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 Better Health Virginia
    Aetna Commercial/Medicare
    Allegiance – Custom Ink
    Alterwood Health
    Anthem BCBS
    Apostrophe
    Bright Health
    Cigna Healthcare
    ClaimDoc
    Department of Labor – Black Lung Program
    Department of Labor – Energy Program
    Department of Labor – FECA Program
    Flume Health/SavATree
    Humana
    Humana Military Tricare
    Lifeworks Advantage
    Medicaid – Virginia
    Medicare – Railroad
    Medicare – Virginia
    Molina Complete Care – Medicaid
    Molina Complete Care – Medicare
    Multiplan/PHCS
    Sentara/Optima Commercial
    Sentara/Optima Medicaid
    Sentara/Optima Medicare
    United Healthcare
    United Healthcare Community Plan – Virginia
    Virginia Health Network
    Virginia Premier
    Virginia Premier Elite/Elite Plus
    WPS Certification (Humana Mil Tricare)

*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