Frequently Asked Questions
Do I need a referral to be seen?
Most patients do not need a referral to see a nephrologist. Traditional Medicare does not require referrals. However, some Medicare Advantage plans—especially HMO plans—may require one. Most commercial insurance plans do not require a referral, but requirements can vary. We recommend contacting your insurance company directly to confirm whether a referral is needed for your specific plan.​
What insurances do you take?
​We accept a range of options to cover your visit:
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Blue Cross Blue Shield (BCBS)
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United Health Care (UHC)
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Moda
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Pacific Source
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Providence Health Plan
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Aetna
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Cigna
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Atrio
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​Medicare
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Healthnet
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​Oregon Health Plan (OHP Medicaid and OHP Bridge)
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Columbia Pacific CCO
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Jackson County CCO
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Tri-County Medicaid Collaborative, DBA Health Share of Oregon
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Yamhill Community Care Organization
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Trillium Community Health Plan
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TriCare West
For more details, check out our insurance and coverage page.
Can I pay out of pocket?
We welcome out-of-network patients with self-pay options.
- New patient visit: $350 (60 minutes)
- Follow up appointment: $250 (40 minutes)
Questions about your bill?
If you have a question about your bill please contact our billing partner, MediBill MD, at 469-935-7072
Do you offer telemedicine visits for patients in Bend, Oregon?
Yes. Optima Kidney Care offers telemedicine appointments for eligible patients in Bend and Central Oregon, as well as across Oregon and Washington.
Can't find what you’re looking for?
We are happy to answer any questions you may have! Please email us at info@optimakidney.com.
Weight Loss Program Frequently Asked Questions
Is this program covered by insurance?
Yes for those in network with Optima Kidney Care. We also offer cash pay options for patients who are out of network or uninsured.
Is the medication included in the monthly cost?
No. Medication cost is separate from the program fee. If your insurance covers the medication, we will help with prior authorization and documentation when needed.
What are the insurance coverage conditions for semaglutide?
Insurance coverage depends on your specific plan and the medical indication. In general, coverage is more likely if semaglutide is prescribed for type 2 diabetes, or for medical weight loss when you meet criteria such as BMI ≥ 30, or BMI ≥ 27 with a weight-related health condition (for example high blood pressure, high cholesterol, sleep apnea, prediabetes, fatty liver disease, or type 2 diabetes). Dr. Campos will review your eligibility and submit any required documentation, but coverage is not guaranteed and varies by insurer.
Will you help me get Semaglutide approved through insurance?
Yes. If you meet insurance criteria, we can assist with the prior authorization process. Coverage varies by plan and approval is not guaranteed.
What is the out of pocket cost for Semaglutide?
Between $149-$3 per month if you use our savings card.
Do I have to come in person?
Between $149-$299 per month if you use our savings card.
What side effects are common?
The most common side effects are gastrointestinal, such as:
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nausea
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constipation
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diarrhea
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reflux/heartburn
Most side effects improve with time and gradual dose increases.
Do I get direct messaging with Dr. Campos?
Yes. Direct messaging is included for medication-related questions, dose adjustments, and side effect support. Messaging is not for emergencies.
How do i get started?
Schedule a no commitment introduction call with Dr. Campos here.