You are welcome here, even if you don’t have insurance. While we recommend maintaining coverage for emergencies or hospital care, insurance is not required to work with us. This practice operates on a Community Supported Direct Care (/pricing)model with transparent, equity-based pricing. We offer discounted cash-pay rates for labs and imaging, and if you need specialty care, we will help you find options that are both clinically appropriate and financially manageable.

Yes, we welcome Medicare patients! However, we do not bill medicare insurance for visits. Appointments will be paid at the time of visit using the Community Supported Direct Care model. Learn more here.(https://www.andynd.com/directcarepricing) Medicare can still be used for most labs, imaging, prescriptions, and specialist care ordered outside the practice.

We want to be transparent about why we are intentionally moving toward a community supported direct care model. 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. We have patients who pay more in monthly insurance premiums than we 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. Our long-term vision is to move away from transactional healthcare models and toward systems 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 structures. As part of this vision, we are committed to always accepting OHP. Access to care matters deeply, and this commitment exists alongside our broader goal of building a transparent, community-supported, equity-based practice that allows all of us to be cared for.

The amount you pay depends on your specific insurance plan, and it is not always as straightforward as it may seem. Most patients are responsible for some combination of: 1. A copay, which is a fixed fee due at the time of your visit 2. A deductible, which must be met before your insurance begins to cover services 3. Any remaining balance for services that are not fully covered

Not always. A copay is simply the amount collected at the time of your visit, but it may not reflect the total cost of care. Depending on your plan, you may still receive a bill if: 1. Your deductible has not been met 2. Additional services are provided 3. Your insurance does not fully cover certain aspects of your care

Coverage varies by plan, but commonly uncovered or partially covered services can include: 1. Extended or complex visits 2. Non-covered services (Examples may include: bodywork, pelvic floor therapy) 3. Lab interpretation and review 4. Care coordination and communication outside of your visit 5. Administrative work such as prior authorizations These are all important parts of your care, but insurance does not always cover them fully.

This is usually related to how your insurance processes the claim. If your deductible has not been met or if certain services are not covered, the remaining balance is assigned to you by your insurance plan.

Insurance plans can be complex, and it is not always possible to know exact costs in advance. If you are looking for more clarity around copays, deductibles, and why unexpected bills happen, we invite you to read our full blog post (https://www.andynd.com/post/deductible-vs-copay)where we walk through this in more detail. You can also explore our Community Supported Direct Care o(/pricing)ption if you prefer clear, upfront pricing without the uncertainty of insurance billing.