Be sure that we will accept your insurance plan. Call your insurance company and ask them. And, find out how much you will have to pay to see your rheumatologist.
Health Insurance Basics: click here
Common Insurance Mistakes: click here
What does primary insurance mean? click here
We do not accept :
HealthNet RUBY plans. We are out of network. We cannot see you.
Health Net Medicare Complement (HMO) plan. We cannot see you.
Starting October 1,2022, no Primary Insurance UnitedHealthcare Commercial & Medicare. We will be out of Network and will not accept primary plans from United Healthcare.
Starting October 1,2022, AARP Medicare Advantage Plans (Primary Insurance)
(We will accept the Medicare Supplement plan/secondary insurance offered by AARP.)
Your insurance choices will affect your treatment options.
Investigate your insurance choices carefully.
Speak with the insurance company to verify if your physicians are 'in network'.
In order to be treated in our clinic, you may need a formal 'referral' from your PCP for many plans we accept. Please check with your insurance plan!
Call your insurance company to verify approved treatments and coinsurance for your plan.
If you change insurance plans, you must inform us immediately as this could change treatments allowed by your new insurance, copays, and even if we are out of network.
Veterans' Insurance plans, and als0 Kaiser Permanente Plans are accepted with a PCP referral and authorizations. Please help us by being sure you have a referral/authorization in place.
Keep asking your insurance company questions!
Current Insurance News
It is your responsibility to check your insurance. Please CALL your customer service number and ask, as their website provider lists are not always up to date
If your insurance plan is 'out-of-network', we will see you --only if your plan will allow "out of network".
We do NOT see any patients with HealthNet RUBY PLANS or the newer Health Net Medicare Complement Plan (HMO).
We will not be seeing all PRIMARY Insurance plans of UnitedHealthcare , AARP Medicare Advantage starting October 1, 2022.
We will accept the Medicare Supplement plan/ secondary insurance offered by AARP.
Bring all of your insurance cards to each visit, every time.
ALERT: You are financial responsible to us personally if you have not updated your insurance with us and your insurance does not pay us.
Are you thinking about changing insurance plans this year?
We will NOT accept United Healthcare plans. Call them to check.
We advise you to contact a respected health insurance broker to discuss the impact of changing your health insurance at any time.
This will have tremendous impact on your access to treatments and your ability to pay your medical bills.
We also strongly suggest a secondary insurance plan or a Medicare supplement plan to help pay your portion.
Please investigate thoroughly and carefully.
Here are several of the insurance companies we accept (in alphabetical order).
AETNA Plans: We are contracted with AETNA.
Click HERE for Managing Your HealthCare Costs on your Aetna Website for members.
Go to the website below to conveniently and privately access everything about your health plan. Click the video site tour for help on navigating the website.You can learn to check your coverage, get claim statuses, find account balances, search for a doctor, update your address and more.
Click below, and you will be directed to Cigna's website:
Health Net Plans
We are 'out-of-network' for Health Net. Your payments to us will be higher. They will still pay us for your visit.
We do not accept Health Net's Medicare Advantage Plan THE RUBY PLAN
and do not accept the Medicare Complement HMO Plans.
They will not pay us for your visit here.
Please check HERE at Health Net's patient center.
MODA Health Plan offers comprehensive and clear-cut health insurance policies.
Check with MODA customer services for understanding your financial responsibility. If you have questions about treatment plans, they are the best source for the most up to date information on what your plan covers.
Our rheumatologists accept patients with MODA coverage plans.
Click HERE for myMODA for patients.
Pacific Source Health Plans
We accept patients that have medical coverage through PacificSource Health Plans. Call them to verify your medical options for treatment and your financial responsibility
or you may CLICK HERE for online tools for members.
Providence Health Plan
Providence Health Plan is easy for us to contact. Your responsibility is to call them directly should you have any questions about payment or treatments.
We accept all Lane County plans and some state plans. Providence Health Plans, Providence Medicare Advantage Plans, PEBB, Providence Choice Plans and more.
Click HERE for online tools for members.
We’ve developed a close relationship with the insurance representatives at Regence so we can help you handle any unforeseen difficulties that may arise.
Please take advantage of their skilled customer service reps for financial responsibility questions, billing or treatment questions.
Use their website HERE for a cost calculator and a member dashboard to track your deductibles; you can print a new insurance card.
Trillium Medicaid insurance: ACCEPTED.
Our clinic will NOT see UHC patients beginning
OCTOBER 1, 2022.
We will not abandon you as a patient.
We do not give insurance plan advice.
UHC Medicare Advantage plans—your primary Insurance
AARP Medicare Advantage plan—your primary insurance—is affected.
The medicare supplement plan by AARP will not be affected.
(Established patients should receive a text and email with details and exceptions.)
View the patient website for helpful tools and to view UHC links to find other rheumatologist/providers.
Information, links, tools and questions for patients on the website created for you and your family
University of Oregon Student Health Plan
Welcome U of O students! We will work with your U of O health insurance plan and other plans to provide you the best care during your time in Eugene.
If your insurance company is not on this list, please contact the company's customer support for your coverage questions.
The phone number is usually on your insurance card.
If our clinic physicians are not on your health plan, get in touch and we’ll find a way to take care of you.