We have preferred provider status with the following networks (in network)

 

Blue Cross/Blue Shield (all except MedAdvantage)

Blue Cross/Blue Shield Federal Employee 

Cigna 

First Choice Health

Healthcare Management Administrators (HMA)

 

LifeWise (Rx required)

Tricare  (Requires prior authorization)

Moda (Beacon, Connexus, Rose City, Synergy, Community Care)

**Moda OHSU PPO processes under CCN Tier 2 benefit

 

 
 
 

WE PROVIDE OUT of network COVERAGE WITH THE FOLLOWING Insurance companies:

 

A&I

Aetna

Avmed

Blue Cross/ Blue Shield (MedAdvantage)

HealthNet Medadvantage (Requires prior authorization)

 

 

HealthNet PPO (Requires prior authorization)

Moda MedAdvantage

Providence Health Plan

UMR (but usually no out-of-network coverage)

 
 
 

Insurance companies we cannot bill:

 

Medicare/ Medicare Supplementary Plans (exception: BCBS/HealthNet/Moda MedAdvantage plans can be billed out-of-network for PT – however, we cannot bill these plans for DC)

Providence Personal Option for PT

Kaiser

 

Tricare for DC (Tricare plans do not have DC coverage)

United Healthcare (UHC)

Pacific Source (pairs with Legacy)

 
 

Patients with UHC and Pacific Source are welcome to PTS and submit receipts to their insurance. We will not do any billing for them, but it they have an out-of-network benefit, they may be able to get some reimbursement.

 
 
 

IF YOUR INSURANCE COMPANY IS NOT LISTED HERE, WE WILL ALWAYS CALL THE INSURANCE TO FIND OUT IF THEY HAVE OUT-OF-NETWORK BENEFITS THAT WE CAN BILL UNDER.