Patient Resources

Commercial Insurance

Northwest Primary Care accepts all major insurance plans, as well as most motor vehicle insurance and workers’ compensation carriers. If you do not see your individual insurance plan listed here, please call our business office, at 503.659.4777. For information about the Medicare plans we accept, click here.

  • Aetna
  • Cigna
  • Family Care CCO (May 2015 currently closed to new patients)
  • First Choice Health Network
  • Coventry/First Health Network
  • Health Net
  • LifeWise
  • MHN Network
  • MultiPlan/PHCS Network
  • Moda Health
  • United Healthcare
  • PacificSource Health Plans
  • Providence Health Plans
  • Regence Group Plans
  • Blue Cross HMA
  • Federal Blue Cross
  • Participating (PAR) Network
  • Preferred Provider Plan (PPP) Network
  • PEBB Choice
  • PEBB Statewide

Referrals

Our Health Plan Office will be happy to assist you with the referral process and to verify the proper paperwork has been submitted, as well as any questions you may have about referrals. If your insurance company requires a referral for non-urgent specialist visits, hospitalization, medical equipment, or other services, you must acquire a referral prior to receiving services. Separate referrals are usually required for follow-up visits, as well as diagnostic and surgical procedures, so check with your carrier before receiving these services.

Important Insurance Information

Your insurance plan determines which specialists and hospitals are in-plan. Since Northwest Primary Care does not make this determination, it is important that you contact your insurance carrier to verify that your referral is for an in-plan provider. This will ensure that you are not referred to an out-of-plan specialist or hospital, which could result in higher costs to you. If you are covered by Secure Horizons, Providence Medicare, Family Care, or Premier Care, please contact our Health Plan Office and we will initiate the referral process for you.

Contact Information

Health Plan Office
503.353.1282
12300 SE Mallard Way, Suite 160
Milwaukie, OR 97222

Health Plan Office Hours
Our Health Plan office is open Monday through Friday, from 8:00am to 5:00pm.

Our Mailing Address
Northwest Primary Care
PO Box 22075
Milwaukie, OR 97269

 

Frequently Asked Questions

How long will it take to process my referral request?

It generally takes 7 to 10 business days to process non-emergency referral requests.

How will I know when my referral request has been approved?

Our Health Plan Office or your insurance company will notify you by letter or telephone when your referral request has been approved.

When can I schedule my appointment?

You may schedule your appointment as soon as you receive notification that your referral request has been approved.

How soon can I expect to hear back from you after making my referral request?

We usually process referral requests within 7 to 10 business days. If you have not heard from us regarding your referral within 10 days, please call our Health Plan Office at 503.353.1294, and we will be happy to assist you.