To Whom It May Concern:

Naturopathic Doctors (ND) in Oregon are licensed as primary care providers with a full scope of practice that includes the ability to perform minor surgery, order labs and diagnostic imaging, and prescribe any pharmaceutical needed in a primary care setting.

Patients increasingly are choosing Naturopathic Physicians for their primary care, and most local insurance companies cover naturopathic medicine to some degree.

Some national and federal insurers, however, still do not cover naturopathic medicine, in large part because Naturopathic Doctors are not yet licensed in all 50 states.

Medicare does not cover or pay for services provided by a Naturopathic Doctor. Noridian Administrative Services, which processes claims for Medicare, recommends either requesting a "For Denial Letter” or a letter such as this one providing evidence that Medicare does not cover these services. Providers can submit a copy of these letters along with the claim to a secondary insurance company, which may cover naturopathic medicine.

For private insurers that do not cover naturopathic medicine, we recommend that the patient contact their Human Resources Department directly to request that they add coverage for naturopathic medicine in subsequent contract renewals.

For patients who are dually eligible for Medicare and Medicaid, providers should submit a DMAP 505 HCFA form available from the state of Oregon, along with a denial letter from medicare in order to bill the Oregon Health Plan as a secondary insurer.

It is our commitment to ensure that all patients have the ability to see the provider of their choice. If you have any questions about insurance coverage of naturopathic medicine, please don’t hesitate to contact us.


Laura Culberson Farr

Executive Director