Insurance & Fees

We participate with most insurance plans and most insurance contracts are honored. Our staff is always happy to discuss your insurance coverage with you.

Fees for services are within the customary range for this area. You will receive an itemized charge ticket at the end of each visit. We ask that you pay for your treatment, or make your co-payment as required by your insurance carrier, at the time of service. Please bring your insurance card with you to each visit and provide information about any changes of insurance, address, or telephone numbers prior to or upon arrival at our office for your visit.

Even though your doctor may make recommendations for your treatment, your insurance may not be willing to pay for that procedure, treatment, or appointment. As a courtesy to you, we will make every effort to pre-certify your care and notify you of your insurance company’s decision. You will be responsible for your co-payment and deductible for services covered by insurance.

It is our policy that the patient is ultimately responsible for all fees related to the services rendered.

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/Coventry
  • Anthem
  • Anthem Healthkeepers
  • Blue Cross/Blue Shield
  • CareFirst
  • Cigna
  • Humana
  • Highmark BC/BS
  • Innovation Health
  • Innovation Health Exchange
  • INTotal Health
  • Medicare
  • Multi-Plan/PHCS
  • Tricare Standard
  • United Healthcare
  • VA Medicaid
  • Virginia Premier

*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 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