Learn about the insurance plans accepted at The Portland Clinic.
View a complete list of in-network insurance plans accepted at The Portland Clinic for 2024.
Uninsured Patients
The Portland Clinic requires self-pay patients to make a down payment at each office visit. A patient is required to pay $278.00 at their first appointment and $227.00 at each additional appointment. Patients are also asked to sign a waiver acknowledging this amount is a down payment and not a guarantee of payment in full, as your appointment may cost more or less depending on the services rendered.
Out-of-Network Plans
If you are covered under an out-of-network plan, you will be asked to sign a Waiver of Liability acknowledging that you are electing to be seen using your out of network benefits.
If The Portland Clinic does not have a direct contract with your health plan, you will be financially responsible for the full cost of care. Due to network and participation restrictions, The Portland Clinic is unable to be a primary care provider, place referrals, request authorizations or coordinate care for patients with non-contracted insurance plans. Exceptions will be made for emergency department (ED) referrals, single-case rate agreements negotiated in advance, and/or continued care with an on-call provider seen in the hospital.
Health Exchange
If you’re looking for coverage through the Oregon Health Exchange, we encourage you to visit OregonHealthcare.gov or call 1-855-268-3767.
The Portland Clinic is currently participating with the following health plans through the Health Exchange:
No Surprises Act
Under the governmental law, the No Surprises Act, effective January 1, 2022, gives uninsured patients and those who elect to be self-pay the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. Your health care provider should furnish a Good Faith Estimate in writing at least three business days before your scheduled medical service. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
As a patient, you have the right to initiate the patient-provider dispute resolution process if the balance owed is substantially more than the expected charges listed on the estimate. To find more information and start this process, go to www.cms.gov/nosurprises, call 1-877-696-6775, or use the patient-provider dispute form, linked here.