The retainer cost is not covered by insurance and is an out of pocket expense. Medications, diagnostic tests, imaging studies, and specialist referrals ordered by Dr. Shilland may be billed directly to your insurance plan as normal and are subject to coverage, cost sharing and deductibles as laid out in your plan agreement. Patients with private insurance (not Medicare or Medicaid/Oregon Health Plan) may be reimbursed by their insurance company for covered services provided by Solace Health if their plan includes out-of-network benefits. We can provide you with a superbill for any covered services provided at our clinic every 6 months that you can submit to your insurance carrier for reimbursement. Patients covered under Medicare plans are responsible for the 20% co-pay amounts required by the Federal government.