INSURANCE INFORMATION

 

In Oregon, many health insurance companies offer plans that cover naturopathic medicine. Dr. Samantha Merz, ND is in network with the following:

  • Regence / Blue Cross Blue Shield

  • Kaiser (CHP / Heraya Health)

  • Pacific Source

She will soon be in network with:

  • Aetna

  • American Specialty Health (ASH)

  • BridgeSpan Health

  • Cigna

  • HealthNet

  • Optum

  • Moda

  • Providence

  • United Healthcare

  • UMR

  • CareOregon

 

Specific plans vary within companies. To check your insurance benefits, call the customer service number on the back of your insurance card. Ask for benefits/eligibility. Tell the phone representative you’re calling to check on your personal insurance benefits. 

Then ask the following:

Do I have coverage for Naturopathic Medical Services?

Remember: If a service isn’t covered by your insurance, we offer discounted rates to those who pay at the time of service.

Is Dr. __________ in-network with my plan? Yes/No

Do I have out-of-network benefits? Yes/No

You only need to ask this if the practitioner you want to see in NOT in network.

Do I have a deductible to meet first, in regard to this service? Yes/No How much is it? $ ___________

How much of my deductible do I still have to meet this year? $ ___________
This is the amount you will pay out of pocket this year before services are covered. The amount is renewed each year.

What is the date my insurance policy renews each year? ____________

What is my co-pay or co-insurance? ___________
If you have a deductible, this must be met before the co-pay applies.

Is a referral required from my primary care physician? Any other pre-authorization required? Yes/No ____________________________________________________________________________________

Do I have a maximum number of visits, or a maximum dollar amount for this service each year?

____________________________________________________________________________________

Write down the name of the representative that assisted you: ________________________________ 

His/her direct phone number: ___________________________ Date/Time Called: _________________