Cost of Care

Fees are listed as ranges to account for variability based on services provided, visit length or clinical complexity, and insurance coverage. 

Visit Fees 

New Patient Visits (60-90 minutes): $400-$450 

Follow-Up Visits 

  • Standard visits (45–50 min): $250- $325 *most visits

  • Short visits (15–30 min): $105– $175  *rare or infrequent

  • Extended or complex visits: $325- $400 *longer (60+ min) or complex visits, or visits that combine medication management with psychotherapy.

How Billing Works 

  • Listed fees reflect the amounts used for medical billing and insurance claims. 

  • Final charges depend on services provided, visit length or clinical complexity, and insurance coverage. 

  • If using insurance, your cost is determined by your specific plan (e.g., deductible, copay, coinsurance).

  • If paying out-of-pocket (self-pay), you are responsible for the full visit fee (or discounted rate, if applicable).

Self-Pay, Discounts, and Accessibility

Time-of-Service Discount: Self-pay or uninsured patients will receive a 20% time-of-service (TOS) discount when paying in full at the time of the visit. 

  • Discounted TOS pricing is available due to reduced administrative time and costs when insurance billing is not involved.    

  • Patients with insurance who choose to self-pay may or may not be eligible for TOS discount, depending on insurance plan and payer rules. 

Sliding Scale Rates

  • Sliding scale/adjusted visit fees may be available for eligible patients to help make care more accessible. More information coming soon. 

Questions About Cost 

If you’d like an estimate of what your visit may cost, I’m happy to discuss this with you ahead of time whenever possible.

Insurance Coverage

In-Network Insurance Plans

I am currently in-network with:

  • Moda

  • Regence/ Blue Cross Blue Shield (BCBS)

Note: If I’m not in-network with your insurance, I would be considered a non-contracted provider, and visits would be considered out-of-network (OON). Typically, this means that you would need to pay for visits upfront. See the “Out-of-Network or Uninsured” section below for more info.

Insurance Plans I’m Working to Join

Oregon Health Plan (OHP / Medicaid) CCOs or plans:

  • CareOregon (physical health plan) - Unable to get a contract, but will soon be able to bill CareOregon as a non-contracted provider (likely April).

  • Trillium Community Health Plan - Unable to get a contract; may be able to bill as a non-contracted provider with additional steps (e.g. prior authorization).

At this time, I may be able to bill certain OHP plans, depending on your specific coverage and my current enrollment status. If you have a plan that I’m unable to bill, you may choose to work with me on a self-pay basis. Please note that you always have the right to get care at no cost from an OHP-contracted provider (including most Amenda Clinic providers).

If you choose to work with me and request to pay for a service OHP normally covers, Oregon rules require us to complete the official OHP Agreement to Pay form before visits. More detailed info is available upon request.

Out-of-Network or Uninsured Options

If your plan includes out-of-network (OON) benefits:

  • You may pay for visits upfront, and I can provide a superbill for you to submit to your insurance for possible reimbursement.

If you don’t have insurance, your insurance doesn’t cover naturopathic physicians, or your plan does not include OON benefits:

  • Visits are available at the self-pay rates listed above; or

  • A limited number of sliding scale spots may be available for those who are eligible. (More info coming soon.)‍ ‍

Future Insurance Coverage

If I become in-network with your insurance plan in the future, coverage will apply only to visits scheduled after the contract becomes active. Most insurance plans do not allow retroactive billing; if your specific plan does, please let me know.

Checking Your Insurance Benefits

If you have insurance, I recommend contacting your insurance plan to help you understand your benefits. If I am currently contracted (aka in-network) with your insurance plan, here are some questions you can ask to better understand your benefits:

  • Does my plan cover office visits with a licensed naturopathic doctor?

  • Do I have a deductible to meet before my plan will cover these services? If so, how much of it have I met?

  • What is my co-pay or co-insurance amount per visit?

  • Is a referral or prior authorization required?

  • Are there limits on the number of visits or total coverage per year?

If you have insurance, but I’m not contracted with your insurance plan, I would be considered a “non-contracted” or “out-of-network” (OON) provider. In that case, here are some questions to ask your insurance plan:

  • Does my plan have out-of-network (OON) benefits for office visits?

  • Are office visits with a licensed naturopathic physician (ND) eligible under those OON benefits?

  • Is there an out-of-network deductible, and how much of it have I met?

  • If I see an out-of-network provider, what portion of the cost am I responsible for?

  • Is prior authorization required for out-of-network visits?