OHSU

Billing and Insurance

Our physicians bill separately from the hospital for services that they provide. Diagnostic tests, lasers, and surgeries may also generate a bill from the Oregon Health & Science University. The following policies refer to Casey faculty billing only.

Medicare

We are a participating group with Medicare, which means that we will bill for covered services and receive payment directly from Medicare. You will be responsible for your annual deductible and 20% coinsurance. Medicare does not cover routine eye exams, refractions or cosmetic services, so we may ask for payment on those transactions at the time of your visit. If you have supplemental insurance (Medigap), we will bill them as a courtesy if you provide the billing information to us. 

HMO/PPO Plans

If you are insured by a managed care organization, we ask for your participation in acquiring appropriate authorizations for services here. As specialists, most of our services require these authorizations in order for your visit to be covered by your plan. Should you wish to be seen without an authorized referral, we may ask you to pay for your exam at the time of service and ultimately you will be responsible for payment of the bill. Please provide your co-payment at the time of your visit; we accept cash, checks, Visa or MasterCard. 

Medicaid

Please show your eligibility card at each visit. Oregon Health Plan (OHP) requires authorization for every specialist visit. We request your assistance in obtaining these referrals from your primary care physician (PCP), as we cannot see you if you do not have a valid referral and may have to reschedule your appointment.

Private Insurance

If you are covered by another type of insurance plan, we will bill them as a courtesy for you. Please provide complete information so that we may do so. Many plans make payments based on usual and customary charges. This is an average of your insurance company's typical claims data for all specialties; our charges may not be paid in full. If you are here because of a work injury, please notify the receptionist so that we may file a claim with your employer's worker's compensation carrier.

Uninsured

Please do not let medical care lapse due to the fact that you might not have insurance coverage. We may ask for payment at the time of service and we also accept Visa and MasterCard. Our mission is to provide patient-centered care in an environment that is grounded in innovation and education.  Requests for financial assistance may be made at any point before, during or after the provision of care. Non-urgent care patients are required to apply prior to receiving services. OHSU offers Oregon residents an application process for determining initial interest and qualifications for financial assistance. However, financial assistance is not automatic. A patient or responsible party must apply for financial assistance to be considered. 

Vision Insurance

Ophthalmic services are provided for medical conditions as well as routine vision care. Please understand that health insurance does not cover routine vision services. If you have a vision insurance plan, please be sure to provide that billing information.

Insurance policies and health plans are very complex and individual. We make every effort to process your medical claims as quickly as possible. However, it is impossible for us to know the details of every health plan. Your plan administrator is the best source for information regarding your individual insurance coverage. Thank you for your understanding.

You will receive monthly statements of your account from our business office on any open balances. You may contact them directly to set up payment arrangements, or update your insurance information. They may be reached at:

University Professional Services
PO Box 3590 Portland, Or
97208
503 494-8417
800 752-4447