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
    Aetna (MA) PPO
    Aetna (WC)
    Aetna Better Health
    Aetna Commercial
    Aetna/Coventry
    Aetna/Coventry (WC)
    Aetna/Coventry Commercial
    Aetna/First Health Non-Delegated
    Aetna/First Health Commercial
    American Specialty Health ASH (C)
    American Specialty Health ASH (PT)
    AvMed
    Bright Health Employer Sponsored
    CarePlus (MA)
    Champ VA
    CIGNA
    CIGNA Commercial
    CorVel (WC)
    Disney Cruise Lines
    Employers Choice Network (WC)
    Empower Chiro Network
    EZ Comp (WC)
    Florida Blue Blue Select
    Florida Blue HMO
    Florida Blue HMO (MA)
    Florida Blue MyBlue
    Florida Blue NWB
    Florida Blue PPO
    Florida Blue PPO (MA)
    Florida Blue Traditional
    GatorCare
    Health First Health Plans (MA)
    Health First Health Plans Commercial
    Humana (MA) PPO
    Humana Choice Care PPO
    Humana Commercial
    Humana Military
    Humana Military Certified
    Humana Military Prime
    Liberty Health Share
    Medicaid
    Medicare
    Medicare DME
    MedRisk (WC)
    Molina (PPACA) N
    MultiPlan/PHCS (WC)
    MultiPlan/PHCS Commercial
    One Call (WC)
    Paradigm (WC)
    Prime Health Services (WC)
    Prime Health Services Commercial
    Provider Networks of America (WC)
    Provider Networks of America Commercial
    RR Medicare
    Sedgwick (WC)
    Staywell (CMS)
    Staywell (MMA)
    SunShine Health Plans (MMA)
    United HealthCare (VA)
    United HealthCare / Neighborhood Health Plans
    United HealthCare Commercial
    US Dept. of Labor (BL)
    US Dept. of Labor (E)
    US Dept. of Labor (L)
    WellCare (MA)

*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
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

Forms and Records Fees

Our office charges for the following forms, requested after your visit to our office for your child’s well visit.

  • FMLA – $30
  • Typed Letters – $20
  • Shot Records – $10
  • Physical Forms – $10
  • Sports Forms – $10
  • Camp Forms – $10
  • Medical Records – $1.00/page for the first 25 pages, $0.25 for each page after 25

Shot Record and Yellow Physical Forms will be given automatically at no charge on the day of your child’s well visit, along with any camp/physical forms that you bring to us. These charges will only apply when you need forms before your child is due for a well visit again. Our goal is to trim down the turn-around time for these requests, as our back-to-school season approaches.

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