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 Aexcel Plans:
Aexcel Aetna Select
Aexcel Aetna Choice POS II
Aexcel Elect Choice
Aexcel Managed Choice POS
Aexcel Open Access Aetna Select
Aexcel Aetna Open Access Elect Choice
Aexcel Aetna Open Access Managed Choice
Aexcel Open Choice Aetna
Aexcel Plus Plans:
Aexcel Plus Aetna Select
Aexcel Plus Aetna Choice POS II
Aexcel Plus Elect Choice
Aexcel Plus Managed Choice POS
Aexcel Plus Open Access Aetna Select
Aexcel Plus Aetna Open Access Elect Choice
Aexcel Plus Aetna Open Access Managed Choice
Aexcel Plus Open Choice
Aetna HealthFund Plans:
Aetna HealthFund Aetna Choice POS
Aetna HealthFund Aetna Health Network Only
Aexcel Open Access Aetna Select Aetna HealthFund
Aexcel Plus Aetna Choice POS II Aetna HealthFund
Aexcel Plus Open Access Aetna Select Aetna HealthFund
Aexcel Plus Aetna Open Access Elect ChoiceAetna HealthFund
Aexcel Plus Open Access Managed Choice POS Aetna HealthFund
Aexcel Plus Open Choice PPO Aetna HealthFund
Aetna HealthFund Aetna Choice POS II
Aexcel Aetna Choice POS II Aetna HealthFund
Aetna HealthFund Aetna Health Network Only (Open Access)
Aetna HealthFund Aetna Health Network Option (Open Access)
Aetna HealthFund Open Access Aetna Select
Aetna HealthFund Aetna Open Access Elect Choice
Aexcel Aetna Open Access Elect Choice Aetna HealthFund
Aetna HealthFund Aetna Open Access Managed Choice POS
Aexcel Aetna Open Access Managed Choice POS Aetna HealthFund
Aetna HealthFund Open Choice PPO
Aexcel Open Choice PPO Aetna HealthFund
Aetna HealthFund Quality Point-of-Service
Aetna Choice
Aetna HealthFund Aetna Choice POS II
Aetna Health Network Only
Aetna Health Network Option
Aetna Open Access HMO
Aetna HealthFund Aetna Select
Aexcel Open Access Managed Choice POS Aetna HealthFund Traditional Choice
Aetna HealthFund Elect Choice
HMO
Aetna HealthFund Managed Choice POS
Aetna Health Network Only (Open Access)
Aetna Health Network Option (Open Access)
Aetna HealthFund Open Access Aetna Select
Aetna HealthFund Aetna Open Access Elect Choice
Aetna HealthFund Aetna Open Access Managed Choice POS
Aetna HealthFund Open Choice PPO
Quality Point-of-Service
Aetna Medicare:
Aetna Golden ChoiceMedicare Open Plan (PFFS)
Aetna Medicare Plan (HMO)
Aetna Medicare Plan (PPO)
Supplemental Retiree Medical Plan
Aetna Open Access Plans:
Aetna Choice
Aetna Choice POS II
Aetna Health Network Only (Open Access)
Aetna Health Network Option (Open Access)
Open Access Aetna Select
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Standard Plans:
Aetna Select
Traditional Choice
Elect Choice
HMO
Managed Choice POS
Open Choice
Quality Point-of-Service
Aetna Signature Administrators (ASA)
Affordable Health Choices: Affordable Health Choices
Behavioral Health: Managed Behavioral Health
Student Health: Student Health Insurance Plans
Aetna Better Health: MyCare Ohio (Medicare/Medicaid Dual)

AmeriHealth: Medicaid

Anthem
All commercial (including Blue Cross & Blue Shield HMO, PPO)
Blue Connection-High Performance Network Plan
Blue Access (JWQ and JWJ Prefixes only)
Medicare Choice HMO & PPO
Medicare Select Supplement Plan
HealthLink
Anthem Medicaid
Anthem Pathways X HMO
Anthem Pathway Group HMO

Buckeye Community Health Plan 
Medicaid
AllWell Medicare Advantage

Caresource
Medicaid (not Caresource Marketplace)

Cigna
POS Open Access
Open Access Plus
Network Open Access
Network
Point of Service P
referred Provider Organization
Exclusive Provider Organization

Cigna Great West
GWH-Cigna Open Access Plus
GWH-Cigna Preferred Provider Organization

Devoted Health
Medicare Advantage

Human
Humana Commercial
Humana Commercial PPO Plans
Humana Commercial Open Access HMO Plans
Humana Commercial POS Plans
Humana Commercial EPO Plans
Humana Medicare
Humana Gold Plus HMO
Humana Prime Choice PPO
Humana Choice PPO
Humana Gold Choice PFFS

Medical Mutual
MMO Preferred Provider Organization Products:
SuperMed Classic
SuperMed One
SuperMed Plus
SuperMed Professional
MMO Point of Service Products:
SuperMed Preferred
SuperMed Select
MMO Health Maintenance Organization Products:
SuperMed HMO
HMO Health OhioHealth Group
MMO NAS TPA Products:
SuperMed PPO ACCESS
MMO Medicare Advantage Products:
HMO
PPO
MMO Indemnity Products:
Traditional
Medicate

Molina
Molina Managed Medicare Plan
Healthcare Medicaid (not Molina Marketplace)
Healthcare MyCare Ohio Dual-Eligible Medicare/Medicaid Plan

Multiplan
Primary Network
Complementary Network
Workers’ Compensation Network
Auto Medical Network

Ohio Health Choice
Commercial

Ohio Medicaid

OhioHealthy

Oscar (except Franklin County therefore Westerville office only)
Commercial
Medicare Advantage

The Health Plan
Commercial – HMO, PPO, POS
SecureCare HMO (Medicare Advantage Plan)

Trinity
Tier II

Sorting
Certified out of network

UnitedHealthcare
All commercial products (HMO, PPO, POS, including Navigate and Navigate Plus Community Plan (Medicaid HMO)

Medicare HMO/PPO/POS

*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 Visa, Mastercard, Discover, American Express.

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