When To Use Virtual Clinic

Even if you’re not a Privia patient, the Virtual Clinic is here for you when your provider is unavailable. You can make an appointment with a high-quality provider for a variety of urgent care needs, including these common illnesses:

myPrivia Virtual Clinic is not intended to replace a visit to your primary care provider or medical specialist for ongoing care needs. The Virtual Clinic cannot provide specialist referrals or order blood tests. Let us help you find a doctor if you need either of those.

*myPrivia Virtual Clinic is not appropriate for emergency or life-threatening medical issues or visits that require blood testing (e.g., blood samples, examining eyes, ears, nose, or heartbeat, etc.). For an expanded list of conditions that can and cannot be treated, please refer to our FAQs.

Insurance, Payment Options, & Service Areas

Many insurance plans cover the cost of a virtual visit. If your insurance is accepted, you are responsible for the same co-pay as for other top tier office visits. If your insurance does not cover the service, you can still see a doctor for a $75 flat fee if paid at time of visit.

Accepted Insurance Carriers by Service Area:

• Virginia: Aetna, Anthem, CareFirst (BlueCard PPO Plans only*), Cigna, Humana Medicare Advantage, Multiplan/PHCS, Out-of-State BCBS (BlueCard Plans*), Piedmont, Tricare (Humana Military), VHN, United Healthcare, UnitedHealthcare Medicare Advantage of Virginia
• Georgia: BCBS, Humana, Multiplan/PHCS, NovaNet
• Florida: Health First Health Plan

We are unable to provide care for patients outside of these service areas at this time. We hope to soon provide coverage to patients in Maryland, the District of Columbia, and Texas, as well as participate with additional commercial insurers.

myPrivia Virtual Clinic is staffed by board-certified Emergency Medicine and Family Medicine physicians. With some insurance companies, a visit with an Emergency Medicine physician may be considered a specialist office visit and subject to a different co-pay than a primary care office visit as well as a referral requirement if you are covered by an HMO.

If you do not see your insurance carrier listed above or are unsure about your coverage, please contact your insurance carrier to learn what telehealth benefits may be available to you. We do not currently accept Medicare, Medicaid, Managed Medicaid, or some Medicare Advantage Plans.

*BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plan’s service area. BlueCard PPO plans show a SUITCASE logo with the letters PPO inside of the suitcase printed on the member ID card. Services may be processed as out-of-network by CareFirst and/or BlueCard plans that do not have the PPO logo printed on the insurance card.