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Do you take my insurance?


Acupuncture insurance coverage at ECHO in Gladstone, Oregon

Understanding your insurance coverage before you begin

 

ECHO Acupuncture is in network with several major insurance plans in Oregon, including Regence (Blue Cross Blue Shield), Oregon Health Plan (OHP), TriWest, United Healthcare, and many others. 

 

Many plans cover acupuncture for pain-related conditions, pregnancy-related nausea, and select medical diagnoses. Coverage varies by plan and diagnosis, and we’re happy to help you understand your benefits before your first visit.

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We serve patients in Gladstone, Jennings Lodge, Oak Grove, Oatfield, Milwaukie, Oregon City, and surrounding areas.

In-Network Insurance Plans

 

We are currently in network with:

 

If your plan is listed above, we are likely in network — though benefits and coverage still vary by plan and diagnosis. If your plan name has a » symbol next to it, please click on it to learn more.

 

Please note that Wellness Acupuncture sessions are not billable to insurance. Insurance coverage applies to our Comprehensive Care tiers only.

Understanding Your Care Options »


For auto accident cases or workers’ compensation claims, click the links to learn more.​

Out-of-Network Coverage

 

Your plan may include out-of-network acupuncture benefits, even if we are not in network with your insurance. When these benefits are available, we can often bill directly for your care.

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Coverage varies from plan to plan. Some plans include a separate deductible for out-of-network services, which may affect how and when out-of-network benefits apply.

Auto Accidents

 

If you were injured in a car accident in Oregon and are seeking care for accident-related injuries, a medical referral is typically not needed to begin acupuncture care. In many cases, treatment is billed through your auto insurance claim rather than your health insurance.​​

 

Oregon auto policies generally include Personal Injury Protection (PIP), which helps cover reasonable and necessary medical expenses related to the accident, regardless of fault. PIP typically applies to eligible care within two years of the accident, up to $15,000—or your policy’s limit—unless those benefits have already been used.

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Learn more about care following an auto accident »

Workers’ Compensation

 

If your injury is work-related and you’re seeking care through a workers’ compensation claim, a referral from your authorized provider is typically required before beginning acupuncture treatment. In most cases, care is billed through your workers’ compensation claim rather than your health insurance.

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Workers’ compensation coverage is determined by your claim and the treatments that have been authorized. When acupuncture is included, it may cover care that is considered medically necessary for your injury, within the scope and duration approved.

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Learn more about worker's compensation care »

Regence (Blue Cross Blue Shield)

 

ECHO is in network with Regence Blue Cross Blue Shield plans in Oregon.

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Many Regence plans include acupuncture benefits for a wider range of medical conditions compared to other insurers. Coverage always depends on your specific plan and the condition for which care is being initiated.

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Please note: As an exception to the rule, Regence plans that route acupuncture benefits through Legacy Health are not accepted, as these plans do not currently provide in-network access to acupuncture services.
 

If you’re searching for an in-network acupuncturist who accepts Blue Cross Blue Shield in the Gladstone area, we’re happy to verify your benefits before your appointment.

Kaiser Permanente

 

ECHO is in network with Kaiser Permanente plans.

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If your Kaiser plan includes acupuncture benefits, you may be eligible for in-network coverage. Depending on your specific plan, visits may be self-referred or you may be referred from your PCP.

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If you’re unsure which applies to you, feel free to reach out beforehand — we’re happy to help confirm eligibility and next steps.

Oregon Health Plan (OHP)

 

We accept most forms of Oregon Health Plan (OHP), depending on your Coordinated Care Organization (CCO).

 

OHP covers acupuncture for specific diagnoses outlined by the state. Commonly covered conditions include:

  • Back and spine conditions

  • Migraine headaches

  • Osteoarthritis of the knee

  • Neoplasm-related (cancer-related) pain

  • Pregnancy-related conditions, including severe nausea, breech presentation (33–38 weeks), and back or pelvic pain

  • Substance use disorder, when part of a documented medical treatment plan

  • Tobacco dependence

  • Post-stroke depression

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A referral from your primary care provider is required for OHP.

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If you’re unsure which CCO you’re assigned to or whether your condition qualifies, feel free to reach out beforehand — we’re happy to help confirm whether we’re in network and review coverage details with you.

Military & Veteran Acupuncture Referrals

 

ECHO Acupuncture accepts referrals for active-duty military service members and veterans through TriWest and the VA Community Care Network (CCN).
 

If you have acupuncture benefits through the VA or a military-related health plan, treatment typically requires an approved referral or authorization before care can begin. Once your referral is in place, we can help confirm the details and schedule your visits.
 

To get started:

Please request an acupuncture referral for Dr. Evren Juniper at ECHO Acupuncture in Gladstone through your Primary Care Manager (PCM) or the VA Community Care Network (CCN). Once approved, you may contact ECHO with your referral details so we can help coordinate care, or the CCN may schedule you directly.

Care may include treatment for concerns such as pain, stress-related symptoms, headaches, musculoskeletal issues, and other covered medical conditions when authorized by your PCM or the VA.

Medicare

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Medicare Part B (Traditional Medicare)


At ECHO, Medicare Part B acupuncture billing is available only for chronic low back pain.

 

This benefit applies when:

  • Low back pain has lasted 12 weeks or longer

  • The pain is non-specific (not caused by cancer, infection, inflammatory disease, or another systemic condition)

  • It is not related to surgery or pregnancy

  • CMS diagnostic criteria are met

 

Coverage includes:

  • Up to 12 visits within the first 90 days of the initial visit

  • Up to 8 additional visits if clinically meaningful improvement is demonstrated

  • A maximum of 20 visits within a rolling 12-month period

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Medicare Part C (Medicare Advantage)


Medicare Advantage plans (Part C) are administered by private insurance companies and often provide broader acupuncture benefits than traditional Medicare.

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In-network Medicare Advantage plans at ECHO typically cover acupuncture for musculoskeletal conditions, including pain and neuropathy, as well as chemotherapy-induced nausea.

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We’re happy to verify your specific plan benefits prior to scheduling so you know exactly what to expect.

Using Insurance at ECHO

 

If you plan to use insurance:

  • Please book your appointment at least 24 hours in advance so we can verify benefits.

  • Benefits are verified as a courtesy once you’re scheduled.

  • Coverage varies widely by diagnosis and plan.

  • We also recommend confirming benefits directly with your insurer.

 

Many commercial insurance plans cover acupuncture primarily for pain-related diagnoses. Some plans also include coverage for pregnancy-related nausea or other specific medical conditions.

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For OHP, or care for active-duty military and veterans through TriWest and the VA Community Care Network (CCN), a referral from your primary care provider is required prior to scheduling.

 

Unsure whether your concern qualifies for covered care, or whether wellness acupuncture might be a better fit?

Understanding Your Care Options »

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