{"id":1627,"date":"2025-09-10T21:09:31","date_gmt":"2025-09-10T21:09:31","guid":{"rendered":"https:\/\/dominionfhc.com\/?page_id=1627"},"modified":"2026-08-26T15:30:21","modified_gmt":"2026-08-26T15:30:21","slug":"insurance-fees","status":"publish","type":"page","link":"https:\/\/dominionfhc.com\/index.php\/insurance-fees\/","title":{"rendered":"Insurance &amp; Fees"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text content_phone=&#8221;<\/p>\n<div class=%22et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<div class=%22et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Insurance &#038; Fees<\/h3>\n<p>The following is the list of insurances with which we participate. This will be updated from time to time as needed:<\/p>\n<p>Anthem<br \/>BCBS Texas<br \/>Cigna<br \/>Imagine Health<br \/>Mutual of Omaha<br \/>Molina<br \/>Oscar Marketplace<br \/>Community Health Choice<br \/>Humana Medicare<br \/>United Health Care<br \/>Wellcare\/Texan Plus<br \/>Superior Health Plan<br \/>Traditional Medicare<br \/>Traditional Medicaid<br \/>Worker\u2019s Compensation<br \/>Tricare East<br \/>USFHP<br \/>Aetna Medicare Advantage<\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_2 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Note:<\/h3>\n<p><span>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.<\/span><\/p>\n<h3><span><span style=%22color: #000000;%22><strong>We do not accept medicaid !<\/strong><\/span><\/span><\/h3>\n<\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_3 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Payment Options<\/h3>\n<p><span>We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.<\/span><\/p>\n<\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_4 asthma-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Card-on-File<\/h3>\n<p>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.<\/p>\n<p>At check-in we will:<\/p>\n<ul>\n<li>scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card<\/li>\n<\/ul>\n<p>After your insurance has paid their portion, we will:<\/p>\n<ul>\n<li>notify you via email of the balance owed<\/li>\n<li>charge the balance owed to your card on file<\/li>\n<li>email a receipt for the charge<\/li>\n<\/ul>\n<p>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 \u2013 PCI-DSS).<\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_5 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Fees<\/h3>\n<h4><span>No Shows<\/span><\/h4>\n<p><span>Missed Appointment $150<\/span><\/p>\n<p><span>Missed physical $100 <\/span><\/p>\n<p><span>Late Cancellation $150<\/span><\/p>\n<p><span>No-Show $150 <\/span><\/p>\n<p><span>Missed Procedure $200 <\/span><\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_6 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3><\/h3>\n<h4><strong>Out-Of-Network<\/strong><\/h4>\n<p><span>New Patients Total Charge or Minimum $200 Deposit<\/span><\/p>\n<p><span>Established Patients Total Charge or Minimum $150 Deposit<\/span><\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_7 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3><\/h3>\n<h4><span>Self-Pay<\/span><\/h4>\n<p><span>New Patients Total Charge or Minimum $200 Deposit<\/span><\/p>\n<p><span>Established Patients Total Charge or Minimum $150 Deposit<\/span><\/p>\n<p><span>Procedures Total Charge or Minimum $200 Deposit<\/span><\/p>\n<\/div>\n<\/div>\n<div class=%22et_pb_module et_pb_text et_pb_text_8 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light%22>\n<div class=%22et_pb_text_inner%22>\n<h3>Additional Resources<\/h3>\n<p><span style=%22color: #3366ff;%22><a href=%22https:\/\/dominionfhc.com\/wp-content\/themes\/care_center_wordpress\/files\/Avoiding_Surprises_in_Your_Medical_Bills.pdf%22 style=%22color: #3366ff;%22>Avoiding Surprises in Your Medical Bills<\/a><\/span><\/p>\n<p><span style=%22color: #3366ff;%22><a href=%22https:\/\/dominionfhc.com\/wp-content\/themes\/care_center_wordpress\/files\/Avoiding_Surprises_in_Your_Medical_Bills_(Spanish).pdf%22 style=%22color: #3366ff;%22>Avoiding Surprises in Your Medical Bills (Spanish)<\/a><\/span><\/p>\n<p><span style=%22color: #3366ff;%22><a href=%22https:\/\/dominionfhc.com\/wp-content\/themes\/care_center_wordpress\/files\/Understanding_Healthcare_Prices.pdf%22 style=%22color: #3366ff;%22>Understanding Healthcare Prices: A Consumer Guide<\/a><\/span><\/p>\n<p><span style=%22color: #3366ff;%22><a href=%22https:\/\/dominionfhc.com\/wp-content\/themes\/care_center_wordpress\/files\/Understanding_Healthcare_Prices_(Spanish).pdf%22 style=%22color: #3366ff;%22>Understanding Healthcare Prices: A Consumer Guide (Spanish)<\/a><\/span><\/p>\n<p><span style=%22color: #3366ff;%22><a href=%22https:\/\/dominionfhc.com\/wp-content\/themes\/care_center_wordpress\/files\/Planning_For_a_Medical_Procedure.pdf%22 style=%22color: #3366ff;%22>Planning