ALL MEDICAID PATIENTS AND REFERRING PROVIDERS PLEASE READ
Effective March 1st, 2019, we can no longer treat Medicaid patients at Willamette Pain and Spine Center. Although we have not been direct Medicaid providers in over 4 years, we have been able to help in the treatment of commercial patients under the Oregon Health Plan. The guidelines have changed and the Oregon Health Plan will no longer cover office visits or care as we are not in-network.
What this means is that we will need to refer patients back to their Primary Care Providers (PCP) as the Oregon Health Plan requires that a new referral be submitted via the PCP to become established elsewhere. Please feel free to read the letter here that we’ve provided to our patients explaining why and answering some common questions. Thank you for your understanding during this time of transition.
Now Accepting Insurance from a Variety of Health Care Providers*
Paying out of pocket can be a hardship when unexpected medical needs arise. The purpose of insurance is to enable you to obtain the very best care at any given moment, so you can regain and maintain your health and well-being. For this reason, our team has made it a priority to work with a wide variety of health insurance providers. Our goal is to accommodate each and every patient who approaches us seeking treatment, without payment being a barrier.
In order to provide you with the best possible care, Willamette Pain and Spine Center is happy to contract with the following insurance providers:
- Aetna, Aetna Medicare
- Blue Cross Blue Shield, BCBS Medicare and Bridgespan
- Cigna, Greatwest
- Coventry Health Plan
- Health Net, Health Net Medicare
- HRNW (Healthcare Resources NW)
- Humana, Humana Medicare
- Medicare and RR Medicare
- MODA Health (formerly ODS) ( We are OON with OHSU PPO but still accepted)
- Pacificsource (if Legacy Plan/Network, Only contracted with Legacy+ Employee Plan.)
- PHCS (Private Health Care Systems), Multiplan
- Providence, PPO, Medicare**, and Providence Connect (with an insurance referral)
- Prime Health
- Secure Horizons
- Triwest (with an insurance referral)
- ***WE DO NOT ACCEPT OREGON HEALTH PLAN MEDICAID UNDER ANY PLAN***
Dr. Mirchandani is accepting Motor Vehicle (MVA) and Work Comp cases!
If you have any questions or do not see your insurance provider listed above, please call our office regarding participation. We would be happy to discuss applicable coverage’s with you.
*Although Willamette Pain and Spine verifies eligibility and benefits, it ultimately is our patients’ responsibility to verify network participation with your group health plan. Although the list above is current, there are many sub-networks that Willamette Pain and Spine is not participating in.
If you are an existing patient who does not have current insurance coverage, the self-pay price is as follows:
Follow-up visit: $220
We do not see new patients without a physician referral.
Please contact the office for any questions or concerns.