Health Insurance
Dr. Stefanie Krupp has been in network with most insurance plans in the Portland Metro area, but will be transitioning out of the insurance model in the coming months. If you are seeking only to use your insurance benefits for chiropractic adjustments, please use your insurance portal to locate another participating provider. If you are seeking Dr. Stefanie's expertise in resolving chronic pain and inflammation through individualized musculoskeletal and holistic care, let us know by text at (503) 656-1415 so we can help you get scheduled. If you have been referred by another healthcare provider or patient of Dr. Stefanie, please text us for appointment options.
Still accepting new patients:
- Moda
- PacificSource
- Blue Cross Blue Shield (Anthem, Regence, Premera, Fed Blue, etc)
- Healthcare Management Administrators (HMA)
Not accepting new patients:
- Aetna - not accepting new patients
- American Specialty Health - not accepting new patients
- Cigna - not accepting new patients
- GEHA - not accepting new patients
- HealthNet - not accepting new patients
- Kaiser / CHP - not accepting new patients
- Medica - not accepting new patients
- Providence - not accepting new patients
- United Healthcare (including UMR) - not accepting new patients
Some plans have out of network coverage. I am not currently in network with Medicaid or OHP Plans.
I am a participating provider with Medicare Part B, which only covers spinal adjustments for limited conditions. Other Medicare plans may cover more aspects of your chiropractic treatment.
Please reach out to your insurance company or review your benefit information so you know what is covered. Every plan is different and it is up to the patient to know their coverage and cover costs such as copays, coinsurance, and non-covered services. I will try my best to help navigate how your insurance handles chiropractic care and therapeutic services. I verify your insurance benefits prior to your first visit to find out the details about your chiropractic and therapy coverage and will contact you prior to your initial visit so you are informed about your coverage, too. Not all services and conditions are covered for chiropractic under insurance. This is especially true for Medicare plans.
Many insurance plans do not cover "maintenance", "tune up" or preventative chiropractic care. Maintenance therapy is defined (per Chapter 15, Section 30.5.B. of the Medicare Benefits Policy Manual) as a treatment plan that seeks to prevent disease, promote health, and prolong and enhance the quality of life; or therapy that is performed to maintain or prevent deterioration of a chronic condition. This may mean that depending on the reason for your chiropractic visit, your insurance benefits may not cover the cost of your care.
To help patients navigate the challenges of insurance coverage, I participate in the ChiroHealth USA network, which helps make chiropractic care more affordable.
Motor Vehicle Accident / Personal Injury
If you have been injured in a motor vehicle accident, you'll provide your medical claim information for your auto accident case at your first visit. This would include the insurance company, medical claim # (note this is likely different than your auto claim # - let your auto insurance company know you have been injured and are going to see a medical provider/chiropractor), your adjuster's name and contact information.
Self-Pay
For those that opt to pay for their visits without using insurance, if you've exhausted your benefits, or if your care doesn't meet the medical necessity guidelines for your insurance plan, I participate in the ChiroHealthUSA network to help keep ongoing chiropractic care more affordable.
