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
      • Ambetter
      • Assurantt Health
      • Baylor Scott & White – BSWQA
      • Blue Cross Blue Shield – HMO/PPO/BAV
      • Carefirst
      • Cigna – Exception – No Cigna Care Network or Focus In
      • First Health (Card must say Aetna)
      • GEHA
      • GWH – (Cigna)
      • Healthsmart
      • Humana
      • IMS – PPO only
      • Liberty Healthshare
      • Oscar- Please note: Many plans do not pay for Well Exams and/or vaccines. Oscar does not tel us in advance what is and what is not covered. You will be responsible for any balance
      • Tricare – Standard/Prime/Select
      • Tristar
      • United Healthcare

PHCS/MULTIPLAN NETWORK PLAN

        • Allied Benefit
        • Beech Street PPO
        • Coventry
        • First Health
        • FMS Health
        • Golden Rule
        • Group & Pension Administrators
        • Health Partners
        • Meritain Health
        • Starmark
        • UMR (United Healthcare)
        • **NO Multiplan Discount Card Plan**

  • SELF PAY ONLY

    **We are in network with these plans – patient may file with their insurance provider**

        • Freedom Life
        • Galaxy Health
        • Philadelphia Life
        • Medishare

        *We do NOT accept any Medicare/Medicaid plans**

        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

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