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PAYMENT OPTIONS

At Functional Foundations, we recognize the importance of offering flexible payment options to help families plan confidently for their care. Our commitment is to ensure no family is surprised by unexpected bills after receiving our services.

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We are credentialed with a wide range of insurance providers, including but not limited to:

  • PacificSource Community Solutions

  • PacificSource Health Plans

  • Oregon Health Plan (OHP)

  • Trillium

  • Moda

  • Providence

  • Kaiser Permanente

  • United Health Care

  • Regence BlueCross BlueShield of Oregon

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Before scheduling an appointment, we encourage you to check with your insurance provider about your therapy benefits. Our team is here to discuss your needs and explore options, ensuring you find a plan that works for your family. Together, we'll create a treatment plan that aligns with your budget, and we are committed to providing you with the highest quality care, regardless of your coverage. 

INSURANCE REIMBURSEMENT - HOW IT WORKS

Understanding the insurance reimbursement process can help you plan and manage your therapy services. Here's how it works:

  1. Verify Your Coverage: Before starting therapy, we recommend reviewing your insurance policy to confirm coverage for therapy services.

  2. Eligibility Check: Once you complete the intake paperwork, we'll contact your insurance provider to verify your eligibility and benefits.

  3. Prior Authorization: If your insurance requires prior authorization, we'll handle the submission of all necessary documentation. Please note that authorization may take several days or even weeks to process after your initial evaluation.

  4. Scheduling Visits: Therapy sessions will be scheduled only after authorization has been approved to ensure coverage.

  5. Billing Process: After each session, we'll submit billing to your insurance company. Copays are due at the beginning of each visit, and you are responsible for any remaining balances not covered by your insurance.

  6. Out-of-Network Options: If we are not credentialed with your insurance provider, you can explore our fee-for-service options. We are happy to provide a superbill for you to submit to your insurance for potential reimbursement, or we can submit claims on your behalf for reimbursement to be sent directly to you.

  7. Case Manager Support: For families with children who have complex medical needs, many insurance companies offer case management services. A case manager can serve as your advocate and direct point of contact with the insurance company.

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If you have any questions or need assistance navigating the insurance process, we're here to help!

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