Insurance Information

• We are in-network with most major insurance plans. For more details, please see our Rates & Insurance Networks page.

• We do not accept: Cigna, Kaiser, CareOregon, Trillium, or Medicare.

• If you have Moda, please note that Katie is not currently in-network while her network status is still pending.

• If you would like to use insurance, please enter your insurance details in the patient portal when booking or contact our office.

• Please inform us if you have more than one insurance policy

• As a courtesy, we will verify your benefits and send you the coverage information provided by your insurance company via secure chat in the patient portal.

• We have a 24-hour cancellation policy. Please confirm your insurance benefits before this window to avoid fees should you decide to cancel due to non-coverage or high deductibles.

• Important: If we do not receive your insurance information at least 48 hours prior to your initial appointment, your visit may need to be rescheduled.

• Your insurance policy is a contract between you and your insurer. You are responsible for any balance not covered by your insurance.

• We do not provide superbills for out of network reimbursement.

• Please bring your insurance card and a valid photo ID to your appointment

• If you’d like to include additional bodywork services like myofascial release or craniosacral massage, please note these services are available only with Katie as part of your acupuncture session.

• UHC Coverage
  United Healthcare covers acupuncture only. Add-on therapies like cupping, myofascial release, and craniosacral massage aren’t covered but can be added for a small fee with an ABN form.

• We accept the following Health Share (OHP) plans:

  • Legacy PacificSource

  • OHSU Health*

  • PacificSource Community Solutions

  • OHP Open Card**

  • Providence Health Assurance

  • Yamhill CCO

• We do NOT accept OHP plans managed by:

  • Kaiser

  • CareOregon

  • Trillium

• If you have OHP, please check your Health Share card to confirm which CCO manages your plan.

• If you have OHSU Health, please note that Katie is not currently in-network while her network status is still pending.

• Important: If we do not receive your insurance information at least 48 hours prior to your initial appointment, your visit may need to be rescheduled.

• If your plan is managed by Kaiser, CareOregon, or Trillium, please do not book online unless you plan to pay out of pocket.

• To switch to a plan we accept, contact Health Share and request a switch to:

  • OHSU Health

  • PacificSource

  • Providence Health Assurance

• According to the Health Share website - “You can switch health plans if you want—just call us at 503-416-8090 or email us at info@healthshareoregon.org.” 

*OHSU Health (OHP) Pre-Authorization Requirement

• OHSU Health requires prior authorization before treatment can begin.

• To initiate this process, you must complete a back pain screening questionnaire so we can submit your request.

• If scheduling online, please book your appointment at least 14 business days in advance to allow sufficient time for OHSU Health to review and approve your paperwork.

**OHP Open Card Coverage

• OHP Open Card only covers acupuncture services.

• Services such as cupping or bodywork performed by an acupuncturist are not covered.

• If you wish to receive these additional services, you may sign an Advance Beneficiary Notice (ABN) and pay the out-of-pocket rate at the time of service.

• If you’d like to include additional bodywork services like myofascial release or craniosacral massage, please note these services are available only with Katie as part of your acupuncture session.

VA Community Care Referrals (TriWest)

• To access acupuncture benefits, veterans must obtain a referral from the VA to a community care provider.

• When speaking with the VA, please request Silver Lining Acupuncture as your preferred provider.

• After the referral is processed, the VA Community Care Network (CCN) will send us an authorization for your care.

• Once we receive the authorization, we will contact you to schedule your appointment if the VA Community Care Network (CCN) has not already done so.

If you’ve been injured in a motor vehicle accident in Oregon, you may be eligible to receive acupuncture and other rehabilitative care through your auto insurance’s Personal Injury Protection (PIP) coverage.

What is PIP?

• Personal Injury Protection (PIP) is part of every Oregon auto insurance policy.

• It provides at least $15,000 in medical benefits for reasonable and necessary health care related to your accident.

• PIP covers care for up to 2 years after the date of the accident, or until your benefits are used up (whichever comes first).

What’s Covered with Acupuncture?

PIP covers a wide range of medically necessary treatments, including:

• Acupuncture treatments for pain, trauma recovery, whiplash, headaches, stress, and other accident-related injuries.

• Complementary therapies provided in your acupuncture sessions, such as cupping, moxibustion, infrared heat therapy, or sound therapy—when used for your accident-related condition.

• Bodywork therapies (e.g., myofascial release, craniosacral therapy) if provided as part of your acupuncture care plan.

• Prescription herbs or supplements are not covered by insurance, but may be recommended separately.

What’s Required to Start Care?

To bill your PIP claim directly, please provide our clinic with:

1. Insurance company name and contact information

2. Claim number

3. Date of accident

4. Adjuster’s name and contact information

5. Doctor’s referral or prescription for acupuncture that includes a diagnosis code for your injury

Once we have this information, we can bill your auto insurance directly so you can begin treatment without delay.