For a Medical Procedure<\/a><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&#8221; content_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans||||||||&#8221; header_3_font=&#8221;Manrope|600|||||||&#8221; header_3_text_color=&#8221;#000000&#8243; header_3_font_size=&#8221;36px&#8221; hover_enabled=&#8221;0&#8243; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;26px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<div class=\"et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><strong><em><span style=\"font-size: large;\">We Do Not Accept Medicaid<\/span><\/em><\/strong><\/span><\/h3>\n<p><span style=\"text-decoration: underline;\"><strong><em><span style=\"font-size: large;\"><\/span><\/em><\/strong><\/span><\/p>\n<h3>Insurance &amp; Fees<\/h3>\n<p>Most Insurances Accepted.<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_2 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Note:<\/h3>\n<p><span>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.<\/span><\/p>\n<h4><\/h4>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_3 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Payment Options<\/h3>\n<p><span>We accept\u00a0 Visa, Mastercard, Discover, American Express, and personal checks.<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_4 asthma-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Card-on-File<\/h3>\n<p>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.<\/p>\n<p>At check-in we will:<\/p>\n<ul>\n<li>scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card<\/li>\n<\/ul>\n<p>After your insurance has paid their portion, we will either:<\/p>\n<ul>\n<li>notify you via email of the balance owed<\/li>\n<li>charge the balance owed to your card on file and email a receipt\u00a0 for the charge<\/li>\n<\/ul>\n<p>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 \u2013 PCI-DSS).<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_5 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Fees<\/h3>\n<h4><span>No Shows<\/span><\/h4>\n<p><span>Missed Appointment:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0$150<\/span><\/p>\n<p><span>Missed physical:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 $150\u00a0<\/span><\/p>\n<p><span>Late Cancellation:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0$150<\/span><\/p>\n<p><span>No-Show:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 $150\u00a0<\/span><\/p>\n<p><span>Missed Procedure:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 $150<\/span><\/p>\n<p><strong>For Dr. Agha:<\/strong><\/p>\n<p>Cancellation or rescheduling within 24 hours:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0$150<\/p>\n<p>No-show:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0$150<\/p>\n<p><strong>For all other providers:<\/strong><\/p>\n<p>Same-day cancellation or no-show:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 $150<\/p>\n<p>Same-day rescheduling:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0$50<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_6 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3><\/h3>\n<h4><span>Out-Of-Network<\/span><\/h4>\n<p><span>New Patients\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Total Charge or Minimum $200 Deposit<\/span><\/p>\n<p><span>Established Patients \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Total Charge or Minimum $150 Deposit<\/span><\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_7 aller-mod2  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3><\/h3>\n<h4><span>Self-Pay<\/span><\/h4>\n<p><span>New Patients\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Charge of $143.86 Deposit<\/span><\/p>\n<p><span>Established Patients\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Charge of $96.19 Deposit<\/span><\/p>\n<p><span>Procedures\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Total Charge or Minimum $200 Deposit<\/span><\/p>\n<p><span><\/span><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #ff0000;\">Important:<\/span> Patients must have Dominion Health listed as their Primary Care Provider (PCP)<br \/>prior to their appointment. If not, a $150 fee will apply.<\/strong><\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_8 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We Do Not Accept Medicaid Insurance &amp; Fees Most Insurances Accepted. 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. &nbsp; Payment Options We accept\u00a0 Visa, Mastercard, Discover, American Express, and personal checks. &nbsp; Card-on-File We [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1627","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"We Do Not Accept Medicaid Insurance &amp; Fees Most Insurances Accepted. 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. 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