The list below is provided for reference and is subject to change without notice. Keep in mind that your provider may not be contracted with all insurance companies listed below within their service area. Please contact your insurance company directly to verify that your provider, or our group (Neurotherapeutic Pediatric Therapies), is in network with your specific plan. Questions can be directed to our Lead Insurance Specialist, Yvonne Schmitz at [email protected].
Occupational, Physical, and Speech Therapy
- Aetna
- Care Oregon
- Cigna
- Columbia Pacific CCO
- DMAP
- Healthnet Federal Services (HNFS) TriCare
- HeathNet
- Intercommunity Health Network
- Kaiser (OT Only)
- Moda
- OHSU-Tuality Health Plan – HealthShare
- PacificSource Commercial
- PacificSource Community Solutions
- PeaceHealth (PPO)
- Providence – HealthShare
- Providence Commercial
- Regence
- Samaritan Intercommunity Health Network (McMinnville Location Only)
- Trillium Community Health Plan
- Yamhill Community Care Organization (YCCO)
Mental Health Therapy
- Aetna
- Beacon Anthem EAP
- Care Oregon – HealthShare
- Columbia Pacific CCO
- DMAP
- Evernorth Behavioral Health aka Cigna
- HNFS TriCare
- Kaiser
- Moda
- Pacific Source Commercial
- PacificSource Community Solutions
- Providence – HealthShare
- Providence Commercial
- Regence
- Samaritan Intercommunity Health Network (McMinnville Location Only)
- Trillium Community Health Plan
- United Behavioral Health
- Yamhill Community Care Organization (YCCO)
Naturopathic Doctors
- Aetna
- Care Oregon
- Cigna (Dr. Gesik only)
- DMAP
- HealthNet
- Moda
- OHSU – Tuality Health Plan – HealthShare
- PacificSource Commercial
- PacificSource Community Solutions
- Providence – HealthShare
- Providence Commercial
- Regence
- Trillium Community Health Plan (Dr. Watters only)
- United Healthcare
- Yamhill Community Care Organization (YCCO)
Neurotherapeutic Pediatric Therapies has instituted a 24-hour notification policy for cancelling all in-clinic and telehealth appointments. In the event that you are unable to keep your/your child’s scheduled appointment, we ask that you contact our office as soon as possible. This will allow us the opportunity to manage our schedules and to offer available appointment times to another client; it also prevents unnecessary treatment set-up and planning by your/your child’s provider. Click the button below for a copy of our Cancellation and Attendance Policy.
To cancel or reschedule Occupational, Physical, and Speech Therapy appointments call:
- Oregon City: 503-657-8903
- NE Portland: 503-257-3878
- McMinnville: 971-261-2159
- Wilsonville: 503-855-3223
- Canby: 503-263-8903
- Hillsboro: 503-747-5359
To cancel or reschedule Mental Health and Medical appointments in all locations call:
- 503-372-5147 ext. 6
If you/your child is not well, please give us as much notice as possible when canceling their appointment. We do not want illness to spread to others. Special needs and medically fragile children need you to stay home and/or keep your child at home when either of you are sick.
Please stay at home if you/your child have:
- Vomited or had diarrhea in the past 24 hours
- A rash, lice or nits
- Strep throat or ear infection (until at least 24 hours after starting antibiotics).
- An eye infection
- A fever over 101 degrees
- A sore throat for multiple days
- May find it difficult to participate in a therapy session
*Additional policies may be implemented in accordance with state and local guidelines in the case of infectious outbreak. If you have questions regarding this health policy, please ask your provider or contact our Medical Director, Dr. Amanda Watters.
For occupational therapy, physical therapy and speech therapy evaluations, the evaluating therapist works directly with your child and will ask questions of both you and your child depending on your child’s age. There will be lots of movement on equipment and mostly fun activities. There may be some table top activities, or range-of-motion measurements.
