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
  • Aetna/Coventry
  • Anthem
  • Blue Cross Blue Shield
  • CareFirst
  • Cigna
  • Humana
  • Innovation Health
  • Innovation Health QHP/Exchange
  • John Hopkins EHP
  • Medicare
  • Medicare – Railroad
  • Multi-Plan/PHCS
  • Priority Partners
  • Tricare
  • United Health Care
  • USFH
  • Workers Comp/DOL

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.

 

Referrals 
It is your responsibility to know if your insurance requires a referral to see a specialist and to obtain that referral from your Primary Care Physician. We must have your referral at the time of your visit.

Verification of Benefits
We will verify your benefits prior to your initial evaluation. We will determine if you have a deductible and how much of that deductible was met, a co-insurance and/or a co-pay. Our policy is to collect any deductibles, co-insurances or co-pays at the time of your initial evaluation visit.   

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
Late Cancellation $50
No-Show $50
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

Initial Evaluation $150

After Initial Visit Treatment $100

Established Patients Total Charge or Minimum $150 Deposit
Procedures

 

Deductibles

Total Charge or Minimum $200 Deposit

Initial Evaluation $150

After Initial VisitTreatment $100