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/Medicare
- Anthem BCBS
- Apostrophe
- CareFirst BCBS
- Cigna Healthcare
- HealthNet Federal Services (HNFS) Tricare
- Humana
- Medicare – MD – Novitas
- Medicare – MD – Novitas – Revalidation
- Multiplan/PHCS
- United Healthcare
- WebTPA – Custom Ink
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. All amounts due are expected at the time of service.
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
| New Patients | |
|---|---|
| No Show | $100 |
| No Show for Procedure | $200 |
| Missed Appointment | $50 |
| Missed Physical | $100 |
| Late Cancellation | $75 |
| Missed Procedure | $200 |
| Established Parent | |
|---|---|
| First No Show/Late Cancellation | $50 |
| Second No Show/Late Cancellation | $75 |
| Third No Show/Late Cancellation | $100 Plus Discharge from Practice |
| Self-Pay | |
|---|---|
| New Patients | Total Charge |
| Established Patients | Total Charge |
| Procedures | Total Charge |
| Miscellaneous Fees | |
|---|---|
| Forms Fee | Single Page $10, Multiple Pages $25 |
| Medical Letter by Physician | $50 |
| Returned check | $35 |
| After Hours Emergency Call | $35 |
| Refill Fee Outside of a Visit | $20 |
All amounts due are expected at the time of service. If you have part of the deductible remaining the full allowed balance will be collected at the time of the visit.
Cancellation Policy
All scheduled appointments must be cancelled two business days prior to the appointment. If cancelled the day prior or day of the visit a fee will apply like a no show.