Insurance Coverage

Does Health Insurance Cover Naturopathic Medicine?

In Oregon, most commercial health insurance companies offer plans that cover office visits with naturopathic doctors. Naturopathic doctors are licensed medical providers in the state of Oregon, so many insurance companies cover naturopathic medical services in the same way they cover a visit with any other type of physician. With that said, health insurance plans vary greatly even within the same insurance company, so it’s important to be familiar with your own health insurance benefits before seeking care.

How to Check Your Benefits for Naturopathic Medicine

If you’d like to find out if your insurance company will cover naturopathic medical services, here are a few things you can do:

  • Read more about insurance coverage of naturopathic physicians in Oregon from the Oregon Association of Naturopathic Physicians
  • Review your policy
    • If you have an HMO plan you may be limited to seeing providers who work for that company (for example Kaiser). In most cases these plans will not cover naturopathic physicians.
    • For other types of plans, unless your policy limits the definition of physician to specific types of health care providers other than naturopaths, by law you should be covered for naturopathic medical services.
  • Call your insurance company
    • Ask if your policy covers services that are performed by a licensed naturopathic physician. If they are unsure, you can ask if your policy specifically excludes naturopaths as covered providers in its definition of physician.
    • Ask if your policy covers naturopathic physicians as specialists or as primary care providers (PCP). This difference may effect your copay and whether or not the cost of the visit is applied to your deductible.

If your health insurance policy does not cover naturopathic medical services, you may be able to modify your policy or switch to another plan. Talk with your insurance representative about the options available to you.

What Insurance Plans is Dr. Burke In-Network With?

Dr. Cori Burke is a preferred provider with most major commercial insurance companies including:

  • Aetna
  • American Specialty Health (ASH)
  • BridgeSpan Health
  • Cigna
  • HealthNet
  • MODA/ODS (Connexus and Synergy plans ONLY)
  • Optum
  • Pacific Source
  • Providence
  • Regence / Blue Cross Blue Shield
  • Regence Medicare Advantage Plans
  • United Healthcare (NOT United Healthcare Community Plan/Apple Health/Medicaid Plans)

Dr. Burke is also able to provide care for patients with CareOregon (Oregon Health Plan / OHP) as an out-of-network provider, however she is not a primary care provider (PCP) for OHP plans.

Specific plans vary within companies, so be sure to check with your insurance provider to ensure that Dr. Burke is a covered provider in your network.

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