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 (No HMO Exchange, No ACO, No QHP, No TRS)
  • Aetna First Health (Must say Aetna on card)
  • Aetna Medicaid
  • AmeriGroup Medicaid (please wait for an effective date)
  • Beech Street
  • Blue Advantage
  • Blue Cross Blue Shield (PPO “PMC”, PPO “BCA”, Blue essentials HMO, Blue Cross Blue Shield Health “HME” ERS)
  • Blue Premier HMO Network “HMH”
  • Care N’ Care PPO & HMO (Through NTSP)
  • Choice Care (Humana)
  • Cook’s CHIP
  • Cook’s STAR (includes Cook’s Star Kids Plan)
  • Cigna HMO, PPO, Flex, POS, Open Access, Select Network (No Cigna Focus)
  • Galaxy Health Network PPO
  • Great-West Healthcare (Thru Cigna)
  • HealthSmart Preferred Care
  • Humana One individual Plans (Thru Choice Care)
  • Humana Medicare Advantage Networks (Humana Choice PPO, Humana Prime Choice PPO, Humana Gold Choice PFFS, TRS-Care, & Medicare PPO and Employer Plus)
  • Medicaid
  • Medicare
  • MultiPlan (No Discount Cards) and Private Healthcare Systems (PPO only, thru MultiPlan), Multiplan private healthcare Systems
  • Scott and White Health Plan (includes EPO, HMO, PPO and Baylor Employees) No Medicare replacement plans
  • Three Rivers Provider Network
  • TriCare (Standard)
  • United Healthcare (No Exchange plans, No Medicaid, No Community Plan)
  • United Healthcare Medicare Advantage
  • United Healthcare Commercial Plans (no exchange plans, no Medicaid plans, no community plans, no compass plans, no indemnity plans)
  • WellMed Provider

*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, 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 $25
Missed Physical $25
Late Cancellation $25
No-Show $25
Missed Procedure $25
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