Transition Health Insurance Information

Need Health Insurance?

You can learn about your options and get free help figuring it out at OregonHealthcare.gov.
Transition Health can also discuss insurance with you and answer questions.

Oregon Health Plan

You can use your OHP insurance as usual at Transition Health, where it covers primary care, gender-affirming care, electrolysis, sexual health, lactation induction, and more.
You can learn more about and sign up for OHP via the Oregon Health Authority.

Transition Health is in network with Open Card and the following CCOs:
> Trillium Community Health Plan in Lane County.
> Intercommunity Health Network (IHN) in Benton, Lincoln and Linn Counties. (* Dr. Kurzet only as of 7/2026.)
> PacificSource Community Solutions in Crook, Deschutes, Jefferson, Klamath, Hood River, Wasco, Marion, and Polk Counties.

We can get a special agreement to take these CCOs:
> Cascade Health Alliance in Klamath County
> Umpqua Health in Douglas County
> Let us know what CCO you have and we’ll work to get your care covered!

Private Insurance

Private (commercial) health insurance plans are usually obtained through work or the ACA marketplace. More plans will be added to this list as they complete their contracting process.

Transition Health is currently in network with:
> PacificSource Health Plans
> Moda Health (Connexus, Synergy, and Affinity networks)
> United Healthcare (UHC)
> Health Net (Centene)

Coming Soon: Regence Blue Cross Blue Shield
Please let us know what additional insurance companies you’d like us to work with.

Medicare

Federal Medicare and Advantage health insurance plans are often available to those living with disabilities or over age 65.

Transition Health is currently in network with:
> Wellcare (Trillium Advantage/Healthnet) & Dual Care (D-SNP)
> PacificSource Medicare & Dual Care (D-SNP)
> United Medicare Advantage plans, including AARP
> Samaritan Dual Advantage (D-SNP) (* Dr. Kurzet only as of 7/2026.)

We are awaiting processing with standard Medicare.

Direct Primary Care

Transition Health is a hybrid direct primary care provider for those without insurance or for those whose insurance network does not include our clinic. Your membership fee covers unlimited physician visits, telemedicine in all forms, and selected minor procedures.

If you have private health insurance, we keep that in mind when choosing where to send your tests and referrals. Our goal is to provide exceptional primary care, thus decreasing the need for external expenses, but when these are needed your insurance will apply to them as usual. Transition Health strongly recommends maintaining health insurance coverage in case of catastrophes. We can see patients without insurance, and we can also help you apply for insurance coverage.

Direct Care Membership Costs (not using insurance)

Primary Care for Ages 0-17 | $80 per month

Primary Care for Ages 18+ | $130 per month

Gender-Affirming Care only | $60 per month

Initial enrollment fee of $100 per person.
Discounts are available for additional family members.
Community Fund grants are available for affordable care for the queer community.
Donations to the Community Fund are gratefully accepted to help provide inclusive care.
Transition Health is a 501(c)3 non-profit organization. Thank you!

Electrolysis Costs (not using insurance)

Face / Arms / Underarms / Legs | $100 per hour

Genitals / Chest / Back / Belly | $180 per hour

Numbing Shots | $60 standard, then $30 per additional unit

If electrolysis is done for gender affirmation, health insurance can cover some (or all, for OHP) of the expense. This is only possible when you provide us with a letter of support from a behavioral health provider so that we can submit a pre authorization (PA) request, and we must wait for approval from your insurance company before we begin.
If desired for pain control, we have topical (lighter) and injectable (deeper) numbing options. We can discuss these at your consultation appointment.
For other appointment lengths and numbing info, please see these charts:

Electrolysis cash prices for face, neck, arms, underarms, and legs are $55 for 15 minutes, $70 for 30 minutes, $85 for 45 minutes, and $100 per hour. Electrolysis cash prices for genitals, chest, back, and belly are $90 for 15 minutes, $120 for 30 minutes, $150 for 45 minutes, and $180 per hour. Electrologists can do up to a 3-hour appointment each session.

Numbing injection cash prices are $60 standard (1-2 units), $90 for 3 units, $120 for 4 units, and $150 for 5 units.

Primary Care Goals & Process

Together, we can focus on holistic wellness, movement, nutrition, and restoration. Our goal is to help you control your chronic medical conditions and rapidly address any new concerns that may arise. We will first start with a consultation. When needed, we can then order tests and imaging, refer you to appropriate specialists, and be a central contact to coordinate your medical care across different locations and specialties.