Insurance & Fees

Payments of all co-pays, deductibles, and/or coinsurance are due at the time of service. As a service to you, our office will bill your insurance company. Being a participating provider with most insurances, the insurance companies require that we collect these fees, as they are terms of your health care contract. Additionally, patients are ultimately responsible for all balances. For your convenience, we accept all major credit cards, as well as accept online payments through our patient portal.

Due to the constant changes in health insurance it is your responsibility to know what your health insurance benefits are. If you should have any questions in regards to a certain procedure or test being covered, it is to your advantage to contact your insurance company and find out exactly what your contract covers. Their customer service representatives will be happy to assist you. Please keep in mind that when a provider orders any testing procedures for you it’s because they believe it may be beneficial in assisting with your current plan of treatment. The providers do not have any information regarding insurance coverage for any ordered testing or procedures.

Patient Support Line: 888.774.8428

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time as needed:

  • Aetna/Coventry
  • Anthem
  • Blue Cross Blue Shield
  • CareFirst
  • ChampVA
  • Cigna
  • Humana
  • Innovation Health
  • Innovation Health QHP/Exchange
  • Johns Hopkins Healthcare
  • Medicare
  • Multi-Plan/PHCS
  • Tricare
  • United Healthcare
  • VA Medicaid*
  • Workers Comp/DOL

*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 (Internal Medicine) $50
Missed Appointment (Endocrinology and Dermatology) $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