Insurance & Fees

Insurance & Fees

WE ACCEPT AND ARE IN-NETWORK WITH THESE MAJOR INSURANCE PLANS:

    • Aetna – PPO, POS, EPO, Includes TRS-Active Care Plans Members thro’ BQA
    • Aetna First Health – Note: The card must say Aetna on it
    • Anthem Blue Cross & Blue Shield
    • Blue Cross & Blue Shield – PPO; Blue Essentials HMO; Blue Cross Blue Shield Health Select
    • Blue Cross Medicare Advantage PPO (“PMC” must be on the card)
    • Care Improvement Plus through UHC “Texas Care Improvement Plus UHC” – Medicare Advantage Plan
    • Choice Care (HUMANA), ‘Humana One’ individual plans
    • CIGNA (PPO, POS, HMO, FLEX, LocalPlus PPO, Open Access, Select Network)
    • First Health – Aetna Note: The card must say Aetna on it
    • Galaxy Health Network PPO
    • GPA – We are in network if there is a logo on the card for one of the networks we are already on MultiPlan, PHCS, Beech Street, Cigna, etc.
    • Healthscope thro’ BSWQA – Dart Employees Only
    • HealthSmart Preferred Care
    • Humana Medicare Advantage Networks
    • Humana Choice PPO, Humana Prime Choice PPO, & Humana Gold Choice PFFS
    • Humana One Individual plans (Choice Care) – NO Humana Gold HMO
    • Interplan Health Group, Accountable PPO / Health Payor (through HealthSmart)
    • Medicare & Railroad Medicare
    • MultiPlan – PHCS (PPO Only)
    • PHCS (PPO ONLY) thro’ Multiplan
    • Scott & White Health Plan Commercial HMO, PPO and EPO
    • Texas True Choice PPO/POS (now through MultiPlan)
    • TRICARE EAST – (Prime, Standard, Reserve Select, Tricare for Life)
    • United Healthcare – Commercial Plans – PPO, HMO etc.
    • United Healthcare CHARTER
    • United Healthcare NEXUS ACO through BSWQA
    • United Healthcare – Medicare Advantage
    • United Healthcare Medicare Solutions “Medicare Complete” “Medicare Essential” “United Healthcare Dual Complete” (formerly Secure Horizons, AARP, or Evercare)
    • United Healthcare “Texas Care Improvement Plus” (Medicare Advantage Plan)

    WE ARE NOT ACCEPTING THE FOLLOWING INSURANCES AT THIS TIME:

      • Aetna – HMO Exchange, Aetna ACO, Smartcare/Imagine Health
      • Blue Cross & Blue Shield – Premier HMO Network with “HMH” on card.
      • Blue Cross & Blue Shield – Any BCBS Blue Advantage Plans, including HMO Network (“BAV” on card)
      • Humana – Humana Preferred Network, Humana Medicaid
      • CIGNA – Medicare Advantage plans
      • MultiPlan – MultiPlan Discount Plans
      • PHCS (thro’ Multiplan) – No Discount Plans
      • Scott & White – Vital traditions”, Scott & White Medicare Replacement Plans
      • Three Rivers
      • United Healthcare – United Healthcare Exchange Plans, UHC Medicaid Plans, UHC “Community Plan”

      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
Late Cancellation –
less than 24 hours or same day
$20
No-Show $50
Missed Procedure $200
Out-Of-Network
New Patients Payment in full at time of service
Established Patients Payment in full at time of service
Self-Pay
New Patients Payment in full at time of service
Established Patients Payment in full at time of service
Procedures Payment in full at time of service