Insurance & Fees
Our fees are comparable to those charged for similar services in our community. Payment at the time of service is requested to help contain our costs and keep your costs reasonable. Copayments are due at the time of service. For your convenience we do accept both VISA and Master Card.
Please be aware that we must have accurate records of your insurance carrier and policy number. You may wish to speak with our billing department to verify whether or not we participate with your particular insurance plan. We are contracted with most insurance plans.
Please be aware that if your insurance has not paid your charges within sixty days, these charges will become your responsibility. Please let us know of any changes in your insurance as soon as they occur.
Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
- Aetna
- Alliant Health/SoloCare
- Amerigroup CMO
- Anthem/BCBS
- Bright Health Plan
- CareSource CMO
- CareSource Marketplace
- Cigna
- Cigna Healthspring
- Clover Health
- Friday Health Plan
- Humana
- Humana Medicare Advantage
- Medicaid (State)
- Medicare – Palmetto
- Medicare Railroad
- Memorial Health Partners
- Multiplan
- NovaNet PPO
- Oscar Heatlh
- Peachstate Health Plan – Allwell
- Peachstate Health Plan – Ambetter
- Peachstate Health Plan – CMO
- The Care Network
- Tricare Prime Humana Military
- UHC
- Wellcare Medicare Replacement
*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 |
Missed Pediatric Appointment | $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 |