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 Delegated
    Apostrophe Non-Delegated
    BCBS TX Delegated
    Cigna Delegated
    Cigna Healthspring Delegated
    Healthcare Highways Non-Delegated
    Healthsmart Non-Delegated
    Humana Delegated
    Humana Military/Tricare Delegated
    GC – Medicare Traditional
    GC – Multiplan/PHCS/Beechstreet Delegated
    GC – Oscar Delegated
    GC – Scott & White Health Plan Non-Delegated
    GC – UHC Commercial Delegated
    GC – UHC Community Plan Delegated
    GC – UHC Medicare Advantage Plan Delegated
    MA – Aetna Better Health Maryland Delegated
    MA – Aetna Commercial/Medicare Delegated
    MA – Amerigroup MD Non-Delegated
    MA – Apostrophe
    MA – CareFirst BCBS Non-Delegated
    MA – CareFirst Community Health Plan of Maryland Non-Delegated
    MA – Cigna Healthcare Delegated
    MA – Flume Health – SavATree Non-Delegated
    MA – Humana Delegated
    MA – Humana Military Tricare Delegated
    MA – Maryland Medicaid (Traditional) Non-Delegated
    MA – Maryland Physicians Care Non-Delegated
    MA – Medicare – MD – Novitas Non-Delegated
    MA – Medicare – MDPCP
    MA – MedStar Family Choice Non-Delegated
    MA – Multiplan/PHCS Delegated
    MA – United Healthcare Delegated
    MA – United Healthcare Community Plan – Maryland Delegated
    MA – WebTPA Custom Ink

*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
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

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