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 First Health
  • Aetna Commercial
  • AmeriGroup Medicaid
  • AmeriGroup Medicare Advantage
  • Blue Cross Blue Shield Medicare Advantage PPO “PMC “
    Blue Cross Blue Shield Blue Choice PPO “BCA” & Blue Essentials HMO “HMO” (now individual PPO policies only) includes Open Access (no referral needed for Open Access)
    Blue Cross Blue Shield Health Select Point of Service  “HME”
    Blue Premier HMO Network “HMH”
    CIGNA Commercial   (NO Medicare plans)
    Galaxy Health Network PPO
  • HealthSCOPE Benefits
  • HealthSmart Preferred Care
  • Humana Choice
  • Humana Choice Care (Commercial)
  • Medicaid (TMHP)
    Medicare
    MultiPlan / PHCS / Beech Street  – PPO Only No MultiPlan DISCOUNT CARD PLANS
    Scott & White Health Plan Commercial – HMO, PPO, & EPO; INCLUDES Baylor employees No Vital Traditions No Medicare
    Three Rivers Provider Network
    United Healthcare Medicare Advantage Plans : AARP 1&2 HMO/  UHC Dual Complete  / Regional  Gold / Silver /  Dual Complete / Regional Complete Choice / UHC Nursing Home Plan ( PPO SNP)  Formerly Secure Horizons;
    United Healthcare Commercial Plans : Charter Plans/ Choice Plans/ Navigate Plans/ Options Plans / Select Plans/ Core Plans / Non Par Compass / Indemnity
    United Healthcare Community Plan – Medicaid Plan –  (Includes Star Kids, CHIP, Perinate STAR+PLUS , DSNP , MMP )
    WellMed Provider

*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, 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
Late Cancellation $50
No-Show $50

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