Insurance & Fees

Insurance & Fees

Since all insurance companies have subsets, please check with your insurance company to make sure Dr. Fogwell is on your Participating Provider List before making your appointment.

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

  • Aetna (No HMO Exchange, No ACO, No QHP, No TRS)
  • Aetna First Health (Must say Aetna on card)
  • Aetna Medicaid
  • AmeriGroup Medicaid (please wait for an effective date)
  • Beech Street
  • Blue Cross Blue Shield, PPO, POS, HMO Blue
  • Blue Premier HMO Network
  • Choice Care (Humana)
  • Cigna HMO, PPO, Flex, POS, Open Access, Select Network (No Cigna Focus)
  • Galaxy Health Network PPO
  • Great-West Healthcare (Thru Cigna)
  • HealthSmart Preferred Care
  • Humana One Individual Plans (Thru Choice Care)
  • Interplan Health Group (Accountable, Health Payers)
  • MultiPlan (No Discount Cards)
  • Private Health Care Systems (PPO only, thru MultiPlan)
  • Scott and White Health Plan, Commercial, PPO
  • Texas True Choice PPO/POS
  • Three Rivers Provider Network
  • TriCare (Standard)
  • United Healthcare (No Exchange plans, No Medicaid, No Community Plan)

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

To make the checkout process for you easier, faster, and more efficient, I encourage patients to keep a credit card on file. You will 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:

  • 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

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