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 Innovation Health QHP/LEAP plans accepted)
  • Alliance
  • Anthem
  • Blue Cross/Blue Shield
  • CareFirst
  • CHAMPUS
  • Cigna
  • GEHA
  • Great West
  • Guardian
  • Humana (no Integrated Gold accepted)
  • Kaiser (tiered/PPO only accepted)
  • Lumenos
  • MAMSI
  • Medicaid (no InTotalHealth or AmeriGroup accepted)
  • Medicare
  • Multi-Plan
  • NCPPO
  • Unicare
  • United Healthcare Choice Plus & PPO
  • Tricare East
  • Tricare for Life
  • PHCS
  • Veteran’s Administration (with referral only)

*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.


Prescription Refills

For all prescription refills that are not requested during your appointment, the office staff requires 14 days notice. If you need refills or renewals between office visits, please have your pharmacy send us an electronic request with 14 days notice.

For all pre-authorizations, for either medications or imaging/procedures, we require 14 days for completion. Your insurance company has certain requirements and time allotments for this. If this is not acceptable, or causes any issues, please contact your insurance company directly at the Member Services phone number on the back of your insurance card.


Referrals

As a courtesy to you, our patient, we attempt to obtain all updated insurance information and requirements prior to your visit with us.

However, please make sure that you know your policy well enough to know whether or not your insurance requires a referral from your Primary Care Provider. While we will make every attempt to remind you of referral requirements prior to your appointment, it is ultimately your responsibility to know whether you need one, and obtain a current one if required.

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 $75
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