Insurance & Fees

Payment

Full payment is requested at the time of service unless alternate arrangements have been made in advance. This policy allows us to reduce administrative costs without diminishing the quality of service to you. For your convenience, BRPM accepts payments by cash, check, or credit card.

Insurance

Blue Ridge Pulmonary Medicine accepts many insurance plans as well as Medicare. Many have specific rules requiring pre-approval for testing and referrals but our staff will be glad to assist you with questions about your coverage. Insurance, deductibles and other non-covered expenses are the responsibility of the patient at the time of service.

Insurance & Fees

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

  • Aetna
  • Anthem
  • Cigna
  • Coventry
  • Humana
  • Medicare-VA
  • Medicare Railroad-VA
  • Tricare
  • Trusted Health Plan
  • United Health Care
  • Workers Compensation-Black Lung
  • Workers Compensation-Energy
  • Workers Compensation-FECA

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
Late Cancellation $50
No-Show $50
No-Show Follow Up Appointment $50
No-Show New Patient Appointment $150
Missed Pulmonary Function Test $150
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