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
  • Alliance
  • Anthem
  • Blue Cross/Blue Shield
  • CareFirst
  • Cigna
  • GEHA
  • Great West
  • Health Net
  • Humana
  • Lumenos
  • MAMSI
  • Medicare
  • Multi-Plan
  • NCPPO
  • OneNet
  • Tricare
  • Unicare
  • United Healthcare Choice Plus & PPO

*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 $75
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

Form Fee

Effective October 1, 2015, there will be a fee for all forms that require completion by a provider. There is a $20.00 fee per form. This fee will apply to school forms, camp forms, medication forms, sports forms, travel forms, State Department forms, etc. Turnaround time for forms is 7-10 business days. If form completion is required on an expedited basis, “rush service” is available for a fee of $30. Blank forms will not be accepted. Forms will only be accepted for completion if the patient’s name and other information has been completed. When forms are left in office, please specify how you would like to receive completed forms–by mail or pick up in office.

Many forms require the information to be based on an examination completed within 12 months of the date the form is completed, or may require specific evaluations that were not performed at the routine physical, i.e. sport vitals, asthma/allergy treatment plans. An additional office visit may be required. No form will be completed without a physical examination in our office within the last year. If information is required for immunizations given outside of our office, please ensure that immunization records are submitted with the form.