Insurance & Fees

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time Ambetteras needed:

Ambetter Peach State
Aetna
Anthem/BCBS
Cigna
Cigna Healthspring
Coventry/First Health
Humana
Humana Medicare Advantage
Medicare – Palmetto
Medicare – Palmetto Revalidation
Medicare Railroad
Mulitplan/PHCS
Tricare – Select
United Healthcare

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
No-Show $50
Missed Procedure $200
Patients w/ Insurance
New Patients Copay and/or $200 Deposit Toward Deductible
Established Patients Copay and/or $150 Deposit Toward Deductible Until Met
Self-Pay
New Patients Total Charge Due at Time of Service
Established Patients Total Charge Due at Time of Service
Procedures Total Charge Due at Time of Service

Additional Resources

Avoiding Surprises in Your Medical Bills

Avoiding Surprises in Your Medical Bills (Spanish)

Understanding Healthcare Prices: A Consumer Guide

Understanding Healthcare Prices: A Consumer Guide (Spanish)

Planning For a Medical Procedure