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-   -   Providence Health Plan (Personal Option) Oregon (https://www.adrsupport.org/forums/showthread.php?t=7393)

Kristy 04-26-2005 04:16 PM

Does anyone have any feedback at all on any attempts to have Charite ADR in the State of Oregon at all? Also am wondering if anyone has yet had the experience of dealing with the Providence Health Plan insurance company specifically Oregon or Providence anywhere for that matter have not read about anyone being approved or denied. Any info greatly appreciated.

Harrison 04-26-2005 07:44 PM

Kristy, it is a carrier-dependent issue as you may know. Have you contacted any Charite' approved surgeons? I found this from the locator on my site - http://www.charitedisc.com/charitedev/domestic/locator/


DePuy Spine CHARITÉ™ Artificial Disc Trained Surgeon Locator
Search Results

OR

David Adler
Columbia Neurosurgical Associates

1040 NW 22nd Ave, Suite 360
Portland, OR 97210
Phone: 503-796-2743


David Antezana
Microneurosurgical Consultants

9155 SW Barnes Rd #440
Portland, OR 97225
Phone: 503-297-3766


Mark Belza
2200 ne neff road
2435 nw todd`s crest
Bend, OR 97701
Phone: 541-382-4321


John Delashaw
3181 SW Sam Jackson Park Rd, L472
Portland, OR 97207
Phone: (503) 494-7737


Edmund Frank
OHSU

3181 SW Sam Jackson Rd, L-472
Portland, OR 97201
Phone: (503) 494-0371


Catherine Gallo
Neurosurgery Group

1200 Hilyard, Ste S-530B
Eugene, OR 97401
Phone: 541-686-3791


Kent Grewe
Northwestern Neurological Associates

501 N. Graham, Ste 545
Portland, OR 97227
Phone: 503-413-2200


Robert Hacker
Oregon Neurosurgery Specialists

1426 Oak St.
Eugene, OR 97401
Phone: 541-686-8353


Robert Hart
3181 SW Sam Jackson Park Rd, PPV 430
Portland, OR 97207
Phone: (503) 494-5050


Loren Jenkins
Kaiser Permanente

Mt Talbert Clinic 10180 SE Synnyside Rd
Clackamas, OR 97015
Phone: 503-571-8164


Timothy Keenen
Pacific Spine Specialists PC

19260 SW 65th Ave, Ste 270
Tualatin, OR 97062
Phone: 503-885-9391
Fax: 503-885-8946


Jordi Kellogg
9200 SE 91at Ave Suite 340
Portland, OR 97266
Phone: 503-256-1462


Scott Kitchel
Orthopedic Spine Assoc., LLC

1426 Oak Street
Eugene, OR 97401
Phone: (541) 393-0100


Andrew Kokkino
Oregon Neurosurgery Specialists

1426 Oak St
Eugene, OR 97401
Phone: 541-686-8353


Todd Lewis
Good Samaritan

3640 NW Samaritan Dr., Suite 160
Corvallis, OR 97330
Phone: 541-757-9021


Michael Liu
Willamette Neurosurgery

1390 Liberty Street SE
Salem, OR 97301
Phone: (503) 566-5670


Matt Mermer
Oregon Coast Spine

1705 Ocean Blvd
Coos Bay, OR 97420
Phone: 541-269-8111


Oisin O`Neill
St. Vincent`s

9155 SW Barnes Road
Ste 440
Portland, OR 97225
Phone: 503-297-3766


Glen O`Sullivan
Ashland Orthopedic Associates

269 Maple Street
Ashland, OR 97520
Phone: 541-482-4535


Dara Parvin
Oregon Coast Spine

1705 Ocean Blvd
Coos Bay, OR 97420
Phone: 541-269-8111


Timothy Treible
135 ne 102
Portland, OR 97220
Phone: 503-255-5388


Kasia Van Pett
Neurosyrgery Clinic

655 E 11th Ste. 4
Eugene, OR 97401
Phone: 541-434-6328


Jung Yoo
3181 SW Sam Jackson Park Rd, PPV 430
Portland, OR 97207
Phone: (503) 494-5050

Kristy 04-28-2005 10:51 AM

Thank you Harrison I will make contact and see if I can find out anything. Really appreciate your time.

David 04-28-2005 11:06 AM

Thanks for the link as well!

David

Kristy 04-28-2005 05:41 PM

Quick update on the Providence Personal Option coverage in Portland, Oregon. I phoned the Providence provider Charite' approved surgeons that are listed and it does not look good Portland! Not one of them (that is on Providence Personal Option Directory at least) has actually done an ADR with Charite' they have been to the training and thats where it ends. The problem from what I could get out of the very busy assistants appears to also be with the Hospital facilities as well as the insurance companies. We are facing issues with our insurance covering us or not but beyond that the actual Hospitals have to negociate the actual costs of the surgery to each facility and decide if what the insurance company will reimburse for that service is adequate. So far outside of OHSU (Oregon Health Sciences University which of course is not covered under Providence) I didn't find information that any Hospital in Portland has gotten beyond the point of even negotiating reimbursement with insurance companies which has to happen before anyone can even be approved to be covered for this ADR.

Hope this all changes soon or that I just didn't get anyone that was helpful enough and things are not as bad as they seem with moving forward with the ADR in my area.

Good Luck to all,
Kristy


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