Insurance Information

We accept many insurance plans. Billing your insurance provider is done as a convenience to you. Insurance companies reserve the right to deny claims for a variety of reasons so it’s best to check with your insurer before your visit regarding your benefits. Patients are responsible for payment of their treatments at the time of service.

We prefer payment at the time of service, and realize this can be a hardship for some patients. We are willing to bill your insurance on your behalf. Billing your insurance provider is done as a convenience to you. You are ultimately responsible for any charges for services at Acupuncture Center of Portland. Insurance companies can deny claims for a variety of reasons. If this occurs, the unpaid balance on your account is due and payable upon denial by your insurance company.

Each insurance company offers a variety of plans and options. It is best to check on your insurance plan’s acupuncture coverage to get the most accurate, up-to-date information.

Our practitioners are currently in network with:

• ASH

• Blue Cross Blue Shield, Regence

• Cigna

• Providence

• United Health Care (UHC)

If your insurance is not listed, we can look into your out of network benefits

All plans vary in coverage, even within the same insurance company. We can check eligibility for you. However, we highly recommend that you also verify your Acupuncture benefits with your insurance company before your first visit.

Checking your coverage:

You can check your plan’s portal or call your insurance company (phone number in the back of your insurance card) to ask if you have acupuncture or massage coverage.

What to say when you call:

• Ask for benefits/eligibility

• Do I have coverage for Acupuncture? Do I have coverage for massage?

• Is the coverage specific to a medical issue, such as low back pain?

• Do I have a deductible to meet before coverage begins?

• Do I have a limit amount of visits a year?

• What is my copay or coinsurance per visit?

• Do I have an additional copay for an office visit?

If you would like us to work with your insurance company, 
please make sure to:

• Check your acupuncture and massage coverage by contacting your insurance provider before your first visit.

• Present your insurance card immediately upon arrival at your first appointment.

• If you have any questions about your coverage, or how payment will work for your treatment, please ask us at your earliest opportunity so we can clarify any issues.

Some insurers prefer (or require) our office to submit claims for you. Some plans require prior authorization requested by your doctor or our providers before your visit. If this happens we will communicate with you about the process and let you know when services are approved by your insurance plan.

Medicare, Oregon Health Plans, Care Oregon

Some plans with Health Share of Oregon have Acupuncture coverage. We are currently in network with Care Oregon. Medicare and Oregon Health Plans (OHP) have several different insurance plans to cover specific treatments. As of January 1, 2025, some Medicare and OHP Supplemental plans may offer acupuncture services. If you have just Medicare plans A, or B, or general Care Oregon, Oregon Health Plans acupuncture services are not covered*(Acupuncture services may be covered after your part B deductible is met). Call your insurance provider on the back of the card to see which services are approved, or if supplemental plans are available.

Acupuncture is covered if you have Medicare Advantage plans with the alternative care plan with the following plans:

• Timber

• Bridge

• Prime

• Reverence

Workman’s Comp./Auto Insurance Coverage (MVA)

If you have been injured at work or in a car accident and your treatment is for injuries sustained in the accident, your treatments may be covered. This applies to accidents that have occurred within the last year, and if you haven’t used more than your covered medical benefit. If you are outside these parameters on a car accident case, please discuss your situation with your provider before your first treatment.

In-House Patient Payment Options

We realize that treatment expenses can create a hardship for some patients. We don’t want billing to be a roadblock for your treatments. Some of our providers offer a sliding scale, payment packages, or payment plans to assist you. Ask your practitioner about payment options that may be available for you.

Glossary of Insurance Terms

Here are some terms that can be helpful

• Out-of-pocket costs: An out-of-pocket cost is the amount a person must pay for medical care when your insurance does not pay the total cost or offer coverage. These costs can include deductibles, coinsurance, copayments, and premiums.

• Deductible: This is an annual amount a person must spend out of pocket within a certain period before an insurer starts to fund their treatments.

• Coinsurance: This is the percentage of treatment costs that a person must pay per visit.

• Copay: This is a fixed dollar amount a person pays per visit.