"We've been using Dr. Butler since our daughter was born. She gives practical advice and really explains things if you have a question! She recently got a new NP and my daughter loved her."
Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
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- 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
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PHCS/MULTIPLAN NETWORK PLAN
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- 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**
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SELF PAY ONLY
**We are in network with these plans – patient may file with their insurance provider**
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- 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.
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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 | |
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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