Insurance & Fees

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

Payor

• BCBS of South Carolina
• Preferred Blue (PPC and FEP)
• BCBS Blue Essentials
• Aetna PPO/POS/EPO (HMO – 7/1/18)
• Beech Street
• Bright Health Commercial IFP
• Choice Care PPO (Humana)
• Coventry Health Care Carolinas (Coventry Carelink, CoventryOne)
• Healthgram
• MedCost & MedCost Ultra
• Cigna
• Prisma Allegience
• United Healthcare

Medicare Advantage Contracts

Payor

• BCBS Medicare Advantage
• Absolute Total Care (Healthy Connections Prime)
• Aetna Medicare
• Allwell
• America’s 1st Choice (HMO - 1/1/15)
• Bright Health
• Cigna Medicare
• Humana
• First Choice VIP Care PLUS (Healthy Connections Prime)
• Molina Healthcare Medicare
• Molina Dual Options (Healthy Connections Prime)
• WellCare (PPO effective 1-1-18)

Medicaid HMO Contracts

Payor

• Absolute Total Care
• First Choice (Select Health)
• Molina Healthcare
• WellCare
• BCBS Blue Choice HealthPlan
• BCBS Healthy Blue

Health Insurance Exchange Marketplace

Payor

• Bright Health
• Molina Healthcare
• BCBS Blue Option

Governmental

Payor

• Tricare
• BCBS State Health Plan

*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