Insurance Information

If you plan on using insurance for your visits fill out the Insurance verification Form

If you would like to be considered for sliding scale fee schedule we will send out a questionnaire in the patient portal that MUST be filled out before your first appointment.

OUR OFFICE BILLS INSURANCE CLAIMS AS A COURTESY TO OUR PATIENTS.

WE ARE NOT RESPONSIBLE FOR HOW YOUR INSURANCE BENEFITS ARE RENDERED BY YOUR INSURANCE COMPANY.

Natural Elements Medicine/ Dr. Zia L Robles Hernandez is contracted in select plans with the following insurance companies:

CIGNA
MODA: Connexus, Beacon, OHSU PPO, Community Health Care Network, and Connexus Alternative Care
Pacific Source (Reliant Health)
Providence Health Plans
Regence Blue Cross Blue Shield
UnitedHealthcare
Several medicare PPO ADVANTAGE plans

Forms

Use the form below to verify your insurance benefits PRIOR to setting up first appointment.

NEM Insurance Benefit Verification Form Verificación de Beneficios de Seguro

INSURANCE BILLING

NOTE: – it is your responsibility as the policy holder to know what your benefits, deductibles and coverage level is PRIOR to scheduling a meet and greet with Dr. Zia. If you have ANY questions regarding your benefits, please direct them to your insurance company.

OUR OFFICE BILLS INSURANCE CLAIMS AS A COURTESY TO OUR PATIENTS.

WE ARE NOT RESPONSIBLE FOR HOW YOUR INSURANCE BENEFITS ARE RENDERED BY YOUR INSURANCE COMPANY.

Your insurance policy should provide you with a plan summary that contains your copay, deductible, and general coverage information.

PLEASE DO NOT ASK OUR STAFF QUESTIONS ABOUT YOUR SPECIFIC POLICY COVERAGE.

For Out of Network Plans: We can submit your claim directly OR provide you with a superbill for insurance reimbursement upon request.

Medicare (Part A and B) and Medicaid (OHP): Neither of these programs credential naturopathic doctors; however, Dr. Zia is able to extend a financial hardship discount

OHP participants: Natural Elements is not able to bill OHP for services rendered - please print and fill out this Form (or send electronically) in addition to our consent forms.

Medicare Part A & B Do Not Cover Naturopathic Treatment

Good News!😁 Some Medicare Advantage Plans Do!

Medicare Advantage Plans are an alternative to Original Medicare and often provide additional coverage that Medicare Supplement Plan (Medigap Plans) DO NOT.

Many Plans provide some level of Benefits for Naturopathic treatment and can save you money.

Contact a knowledgeable Insurance Agent to find out which plans provide the benefits you need!

📣 Call to Action!

IF your insurance company does NOT cover naturopathic medicine:

You can file a complaint to the Insurance Division of Oregon if your insurer:

Denies a claim for a service provided by your ND if they would cover it if offered by another provider.
Doesn’t cover mandated routine preventive services because it’s performed by ND.
Count labs and diagnostic imaging against your maximum anual cap for “alternative benefits”.
Covers and office visit but refuses to cover a pharmaceutical prescription order because it was ordered by an ND.
Refuses to cover labs or diagnostic imaging where it would be covered by another provider.
Any other practice you think is discriminatory.

You can file:

Online
Call 888-877-4894, select Life and Health option.