Insurance & Fees

Insurance & Fees

Acceptable Health Insurance Plans

Olde Towne Pediatrics accepts most health insurance plans for the local jurisdictions. Listed below are the managed care programs/health plans that we currently participate with.

Our participation for certain services like laboratory, radiology, and other specialties will vary depending on each health plan program requirements and benefits.

Please contact the Member Services Department with your health insurance plan to discuss your specific benefit requirements and to learn about your health plan’s provider network options.

We are continually adding to our list of insurers, so please be sure to check this page regularly for updates.

    • Aetna
    • Alliance PPO
    • Amerigroup
    • Anthem PPO/HMO
    • Anthem HealthKeepers Plus
    • Blue Cross/Blue Shield
    • Carefirst
    • CIGNA
    • First Health
    • VA Medicaid
    • Kaiser (Choice POS Plan)
    • Mutual of Omaha
    • NCAS
    • NCPPO
    • PHCS
    • Tricare Standard

*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