Understanding Your Insurance Coverage
Kartini Clinic is contracted with a number of private health insurance plans. We are not contracted with OHP (Oregon Medicaid). out-of-state Medicaid or Medicare at this time.
But even if your insurance company doesn't consider Kartini Clinic a "preferred provider" in many cases we can assist you to obtain a Single Case Agreement from your insurer. Such agreements often provide the same level of benefits as regular contracts. So whether your insurer is contracted with Kartini Clinic or not, we will try to do everything in our power to help you. We will call your insurance company directly before your first appointment in an attempt to get accurate benefit information.
Kartini Clinic renders both medical and mental health services. Many medical insurance policies "carve out" (i.e. outsource) mental health benefit authorization and administration to a third party. We deeply regret this development in the insurance market because in our experience it leads to less coordination of care, more paperwork for families, and greatly increases the complexity of treatment. If you are considering a health plan, or have options through your employer, keep in mind that an insurance plan that takes care of all of your needs under one roof is probably preferable. This is certainly the case if you are seeking treatment for an eating disorder for yourself or a dependent.
A paper copy of your benefit information will be provided to you at your first appointment. If you have non-contracted insurance an estimate of your out-of-pocket costs will also be given to you prior to your first appointment. However, we recommend patients always verify any information directly with their insurer. As a service to our families Kartini Clinic will file all claims to you insurance company, regardless of insurance coverage. We also work directly with your insurance company to obtain any necessary authorization(s) for treatment.
If you have specific questions regarding insurance, please contact our intake coordinators at 503 249 8851.
