Insurance & Fees

Insurances

How much is my co-pay?
Podiatry is a specialty field, so your co-pay would be whatever is listed on your insurance card for a specialist co-pay.


Do I need a referral?
Some insurance companies and HMO’s require a referral for specialist services. Please check with your insurance company or primary care physician to verify if you need a referral.

If you need a referral you will be required to bring it with you at the time of service or you will be responsible for the cost of services not covered by your insurance company.


Accepted Insurances

  • Aetna Commercial/Medicare
  • Anthem BCBS
  • Apostrophe
  • CareFirst BCBS
  • Cigna Healthcare
  • HealthNet Federal Services (HNFS) Tricare
  • Humana
  • Maryland Medicaid
  • Maryland Physicians Care
  • Medicare DME
  • Medicare – Novitas – DC/Surr. Counties
  • Medicare – Novitas – DC/Surr. Counties – Revalidation
  • Multiplan/PHCS
  • Railroad Medicare DC
  • United Healthcare
  • University of Maryland Health Advantage
  • University of Maryland Health Partners
  • WebTPA – Custom Ink

*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
No-Show $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