FAQs

Q: What Insurances are accepted? How much will my out-of-pocket cost be?

A: MHW accepts and is covered by most major insurances. We are a PCP for most other medical insurance plans but best to check with your insurance for coverage as it is the responsibility of the patient to know if we are accepted on your specific health insurance plan.

Our apologies, but MHW is currently NOT ACCEPTING any new Medicare or out-of-pocket patients.

MHW does currently accept the following insurance carriers:

  • Aetna
  • Anthem BlueCross BlueShield
  • BridgeSpan Health (NOT the OHSU PPO plan)
  • Cigna
  • First Choice Health
  • First Health Network
  • Health Net
  • HMA/Multiplan
  • MODA (ONLY Connexus, Cornerstone, Synergy, and Tier 2 of OHSU PPO)
  • Oregon Health Plan (OHP) (ONLY CareOregon; if you have a different OHP plan, including Open Card, please call Health Share and ask to be switched to CareOregon)
  • Pacific Source
  • PHCS Savility
  • Premera BlueCross
  • Providence Health Plan (NOT the Providence Connect)
  • Regence BlueCross BlueShield (NOT the OHSU PPO Plus plan)
  • Tricare (ONLY as secondary coverage)
  • UMR (NOT the Options PPO plan)
  • United Healthcare

If your insurance is not listed above, we may NOT accept your coverage.  Please e-mail Ryan (ryan@merritthw.com) to find out.

An office visit at MHW is the same as seeing your primary care provider. Services are billed under the underlying causes and symptoms which insurances allow payment. MHW works in conjunction with all health providers involved in your health.

Coverage depends on your insurance; it is up to you to know your deductibles and co-pays. If you don’t have a family medical provider or PCP, MHW can become your Primary Care Provider and provide many similar services.

At this time, Merritt Health and Wellness is making efforts to minimize exposure and reduce transmission of the Coronavirus (COVID19). It is important to stay home if you are sick to prevent spreading the virus. Please help us protect our vulnerable patient population by asking yourself these questions before coming in for your appointment:

  • Do you have symptoms?

    • Cough

    • Fever (temperature above 100.4 degrees)

    • Shortness of breath, or lower respiratory infection symptoms

  • Have you had potential exposure?

    • Have you, a family member, or co-worker traveled internationally (or been in contact with someone who has traveled internationally) within the last 14 days?

      • If yes, where? Have you traveled to/from or through: China, South Korea, Japan, Italy, or Iran?

    • Have you had contact with anyone with a laboratory confirmed case of Covid-19 (Coronavirus)?

    • Have you traveled to any United States

If you answer YES to any of the above questions, please call the clinic so we can assess risk. It will be important to know when travel/exposure may have occurred, or if you are experiencing any symptoms.  If Pohala Clinic assesses you to be at risk, you may be asked to reschedule your appointment to a future date for the safety of our staff and patients.

Refer to the CDC  and OHA website for updates regarding the Coronavirus, prevention, diagnosis, and treatment.

https://www.cdc.gov/coronavirus/2019-ncov/index.html

https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Pages/emerging-respiratory-infections.aspx

How to Protect Yourself and Your Family

Coronavirus is similar to a common cold and/or flu.  It is spread from person to person through droplets in the air usually from a sneeze or cough.  The most effective way to protect yourself and your family is to avoid exposure. Some effective measures include:

  • Wash your hands often using soap and water for no less than 20 seconds

  • Use an alcohol-based hand sanitizer containing at least 60% alcohol if soap and water are not available

  • Avoid touching your eyes, nose, and mouth with unwashed hands

  • Avoid close contact with people who are sick

  • Stay home when you are sick

  • Cover your cough or sneeze with a mask or tissue

  • Clean and disinfect frequently touched surfaces, such as door nobs, handles, phones, etc.

Q: What is Functional Medicine?

A: The easiest way for our staff is if you are able to schedule yourself online at https://www.merritthw.com/schedule-appointment.

Here is a video about how to do it. Click Here.
An alternative would be to call 971-258-1120 to leave a message for a return call to help assist you in scheduling an appointment, Ryan will call you back.

