Payment & Insurance

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Payment & Insurance

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Insurance & Payment Information

The Center of Excellence in Co-Occurring Medicine accepts the following insurance plans:

Accepted in Oregon
Oregon
Aetna Blue Cross Blue Shield Cigna Evernorth Cigna Great-West Healthcare Cigna Health Plans First Choice Health Network MHN Moda Health Multiplans – Coming Soon PacificSource Providence UnitedHealthcare / Optum Behavioral Health
Accepted in Washington
Washington
Aetna PPO Blue Cross Blue Shield PPO Cigna Evernorth Cigna PPO Regence Blue Cross Blue Shield UnitedHealthcare / Optum Behavioral Health
Accepted in Alaska
Alaska
Aetna PPO Blue Cross Blue Shield PPO Cigna Great-West Healthcare

*Med-Advantage accepted upon verification only

Please review our individual provider profiles to ensure that your provider is in network with your insurance plan.

Payments

Payment is due at the time of service. Clients using private insurance or paying out of pocket are required at the initiation of services at COE to complete and sign a credit card authorization form allowing our administrative staff to run the card for copays, coinsurance and any accrued balance.

It is your responsibility to provide accurate and current insurance information. COE will bill insurance for your services and will provide regular statements for your review. In the event your insurance does not pay for your services for any reason, you agree to be fully responsible for the fees.

Prefer to pay yourself?

We offer straightforward self-pay pricing if you’re not using insurance or prefer to pay out of pocket:

  • Initial evaluation: $250
  • Follow-up appointment: $150

A deposit of $50 is required to hold your first appointment. A urine drug screen is also required for new patients, with a $15 fee.

Our clinic is not contracted to provide services for the following plans:
  • Medicare
  • Medicaid
  • Oregon Health Plan (OHP)
  • Washington Medicaid (Apple Health)
  • Kaiser

Please verify your health plan benefits prior to your first visit, including your deductible, co-payment rate, and prescription medication coverage. You are responsible for paying any portion of your bill that is not covered by insurance.

Cancellation / No Show Policy

Please provide at least 24 hours’ notice when canceling or rescheduling an appointment. If you do not cancel a scheduled appointment within this timeframe, you will be charged a fee of $50.00, which must be paid in full prior to your next appointment. If you no show your scheduled appointment, you will be charged $100.00.

Your Billing Rights

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, and/or a deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be allowed to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.”

You are protected from balance billing for:

  • Emergency services: If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you is your plan’s in-network cost-sharing amount.
  • Certain services at in-network facilities: When you get services at an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing amount.

You are never required to give up your protections from balance billing. You also aren’t required to get care out-of-network.

Good Faith Estimates

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.
  • You can ask your health care provider for a Good Faith Estimate before you schedule a service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

For more information about your rights under federal law, visit
www.cms.gov/nosurprises.

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