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:

Insurance Name Plan type
Aetna All Aetna plans
Blue Cross Blue Shield BlueCare PPO/EPP
BlueCard PPO Basic
BlueCard Traditional
Medicare Advantage PPO
Cigna Cigna Health Of FL – Orlando HMO
Cigna HealthCare Seamless HMO
Central FL Network HMO
Disney Orlando HMO
LocalPlus
Open Access Plus
OA Plus
OA Plus
Choice Fund OA Plus
Choice Fund OA Plus with CareLink
PPO
Choice Fund PPO
Allegiance HMO
Florida Blue BlueCare (HMO)
BlueCare (HMO) with Pediatric Vision
BlueCare (HMO) with Pediatric Vision and Dental
BlueChoice
BlueOptions
BlueOptions Health & Dental – Health
BlueOptions Hospital Surgical Plus
BlueOptions Temporary Insurance
BlueOptions with Pediatric Vision
BlueOptions with Pediatric Vision and Dentals
BlueSelect
BlueSelect Hospital Surgical Plus
BlueSelect Temporary Insurance
BlueSelect with Pediatric Vision
BlueSelect with Pediatric Vision and Dental
Preferred Patient Care
SimplyBlue
Traditional
MyBlue
Florida Blue Medicare Advantage Advantage65 – Premier Select B & D (Medicare Supplement)
Advantage65 – Select B & D (Medicare Supplement)
Advantage65 – Select E (Medicare Supplement)
BlueMedicare Choice (Regional PPO)
BlueMedicare Classic (HMO) Miami-Dade
BlueMedicare Classic (HMO) excluding Miami-Dade
BlueMedicare Classic Plus (HMO)
BlueMedicare Complete (HMO D-SNP)
BlueMedicare Group PPO (Employer PPO)
BlueMedicare Patriot (PPO)
BlueMedicare Premier (HMO) Miami-Dade
BlueMedicare Premier (HMO) excluding Miami-Dade
BlueMedicare Saver (HMO)
BlueMedicare Select (PPO)
BlueMedicare Value (PPO)
Medicare Medicare
Medicare & ANY Secondary
Medicare Advantages Aetna Medicare HMO & PPO
United Healthcare Medicare PPO
AARP United Healthcare Medicare PPO (Out of Network ONLY) – subject to higher copay
Humana Medicare PPO
Cigna Medicare PPO
United Healthcare Medicare Dual-Complete PPO
United Healthcare All Savers
Choice/Choiceplus (ALL)
Charter
Core
Doctors plan
Freedom EPO/PPO
Heritage
Nexus
NHP HMO/POS
Options
Oxford – Freedom w/Choice & Liberty w/Choice
Passport (ALL)
Select (ALL)
Goldenrule/UnitedHealthOne
PCHS – Multiplan ALL, except: Christian Ministries
UMR

*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
Missed Procedure $200
COVID Antigen $130
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