What insurance do you accept?

Most of our providers are currently contracted with major insurance companies including but not limited to Aetna, Blue Cross Blue Shield, Regence, Cigna, Moda, Pacific Source, and Providence. Additionally, many insurance companies have an out-of-network benefit and in some cases it may be the same or similar to the in-network benefit.

We are non-participating with Medicare and out-of-network with United Health Care and Kaiser.

As a courtesy, Equilibrium will bill your insurance on your behalf. Insurance information given to Equilibrium by your insurance company is not a guarantee of payment. This includes information provided about covered treatments, copays, coinsurance, deductibles, and pre-authorizations.

It is your responsibility to read your own policy, know your coverage, and review the explanation of benefits statements regarding payments. Please remember your insurance policy is a contract between you and the insurance company. We cannot guarantee payment of your claims. It is ultimately your responsibility to pay for any balance not paid or covered by insurance. Any charges that are not covered by the given insurance company will be billed to you.

What is a copay versus coinsurance?

A copay is a set amount that you are responsible for per visit and they generally range from $10 to $70.

Coinsurance is a percentage of the amount an insurance plan allows; they usually range from 5% to 50% depending on whether or not the doctor is contracted with that insurance company. A coinsurance applies after you meet your deductible, if it applies. Prior to meeting your deductible, insurance will sometimes pay a small amount but usually you are responsible for the full amount they allow until your deductible is met. 

What is a deductible?

A deductible is set at the beginning of a calendar or plan year and the amount depends on your insurance plan.  This amount is what the patient is responsible for until the deductible is met.  Sometimes the deductible applies before the insurance plan will pay anything and sometimes it is waived on certain services. If your insurance plan has a deductible that applies to the services you receive here, we will take payment based upon charges incurred for the day up to your deductible amount.

What if I don’t have insurance?

For patients without insurance or for whom our services are not covered by insurance, our providers are participating in a program that allows us to offer rates discounted from regular medical billing rates to patients who become members of the program. Click here for more information.