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Here, at Peach N Skin Portland Healthcare, we realize that access to good health care can be difficult. Each year, patients seem to have fewer benefits and increasing out-of-pocket costs. There is a growing number of uninsured patients needing access to health care, therefore, we will make every effort to work with our patients by allowing them to use debit, credit cards, and health savings accounts for office visits and by giving discounts to prompt paying uninsured self-paying cash patients upon proof of financial hardship.
We charge flat rates to all uninsured cash paying patients at the time of visit. These fees include the doctor's office visit fee. These fees, however, will NOT include laboratory tests when they are needed, i.e... rapid strep or mono tests, etc.. and office procedures. Anything that we have to refer you out of the clinic for, is NOT included in these fees, for example: x-rays, MRI scan, CT scan, etc... Also, these fees do NOT cover additional laboratory charges if we have to send blood or other specimens to an outside laboratory to be tested. If you have medical insurance please contact your insurance directly to ask if we are in-network with your specific plan. Please note that, although we may provide a courtesy health benefit check for patients, we are not able to guarantee coverage or benefits until the claim if fully processed by your insurance. Additionally it is patient responsibility to check with their health insurance provider in/out of network benefits and financial responsibilities BEFORE coming to the appointment. Although we may accept your general health insurance plan, your specific insurance group may be out of network with our clinic. So please check in advance by calling the number on your insurance card.
Dr. Jaqueline Brockert is currently paneled with OHP open card only, and MAY be able to bill Care Oregon and Health Share of Oregon insurance plans. We are NOT able to bill any other types of Medicaid plans and are fully out-of-network with any other Medicaid or Medicare plans. If you have Medicaid Care Oregon insurance plan, please consult with us first, as we may be able to accept and bill your insurance even when we are out-of-network. However, please note that we are not able to bill other types of Medicaid insurances. If you have ANY other type of Medicaid insurance we WILL NOT be able to see you as an in-network patient. If you have insurances that we can't accept we are able to see you as an out-of-network self-pay patient only.
Unfortunately, we are NOT able to bill any type of Medicare health insurance plan for in-network appointments. If you have health insurance that is out-of-network with our clinic, you may still be able to schedule appointments as a self-pay/out-of-network patient and/or use your health savings account to pay for your appointment.
We also accept most patients with Commercial Pacific Source, Commercial HealthNet, Commercial United Healthcare, Commercial Aetna, Commercial Providence, Commercial Regence, Commercial Blue Cross/Blue Shield, Commercial Cigna and Commercial Moda Health insurances. If you have any of these health insurance plans, please contact your insurance directly to check on your benefits/eligibility before making your appointment. You can also send an email to our office to check if we are in-network with your specific insurance plan. However,, it will always be the patient's final responsibility to check for their health insurance in/out of network benefits and financial responsibilities BEFORE coming to the appointment.
If Dr. Jaqueline Brockert is not an in-network provider for your insurance plan, we may be able to bill your insurance as an out-of-network provider. Please check with your insurance company if your plan offers any out-of-network benefits, also ask them about your co-payments and deductibles before making your first appointment. If we are not able to accept your insurance we do accept self- paying patients and health savings account. Please call us to check for prices and benefits if you do not have health insurance or are out-of-network with our clinic.
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Please note that if you have a medical insurance plan, you should always consider going to an in-network provider first. This way you will save money. However, if you decide to go to an out-of-network provider, please know your patients rights and responsibilities before making the appointment, by contacting your insurance provider before booking the appointment.
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Does your insurance company cover our services?
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The best way to find out whether you are covered to see one of our providers is by contacting your health insurance company directly by calling the phone number on your insurance card. We cannot guarantee coverage until the claim is fully processed.
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Contracted Insurance Companies
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Right now we are contracted with OHP open card (only), Pacific Source, United Healthcare, Aetna, HealthNet, Commercial Providence, Commercial Cigna, Commercial Regence Blue Cross/Blue Shield, Commercial Moda Health, and sometimes we are able to bill out-of-network Medicaid insurances however, only for (Care Oregon, Oregon Health Share, OHP). Please check with us about out-of-network Medicaid insurances to understand if we are able to help you). Please note that although we are in-network with the health insurances mentioned above, specific plans offered by your insurance providers may vary greatly and they may or may not offer benefits for naturopathic providers/alternative medicine (deductibles, co-insurances, co-payments), please check on your benefits directly with your insurance before scheduling your appointment. Once again, we are NOT able to guarantee coverage until your claim is processed.
Deductibles
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Deductibles are amounts you have to pay toward your visits with a healthcare provider before the insurance company will pay for you. Many health insurance plans have deductibles. If you have a deductible, it will be due at the time of service. If you are unsure if you have a deductible, please check with your insurance before making your appointment.
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Pre-authorizations
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Pre-authorizations are most often used for complex imaging, procedures and some prescriptions.
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Prescription Drugs
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Your insurance company may not necessarily pay for all prescriptions and only rarely pays for vitamins & supplements recommended by your healthcare provider. Contact your insurance company for details regarding your prescription coverage.
Health Savings Accounts
Health savings accounts can be used to pay for amounts your insurance company does not pay. Health savings accounts are made available by certain employers or can be set up by individuals privately with certain banks that provide a Health Saving Account service.
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