Insurance & Fees

Financial Information

Our goal is to make the financial aspect of care as seamless as possible for all of our patients. To achieve that goal we participate with most major insurance plans and will advocate on your behalf with the insurance company, whenever appropriate. At the same time, because of the way the managed care system is organized, there is often a need for the patient to become actively involved in this part of care, particularly if your insurance company requires a referral to be seen by a specialist.

Insurance & Fees

Please note: It is critical that you obtain a referral from your primary care physician before your appointment if it is required by your insurance plan. If your insurance company requires a co-pay, it will be due at the time of service. The following is the list of insurances with which we participate. This will be updated from time to time as needed:

• Aetna Better Health Maryland
• Aetna Commercial/Medicare
• Amerigroup MD
• Anthem BCBS
• CareFirst BCBS
• Cigna Healthcare
• Humana
• Maryland Medicaid
• Maryland Physicians Care
• Medicare – MD – Novitas
• Medicare – Novitas – DC/Surr. Counties
• Multiplan/PHCS
• Railroad Medicare DC
• Railroad Medicare Maryland
• Tricare
• Tricare Humana
• Johns Hopkins Health Center [JHHC], including Employers Health Plan, Priority Partners and US Family Healthplan
• United Healthcare
• United Healthcare Community Plan – Maryland
• WebTPA – Custom Ink

*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