Insurance

Salem Pain and Spine Specialists requires a referral from a treating health care provider prior to scheduling any new patient consultation. This requirement applies even if your insurance plan does not require a referral, as it helps confirm that SPSS can appropriately evaluate and treat the condition for which you are seeking care.

The physician-to-physician referral must include an evaluation of the specific area of pain you would like to be seen for, along with any relevant imaging and supporting medical records. This may include chart notes such as physical therapy reports, neurosurgery consultations, or records from previous pain management providers.

To help streamline the evaluation and treatment planning process, we ask that referrals focus on one primary area of pain at a time.

SPSS is currently scheduling patients with the following insurance:

Atrio

Auxiant Health (FCHN)

Aetna

Champ VA

Cigna

EBMS (First Choice Health Network)

FCPID/FCHN

GEHA

HealthNet

HealthNet Med Advantage (Wellcare)

HMA (BCBS network)

Kaiser (only If Added/Dual Choice using FCHN as tier 2 benefits)

Moda

Pacific Source (Commercial)

Providence EPO/PPO

Providence Med Advantage

Providence Health by Collective Health

Providence Medicare Supplement

Regence BCBS

Surest

Tricare for Life

TriWest Healthcare Alliance

Tricare (active duty and retired)

UMR (If in Providence Preferred or UHC network)

United Health Care (Commercial)

Work comp (only for claims where injury was in Oregon and SPSS will not take over as attending physician) (approval has to be in place)

WPS VACAA (approval from VA must be in place to SPSS before we can schedule)

 

*Please note that effective January 1st, 2027, our panel will be closed to all UHC Medicare lines of business. This does not affect patients with UHC Commercial plans.

*SPSS will NOT bypass any active insurance and accept Self Pay at this time.

Any changes to our open panels will be updated here regularly.