Important Things to Know

• No copay or deductible: PIP benefits cover your care in full (until benefits are exhausted).

• You may see multiple providers: Acupuncture, chiropractic, massage therapy, and physical therapy can all be covered under PIP, as long as they’re medically necessary.

• Treatment is time-limited: You have up to 2 years from the accident date to use your benefits. After that, your regular health insurance (if available) may apply.

• Communication is key: Keep in touch with your insurance adjuster and your providers to ensure smooth processing of claims.

Next Steps

If you’ve been injured in a car accident and would like to begin acupuncture treatment:

1. Gather your insurance and claim details.

2. Ask your doctor for a referral or prescription with your injury diagnosis.

3. Provide this information to our clinic at least 48 hours before your appointment so we can verify your benefits.

4. Schedule your first appointment and start your recovery.

We are here to help you heal. Acupuncture can be a safe and effective way to reduce pain, speed recovery, and restore balance after an accident.

Important: If we do not receive your insurance information at least 48 hours prior to your initial appointment, your visit may need to be rescheduled.

If you’ve been injured at work in Oregon, you may be eligible to receive acupuncture treatments as part of your medical care under your Workers’ Compensation (WC) claim.

What is Workers’ Compensation?

• Workers’ Compensation is insurance provided by your employer to cover medical care and lost wages if you are injured on the job.

• It pays for reasonable and necessary medical treatment related to your work injury, including acupuncture (when prescribed).

What’s Covered with Acupuncture?

• Acupuncture sessions for pain management, musculoskeletal injuries, repetitive strain, stress, and other work-related conditions.

• Adjunct therapies offered during acupuncture sessions, such as cupping, moxibustion, infrared heat, or sound therapy, when related to your approved diagnosis.

• Herbs and supplements are not covered by Workers’ Compensation but may be recommended separately.

What’s Required to Start Care?

To begin treatment at our clinic under a Workers’ Comp claim, please provide:

1. Insurance company name and contact information

2. Claim number

3. Date of injury/accident

4. Adjuster’s name and contact information

5. Doctor’s referral or prescription for acupuncture that includes a specific diagnosis code for your injury

Important Things to Know

• Referral Required: You must have a referral or prescription from your attending physician with a diagnosis that matches your claim.

• Direct Billing: Once we receive your claim information and referral, we will bill Workers’ Compensation directly.

• Coverage Limits: The number of sessions covered may be limited and must be medically necessary. Continued care requires approval from your physician and insurance adjuster.

• Communication: Your treatment plan must coordinate with your physician and claims adjuster for coverage to continue without interruption.

Next Steps

If you have a Workers’ Compensation claim and would like to receive acupuncture treatment:

1. Ask your attending physician for a referral or prescription for acupuncture with your work-related diagnosis.

2. Gather your claim information (insurer, adjuster, claim number, date of injury).

3. Provide this to our clinic at least 48 hours before your appointment so we can verify benefits.

4. Schedule your first appointment and begin care without delay.

We are committed to supporting your recovery and helping you return to work with reduced pain, improved function, and greater well-being.

Important: If we do not receive your insurance information at least 48 hours prior to your initial appointment, your visit may need to be rescheduled.

For Patients with Kaiser Permanente / CHP:

• We are not in-network with Kaiser and cannot bill Kaiser for services.

• However, we are a participating provider in Kaiser’s ChooseHealthy® program.

• This program offers a 25% discount off our standard rates when you book through ChooseHealthy—no doctor’s referral required.

• The ChooseHealthy® program is not insurance, but a wellness discount program offered in addition to your Kaiser health plan.

• You are responsible for payment at the time of service, but receive a discount through the program.

• To book with your ChooseHealthy discount, enter your Kaiser details in the insurance section on the patient portal when you book.

• For more information visit: www.choosehealthy.com

For Patients Without Insurance

If you don’t have insurance or prefer to pay out of pocket, we offer a discounted time-of-service rate to make care more accessible.

Our base acupuncture session includes a full-body acupuncture treatment and is priced at a flat, transparent rate—no additional procedure or diagnostic codes.

To personalize your experience, you also have the option to enhance your session with add-on therapies such as:

• Bodywork / hands-on manual therapy techniques such as cupping therapy, myofascial release, and craniosacral massage

These therapeutic additions are available for a small additional fee, allowing you to customize your care based on your needs and preferences.

We believe in offering flexibility and value—so you can receive the healing support you deserve, your way.

Payment is due in full at the time of service. 

For our patients with economic hardships

We offer a 25% discount for patients with qualifying financial hardships who submit a financial assistance application. Please contact us for more details.

*Discounts do not apply to insurance-billed services, herbs, or other retail products.