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 Better Health Maryland
Aetna Better Health Virginia
Aetna Commercial/Medicare
Alterwood Health
Amerigroup MD
Amerihealth DC
Anthem BCBS VA
Apostrophe
BCBS TX
CareFirst BCBS
CareFirst Community Health Plan DC
CareFirst Community Health Plan MD
CareFirst Community Plan DC
Cigna
Cigna Healthcare
Cigna Healthspring
Florida Blue
Flume Health – SavATree
Peachstate Health Plan – Ambetter
Galaxy Health Network
Healthcare Highways
Healthsmart
Humana
Humana Military Tricare
Liberty Health Share
Lifeworks Advantage
DC Medicaid
Virginia Health Network
Maryland Physicians Care
Medicaid DC
Medicaid Georgia
Medicaid Maryland
Medicaid TX
Medicaid Virginia
Medicare – MD – Novitas
Medicare – Novitas – DC/Surr. Counties
Medicare – Palmetto GBA – VA
Medicare Georgia
Medicare Traditional
MedStar Family Choice
Molina Complete Care Virginia
Multiplan/PHCS
Multiplan/PHCS/Beechstreet
Oscar
Oscar Health Insurance Co.
Piedmont Community Health Plan
Railroad Medicare MD
Railroad Medicare VA
Scott & White Health Plan
Sentara/Optima Commercial
Sentara/Optima Medicaid
Sentara/Optima Medicare
Superior/Ambetter Health Plan TX
UHC Commercial
UHC Community Plan
UHC Medicare Advantage Plan
United Healthcare
United Healthcare Community Plan MD
United Healthcare Community Plan VA
Virginia Health Network
Virginia Premier
WebTPA Custom Ink
Wellcare

*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
Missed Pediatric Appointment $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