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 Choice POS (Aetna Health Fund)
    Aetna Choice POS (Open Access)
    Aetna Choice POS II (Aetna Health Fund)
    Aetna Choice POS II (Open Access)
    Aetna HMO (Open Access)
    Aetna Medicare Advantage Enrollment
    Aetna PPO
    Aetna Select
    Apostrophe
    BCBS Blue Premier Access
    BCBS Blue Premier HMH
    BCBS Texas Blue Choice PPO
    BCBS Texas Blue Essentials HMO
    BCBS Texas My Blue Health FFS
    BCBS Texas POS
    BCBS TX Blue Advantage HMO BAV (Marketplace)
    BCBS TX Blue Advantage Plus HMO BAV (Marketplace)
    Beechsteet
    Cigna Great West
    Cigna NALC Open Access Plus
    Cigna Healthspring
    Coventry Health
    Elect Choice EPO
    FirstHealth
    Galaxy Health Network
    GEHA
    Healthcare Highways
    Healthsmart
    Humana Medicare Advantage FFS
    Humana Medicare Advantage HMO
    Humana Medicare Advantage PPO
    Humana PPO
    Multiplan
    Oscar Marketplace
    Oscar Medicare Advantage
    PHCS
    Tricare Prime
    Tricare Select
    Traditional Medicare
    UHC Charter POS
    UHC Choice EPO
    UHC Choice Plus POS
    UHC Core EPO
    UHC ER Wrap
    UHC Navigate EPO
    UHC Navigate HMO/HMO Plus
    UHC Nexus ACO NR EPO, NR HMO, NR POS
    UHC Nexus ACO OA EPO, OA HMO, OA POS
    UHC Nexus ACO R EPO, R HMO, R POS
    TX MMP Dual- UHC Community Plan (TX Medicaid, Medicare)
    UHC Medicare
    Wellcare
    Wellmed
  • *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
No-Show $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

Additional Resources

Avoiding Surprises in Your Medical Bills

Avoiding Surprises in Your Medical Bills (Spanish)

Understanding Healthcare Prices: A Consumer Guide

Understanding Healthcare Prices: A Consumer Guide (Spanish)

Planning For a Medical Procedure