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20 Years of Experience Providing Real Thyroid Solutions
NW Functional Thyroid Clinic

Location

4926 SE Woodstock Blvd
Portland, OR 97206

Clinic Hours

M, W, Th: 9 AM – 6 PM
Tu: 9 AM – 12 PM

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Dr. Soszka is In-Network with Many Medical Insurance Panels

Dr. Soszka’s Clinic is in-network for the following insurance companies. Not every plan within a medical insurance company covers naturopathic or acupuncture services. Also, many policies will not cover the cost of supplements or specialized tests. Most medical spending or flex account do so (check the specifics of your plan). Check your benefits for deductibles, which may be different for alternative medical care.

BLUE CROSS/BLUE SHIELD (REGENCE, ANTHEM, PREMERA, AND FEDERAL)

BCBS has many health insurance plans. It is very important to confirm naturopathic and acupuncture benefits. This is especially true of insurance plans based in another state. Generally, if you have coverage for alternative medicine in one state you’ll have the same here in Oregon.
 

LIFEWISE

LifeWise only provides coverage for those living in Washington state. Make sure you have coverage for Oregon practitioners.
 

PROVIDENCE

Generally, Providence offers comprehensive coverage for most services. They sometimes require blood tests to be perform through the Providence system which is easy to accommodate. Acupuncture services are often very limited, often to 3 visits per year. In most cases, plans allow unlimited naturopathic visits.
 

PACIFICSOURCE

Most PacificSource policies cover naturopathic and acupuncture services. If you are covered, you will find Dr. Soszka’s information in the provider directory.
  

MODA/ODS

Dr. Soszka is in-network for MODA. Most plans cover naturopathic and acupuncture services. In reviewing coverage be sure to look at deductibles, visit and total coverage caps.
 

CIGNA:

Dr. Soszka is in-network for Cigna. Many plans cover naturopathic and acupuncture services. In reviewing coverage be sure to look at deductibles, visit and total coverage caps.

OUT OF NETWORK/NOT ACCEPTING

Dr. Soszka has closed his panel to new Kaiser/CHP patients.
As of 09/10/2021, Dr. Soszka has closed his panel to new United Healthcare patients.

Out of Network:

Dr. Soszka is out of network for the following insurances:
  • HealthNet
  • Aetna
  • Medicaid
  • Medicare

Medicare does not cover naturopathic or acupuncture services directly. However, there are some Medicare Supplemental Plans that may cover acupuncture and rarely naturopathic medicine. Check your benefits to be sure. 

CHECKING INSURANCE COVERAGE

Not every insurance plan covers naturopathic or acupuncture services. It is wise to contact your insurance company to confirm coverage for Dr. Soszka’s services. Many customer service representatives aren’t familiar with naturopathic medicine. So, always ask about plan exclusions. Naturopathic physicians use many of the same office visit codes as conventional practitioners.
 
Both naturopathic and acupuncture services may have limitations. Common limitations include conditions covered and treatment caps. Such caps are either a limited number of visits or a cost cap (e.g. $1,500 for “alternative care”). I recommend asking if limitations in coverage apply to your policy.
 
Typically, if you found Dr. Soszka’s name listed in your medical insurance directory of providers, then you are probably covered. Should your insurance not cover Dr. Soszka’s services, we have reasonable time-of-service fees.

IMPORTANT INSURANCE CAVEATS

Deductibles, copays, or co-insurance may apply. Payment is due at time of service. Fees will reflect in-network rates as applicable. It is recommended checking these details before establishing care.
 
If Dr. Soszka is in-network for your insurance plan, we are required to bill your insurance unless you sign a waiver. We cannot offer time-of-service pricing without this waiver.
 
As we are a small clinic we are not able to check insurance benefits on your behalf. We recommend that you either call your insurance customer service or perform an online benefits verification. 
 
Please bring your insurance card to your first appointment as we make a copy of your card.