Insurance & Fees

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time as needed:

  • Aetna Commerical
    Aetna First Health
    AmeriGroup Medicare Advantage
    Blue Advantage HMO Network “BAV” ( No Medicare)
    Blue Cross Blue Sheild Medicare Advantage PPO “PMC ”
    Blue Cross Blue Shield Blue Choice PPO “BCA” & Blue Essentials HMO “HMO”
    Blue Cross Blue Shield Health Select Point of Service “HME”
    Blue High Performance Network “HPN”
    Blue Premier HMO Network “HMH”
    Blue Cross Blue Shield-Medicare HMO
    CIGNA Commercial (No Medicare)
    Galaxy Health Network PPO
    HealthSmart Preferred Care
    Humana Choice Medicare Advantage PPO
    Humana Choice Care (Commercial )
    Humana Medicare Gold Plus HMO
    Medicare
    Railroad Medicare
    Molina Medicare
    MultiPlan / PHCS / Beech Street – PPO Only
    Scott & White Health Plan Commercial
    Scott & White Health Plan Medicare Advantage
    Superior Medicare (Allwell) Health Plan
    Three Rivers Provider Network
    Tricare
    TriWest Community Care Network
    United Healthcare Commercial Plans
    United Healthcare Medicare Advantage Plans
    WellMed (through United Health Care)

*Medicaid participation is optional and varies amongst Privia Medical Group providers – please verify participation prior to your visit.

Note: You should always check with your Privia Medical Group provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.

Payment Options

We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.

Card-on-File

We encourage patients to keep a credit card on file to make the checkout process easier, faster, and more efficient. You will no longer receive statements from us, but you will continue to receive your Explanation of Benefits (EOB) from your insurance carrier once your claim has been processed, detailing the charges and payments made on your behalf.

At check-in we will:

  • scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card

After your insurance has paid their portion, we will:

  • notify you via email of the balance owed
  • charge the balance owed to your card on file
  • email a receipt for the charge

Your credit card information will always be fully protected by our off-site, card-processing partner Elavon, and not on our computers, as required by industry standards (Payment Card Industry Data Security Standard – PCI-DSS).

Fees

No Shows
Missed Appointment $50
Missed Physical $150
Late Cancellation $50
Missed Pediatric Appointment $50
No-Show $50
Missed Procedure $200
Out-Of-Network
New Patients Total Charge or Minimum $200 Deposit
Established Patients Total Charge or Minimum $150 Deposit
Self-Pay
New Patients Total Charge or Minimum $200 Deposit
Established Patients Total Charge or Minimum $150 Deposit
Procedures Total Charge or Minimum $200 Deposit

Additional Resources

Avoiding Surprises in Your Medical Bills

Avoiding Surprises in Your Medical Bills (Spanish)

Understanding Healthcare Prices: A Consumer Guide

Understanding Healthcare Prices: A Consumer Guide (Spanish)

Planning For a Medical Procedure