INSURANCE & PAYMENT INFORMATION

Are you Under-insured or Uninsured?

When you arrive for your appointment at Virginia Garcia, our front office staff will enroll you as a patient. Because we are federally funded, you may qualify for a sliding scale discount based on your household income. To determine your eligibility for discounted services or to enroll you with coverage through Cover Oregon (Medicaid or Private Insurance), you will be asked to verify your household income. No one will be refused care for inability to pay.

Examples of proof of income include:

  • Check stub(s)
  • Tax Return
  • Social Security Checks
  • Income from self-employment
  • Alimony and/or child support
  • Public Assistance

Should we determine you’re eligible for coverage under Cover Oregon you’ll have the opportunity to meet with an Outreach Enrollment Specialist. The Outreach worker can walk you step-by-step through the enrollment process.

Proof of income is not a requirement to be seen in our clinic. However, you will be asked to pay the full fee for any services provided to you at the time of your visit.

Medicaid-Insured Patients

If you’re insured through Medicaid and have a Medicaid Open Card, you can be seen at any of our clinics. Those who have been assigned by Medicaid to a Managed Medicaid Plan must have a plan that is within the county where our clinics are located. We can assist you in changing your Managed Care Plan.

Medicare-Insured Patients

Virginia Garcia accepts Medicare and Medicare Advantage patients of all ages. We will ask for your co-payment by cash, Visa, MasterCard, or personal check. Patients with Traditional Medicare may apply for a discount to help with your 20% responsibility by bringing in proof of household income.

Private/Commercial Insurance

Virginia Garcia accepts all commercial insurance, unless you sign up for coverage through another provider (for example, Kaiser). If Virginia Garcia is not a preferred provider with your Insurance, we will still bill and receive payment from them and your cost will be the amount you pay for “Out of Network” services. We will ask for your co-payment by cash, Visa, MasterCard or personal check. You may qualify for a discounted rate by supplying us with household income. This may help with high deductibles or out of network co-insurance.  We cannot waive co-pays but we can reduce co-insurance amounts depending on household income level.

If you’re insured through Providence Medicaid and you want to receive care from Virginia Garcia, you can only be seen at our Beaverton Primary Care Clinic.