Q: How do I cancel an appointment?

A: There are only two ways to do it, you cannot do it online. There is a $50 fee for late cancelling (within 24 hrs of appt) no showing.

  1. Call the clinic number and leave a message.
  2. E-mail ryan@merritthw.com and/or your medical provider to let them know.

Q: Where and how can I save money on supplements?

There are 2 websites MHW partners with to set discounts on supplements for our patients. Fullscript and Dr. Supplement Store. They each have hundreds of different brands and types of supplements. Here are the links to access these websites and get a discount on your order:

Fullscript

— DrSupplement Store order website:
www.DSSOrders.com/MerrittHW
Registration Code
SM1319

Q: What kind of food products are you selling?

A: None, MHW strives to educate about what foods found at the grocery store can facilitate weight loss, lower blood sugars, lower inflammation and lower cholesterol. Prepackaged food products provide temporary help but MHW tries to setup long term success and lifestyle change, which means more education and less processed foods. If you wish to use a product vendor for quick and easy food products that is fine, MHW can give you the assistance necessary while you are losing weight and we can work together to solve your weight loss plateau.puf

Q: Do I need a referral from my primary care provider?

A: Yes if you have Tricare or Family Care and you do not want MHW to be your PCP. You can get a referral from your primary care but it is not always needed, MHW is also recognized as a primary care facility but we hope to work with your existing health care providers to augment the care they already provide.

Q: What about weight management for children and teens?

A: MHW is well equipped to work with children and teens, although the strategy is much different. We focus on nutrition, activity and healthy eating and not just weight as the primary indicator of success.

Q: How is MHW any different than Jenny Craig, Weight Watchers, Nutrisystem, etc?

A: If you have tried to lose weight before but couldn’t keep the weight off maybe its because you haven’t had an obesity medicine specialist’s help. Most programs do not have the support and medical knowledge about how to help maintenance weight loss. Also these programs are unsuccessful and expensive because you are buying food through the program, but there is no education about what foods cause the weight gain and what foods help our body lose weight. MHW specializes in a whole foods approach to a healthy food routine individualized for your healthcare needs.

Q: What is a Nurse Practitioner?

A: Nurse Practitioners are medical providers who completed graduate-level education (either a Master of nursing or Doctor of Nursing Practice degree). Nurse Practitioners treat both physical and mental conditions similar to doctors and physician assistants through comprehensive history taking, physical exams, ordering and interpreting diagnostic tests. NPs can then diagnose the disease and then provide appropriate treatment for the patients, including prescribing medications.NPs can serve as a patient’s primary health care provider, and see patients of all ages depending on their specialty (family, pediatrics, geriatrics, etc.). The core philosophy of the field is individualized care that focuses on patients’ conditions as well as the effects of illness on the lives of the patients and their families. NPs make prevention, wellness, and patient education priorities. In addition to health care services, NPs conduct research and are often active in patient advocacy activities. To become licensed/certified to practice, Nurse Practitioners hold national board certification in an area of specialty (such as family, women’s health, pediatrics, adult, acute care, etc.), and are licensed through the state nursing boards.

Q: What is an Obesity Specialist?

A: An obesity medicine specialist is a medical provider who receives specialized training in the treatment of overweight and obese patients. Medical supervision is beneficial to detect and treat weight-related medical conditions. A weight loss treatment program supervised by a medical provider who is a member of ASBP (American Society of Bariatric Physicians) and who completes specialized training in obesity medicine offers a comprehensive and effective approach to maximizing overall health and reversing co-morbidities. Seth Merritt is 1 of 4 medical providers in the state who has a board recognized obesity specialty.

Q: What is a Clinical Lipid Specialist?

A: A Clinical Lipid Specialist is a medical provider who has specialized with advanced knowledge in treatment of dyslipidemia (high cholesterol) and other related cardiometabolic conditions (diabetes, dysmetabolic syndrome, obesity, hypothyroidism, coronary artery disease, etc.). With advanced testing and knowledge we can help reduce the risk of heart attacks, strokes, other cardiometabolic issues and premature death. Seth Merritt is 1 of 5 medical providers in Portland with a board recognized lipid specialty.