Our therapists are experts at getting the information that they need out of seemingly routine kid centered activities. Most kids enjoy the initial evaluation. The evaluation will last from 30 minutes to 1 hour depending on what is scheduled. At the end of the appointment, the therapist will be able to identify if further treatment is recommended.
At the end of the evaluation appointment, you will be notified if further treatment is recommended.
If your insurance company requires additional information from your doctor and/or a prior authorization request for services, we will obtain and the required paperwork (evaluation, plan of care and doctor’s orders) and fax it to your insurance company for you. Your insurance company will then decide if they will authorize services for your child and, once we receive authorization, we will contact you immediately to schedule treatment.
If no authorization is required, our scheduler will work with you to schedule recommended treatment appointments at the time of the evaluation.
Clients are asked to pay their copay or payment for services at the time of treatment. You should be notified at the time of your visits what the amount of your payment should be. If the office staff doesn’t mention it – please ask.
We like to work together to eliminate surprises and we are happy to answer questions!
Yes!
We are committed to providing the best possible care, and that also includes filing insurance claims to your insurance company for therapy services. We are in-network with many insurance companies, and even if we are not, therapy services may still be covered at an out-of-network rate. We work closely with our clients to best utilize their existing insurance benefits. If no insurance is available, we accept cash, checks, Visa and MasterCard as payment for services.
The deductible is the amount you are required to pay before your insurance begins payment. Deductibles vary in size and may renew at either the calendar year or plan year depending on your individual policy.
If you have a deductible and have not met it, payment is expected at each visit until your deductible is met.
Some insurance contracts require you to pay a certain dollar amount each visit. This amount is called a co-pay. Co-pay amounts can vary, depending on your individual policy.
Co-pays are expected to be paid upon your arrival each visit.
This is the percentage that your individual policy requires you to pay of the allowed or contracted amount.
We will bill you for your co-insurance amount once we determine what your carrier allows per visit. Keep in mind that some plans may have a co-pay, co-insurance or both.
Occupational, Physical, Speech Therapy and Mental Health Services
Most insurance companies do help cover the cost of therapy services.
We will help you receive the maximum allowable benefits through your insurance carrier and, as a courtesy to our clients, our insurance specialist will contact the insurance company to verify benefits. While we are not able to guarantee coverage, we are committed to helping you understand your plan’s benefits and assist in utilizing the existing benefits available.
Naturopathic Medical Program
Please contact our Insurance Specialist at 503-263-8903 for additional information about coverage for naturopathic medical services.
It is your responsibility to be informed of your insurance benefits prior to the initial visit.
Contacting the insurance company directly will help you to better understand your plan and how benefits may be applied. The customer service number is usually located on the back of the insurance card. Below are a some questions to ask your insurance company that may help you better understand your plan and coverage for services.
Even if we are not contracted with your insurance company, we can still file claims for therapy services which may still be covered at an out-of-network rate. If you are out of benefits, we have cash or credit card payment options available as well.
We want to work with you to find a solution! Call or talk with us to discuss options available for your family.
Telehealth is just like a regular therapy or medical appointment, but it’s done by either a live video connection over the internet or by a phone call (phone call option is Mental Health and Medical only).
Telehealth is a great option for when coming into the clinic isn’t feasible. It allows for consistency in therapy and/or medical services. You can receive excellent services from the comfort of your home!
Telehealth can be a good option for a wide range of ages. For young children, parents will need to set-up the Telehealth session and, depending on the type of appointment/service, participate in the session.
It may not be a good fit for clients who struggle to stay in one place.
To utilize video Telehealth appointments, you will need a computer, tablet, or phone with a camera and High Speed Internet. Headphones may be helpful for sound quality.
If you do not have access to high-speed internet, check with your local providers. Some companies may provided discounted rates during the pandemic.
We use a combination of secure video conferencing platforms for Telehealth services.
- Occupational, Physical, and Speech Therapy: Fusion Web Clinic
- Mental Health Therapy: TherapyPortal
- Medical Program: ChARM
Once your appointment is scheduled, we will send you more information on getting ready for your appointment and how to access your telehealth appointment link.
