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
    Anthem Blue Cross of CA
    Anthem Blue Cross Medicaid
    Blue Shield of CA
    Blue Shield of CA Medicaid
    Cigna
    Coventry
    Dept of Veterans Affairs
    HealthNet
    HealthSmart
    Liberty Healthshare Medcost Solutions
    Medicaid
    Medicare
    Meritage
    Multiplan
    NX Health
    Partnership Health Plan
    Providence Health Plan
    Tricare HealthNet
    TriWest Healthcare Alliance
    UHC
    Western Health Advantage

*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.

We do not have a contract with the Blue Cross Blue Shield Pathways plan. Pathways is annotated on the bottom right of the insurance card in small print.

Meritage Western Health Advantage will no longer be accepted by Providence Queen of the Valley, where we do surgery, beginning July 2024. We can see patients with this plan in consultation and perform office based procedures, but cannot offer any surgery done under anesthesia.

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 $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

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