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
Amerigroup CMO
Anthem/BCBS
CareSource CMO
Cigna
Cigna Healthspring
Coventry/First Health
Humana
Humana Medicare Advantage
Medicaid (State)
Medicare – Palmetto
Medicare – Palmetto Revalidation
Medicare Railroad
Mulitplan/PHCS
NovaNet PPO
Peachstate AllWell
Peachstate Health Plan – Allwell
Peachstate Health Plan – Ambetter
Peachstate Health Plan – CMO
Tricare – Select
UHC
Wellcare CMO
Wellcare Medicare

*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
No-Show $25
Out-Of-Network
New Patients Total Charge or Minimum $175 Deposit
Established Patients Total Charge or Minimum $125 Deposit
Self-Pay
New Patients Total Charge or Minimum $175 Deposit
Established Patients Total Charge or Minimum $125 Deposit
Procedures Total Charge or Minimum $200 Deposit