Insurance & Fees

Insurance & Fees

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

• Aetna
  Amerigroup
  BCBS TX
  Cigna
  Community Health Choice Marketplace & Medicaid
  Galaxy Health Network
  Healthcare Highways
  Healthsmart
  Humana
  Kelsey Seybold
  Medicaid TX
  Medicare – TX – Novitas – Brazoria, Galveston, Houston, Rest of State
  Medicare Railroad & Traditional
  Molina Healthcare Marketplace, Medicaid, Medicare
  Multiplan/PHCS/Beechstreet
  Scott & White Health Plan
  Superior Health Plan TX
  Texas Childrens Health Plan Medicaid
  Tricare/Humana Military (In Network)
  US Family Health Plan (USFHP)
  Wellcare

*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

Please download and fill out our Cancellation and Retainer fee form here

No shows and cancellations dramatically affect a medical office. We have implemented a policy of automatically charging for a no show or cancellation within 24 hours of an appointment. The charge is $35.00. If a second cancellation happens, we will charge the $35 fee and a $35 retainer fee for a future appointment. If a patient does not show for a third appointment, or if a patient does not pay for the cost of their no show/late cancellation, we will be sending a letter regarding the need to find a new provider.