Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
- Aetna Commercial; First Health
- Ambetter Superior Marketplace Exchange Plan – Soon
- BCBS – Blue Advantage HMO Network “BAV” (No Medicare); Blue Choice PPO “BCA” & Blue Essentials HMO “HMO”; Health Select Point of Service “HME”; Blue High Performance Network “HPN”; Blue Premier HMO Network “HMH”
- Cigna Commercial (No Medicare)
- Galaxy Health Network PPO
- HealthSmart Preferred Care – Soon
- MultiPlan / PHCS / Beech Street – PPO Only
- Scott & White Health Plan – Commercial; BSWQA Provider, Scott & White Marketplace
- Tricare – Reserve Select Only
- United Healthcare Commercial Plans
*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 | $100 |
Late Cancellation | $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 |