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 (MA) PPO
    Aetna (WC)
    Aetna Better Health (FHK)
    Aetna Better Health (MMA)
    Aetna Commercial
    Aetna/Coventry (WC)
    Aetna/Coventry Commercial
    Aetna/First Health Commercial
    American Specialty Health ASH (C)
    American Specialty Health ASH (PT)
    AvMed Commercial
    CarePlus (MA)
    CIGNA Commercial
    CorVel (WC)
    Disney Cruise Lines
    Employers Choice Network (WC)
    Empower Chiro Network
    EZ Comp (WC)
    Florida Blue Blue Select
    Florida Blue HMO
    Florida Blue HMO (MA)
    Florida Blue NWB
    Florida Blue PPO
    Florida Blue PPO (MA)
    Florida Blue Traditional
    Health First Health Plans
    Health First Health Plans (FHCA)
    Health First Health Plans (MA)
    Humana (FHK)
    Humana (MA)
    Humana (MMA)
    Humana Choice Care PPO
    Humana Military
    Humana Military Prime
    Liberty Health Share
    Medicaid
    Medicare
    Medicare DME
    MedRisk (WC)
    Molina
    MultiPlan/PHCS (WC)
    MultiPlan/PHCS Commercial
    One Call (WC)
    Paradigm (WC)
    Prime Health Services (WC)
    Prime Health Services Commercial
    Provider Networks of America (WC)
    Provider Networks of America Commercial
    RR Medicare
    Sedgwick (WC)
    Simply Health Care Plans (FHK)
    Simply Health Care Plans (MMA)
    Simply Health Care Plans (SMMA)
    Staywell (CMS)
    Staywell (FHK)
    Staywell (MMA)
    SunShine Health Plans (FHK)
    SunShine Health Plans (MMA)
    United HealthCare (VA)
    United HealthCare / Neighborhood Health Plans
    United HealthCare Commercial
    US Dept. of Labor (BL)
    US Dept. of Labor (E)
    US Dept. of Labor (L)
    WellCare (MA)

*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

 

We require a 24-hour notice for appointment cancellations. Appointments canceled within one hour
of the appointment time or appointments not kept are subject to a $25.00No-Show” fee.

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