"Very well run office. Always on time (minimal wait time). Service is friendly and genuine. This is what other medical facilities should strive to be like."
Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
Aetna
Amerigroup
BCBS TX
Cigna
Galaxy Health Network
Healthsmart
Humana
Humana Military Non-Network
Medicare Railroad
Medicare Revalidation
Medicare Traditional
MHealth
Molina Healthcare Marketplace
Multiplan/PHCS/Beechstreet
Oscar
Tricare/Humana Military (In Network)
UHC (EPO/PPO/HMO/POS)
UHC Community Plan
UHC Medicare
*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 |
Referrals and Prior Authorizations
Some insurances may require referral authorization or prior authorization for specialist visits or diagnostic testing. The process to obtain authorization varies by insurance carrier and may take up to 10 days for completion. While San Marcos Family Medicine strives to provide high-quality services for our patients, we do ask you allow appropriate time for our staff to complete this process prior to scheduling services to ensure your visit or testing will be covered.
Additional Resources
Avoiding Surprises in Your Medical Bills
Avoiding Surprises in Your Medical Bills (Spanish)
Understanding Healthcare Prices: A Consumer Guide