We accept coverage from most major insurance carriers, including Medicare. Please call our office to confirm that your specific insurance plan is accepted by our providers. For your convenience, our friendly staff will gladly file your insurance claim on your behalf and help you to determine your patient benefits as estimated by your insurance carrier. Please do keep in mind that your insurance co-pay amount will be due at the time of the appointment. We do kindly ask that you come prepared to pay this amount. Our office accepts cash, personal checks, Visa, MasterCard & Discover. Aside from insurance, our office also accepts self-pay patients and can often times offer a discount for patients without insurance.
"Dr. Hallbauer takes the time to listen and doesn’t rush through the appointment."
Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
- Aetna – All plans except Marketplace and Whole health with Memorial Hermann
- Ambetter – Core
Amfirst – All the plans - Apostrophen – Centivo
- Blue Cross Blue shield – All plans
- Boon Chapman – If the parent company is Aetna, BCBS, UH, or any major payer
- ChampVa
Cigna – All plans except Marketplace - Cigna Healthspring
- Community Health Choice – Marketplace (We do not accept Medicaid)
Devoted
First Health – Only if we accept the parent network - Humana – All plans
Humana Military/Tricare – All plans - Imagine Health – All plans
- Medicare – Traditional Medicare, Railroad Medicare, Tricare East, Devoted, Wellmed, Amerigroup
- Multiplan – All plans
- MediShare
- Oscar Marketplace
- Partners Direct Health
- Sana Benefits
- Superior – Marketplace (We do not accept Medicaid)
- United Health Care – All plans except Marketplace
- Wellcare – All plans
- Wellmed – All plans
90 Degree Benefit – Only if we accept the parent network.
Insurances that we DO NOT accept:
Aetna/CVS – Marketplace
Ambetter – Value or Virtual
Cigna – Marketplace
Kelsey Seybold Health Plan
Medicare (Scott and White, Triwest, Department of Labor)
Memorial Hermann Health Plan
Molina Medicaid
Triwest (Different than Tricare)
UHC Marketplace
Any Medicaid plans
Friday Healthplan
*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 Pediatric Appointment | $50 |
| Missed Procedure | $200 |
| Self-Pay | |
| New Patients | Total Charge or Minimum $175 Deposit |
| Established Patients | Total Charge or Minimum $145 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
