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 Medicare
    Anthem
    Anthem Healthkeepers Plus (*Only VA Medical Assistance Plan Accepted*)
  • BCBS Federal, and BCBS PPO plans
    Bright Health
    Carefirst PPO & HMO
    Cigna PPO & Cigna Connect
    GEHA/United Shared Services
    Humana & Humana Medicare
  • Medicare (*No New Medicare Patients, Only for Existing Patients who “age in”*)
  • MDIPA
  • Sentara Health Plans – Commercial
  • Sentara Health Plans – Medicaid
    Tricare (Select & Prime)
    UMR
    United PPO & HMO
    United Medicare
    United Shared Services/GEHA
  • VA Medical Assistance plans *NOT accepted:* Aetna Better Health, United
    Community Plan, Magellan

*Medicaid participation is optional and varies amongst Privia Medical Group providers – please verify participation prior to your visit. We accept patients ages 18 and over.

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
Prescription Re-writes (for Lost Prescription) $20
HSA Over-the-Counter Prescriptions (Three per Script) $10
Forms Fee (Fee Varies) $10-$40
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