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
  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 NWB
  Florida Blue PPO
  Florida Blue PPO (MA)
  Florida Blue Traditional
  GatorCare
  Health First Health Plans (MA)
  Health First Health Plans Commercial
  Humana Military
  Humana Military Certified
  Humana Military Prime
  Liberty Health Share
  Medicaid
  MedRisk (WC)
  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
  Sedgwick (WC)
  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)

*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

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.