Participating Health Plans
Because our provider is affiliated with both Potomac Health & Wellness, as well as a third party entity, Inova Urgent Care, her participation with healthcare insurance plans varies depending on where exactly she sees patients: Potomac Health & Wellness vs Inova Urgent Care.
- Potomac Health & Wellness only accepts select BCBS PPO health care plans; therefore our provider participates with only those select BCBS PPO health care plans for all patients seen at our McLean, VA office.
- Inova Urgent Care accepts a much wider network of participating health care plans than Potomac Health & Wellness; therefore our provider, as a Inova contractor, participates with Inova Urgent Care's larger network of accepted health care plans for all patients seen at Inova Urgent Care facilities.
Unfortunately, our provider's location-specific healthcare plans participation profile unnecessarily confuses patients. This is primarily due to the fact that many healthcare plans fail to make this location-specific distinction to their members. Furthermore, Inova Urgent Care uses our provider's individual National Provider Identifier (NPI) number to bill all of their health plans which adds to this confusion. Therefore, to avoid receiving inaccurate provider participation information from your specific healthcare plan, please reference Potomac Health & Wellness' organization NPI number, not our provider's individual NPI number. You may also contact Physicians Billing Service to further clarify your specific health plan's participation status with Potomac Health & Wellness.
Potomac Health & Wellness only participates with select BCBS PPO health care plans. We do not participate with any BCBS or other health maintenance organization (HMO), point of service (POS), exclusive provider organization (EPO), Medicare, Medicaid, etc. health care plans that are all considered non-participating health care insurance plans. For such patients, as well as those patients who are uninsured or self-pay, we provide simplified office consultation fees for your convenience. We also provide, the necessary healthcare insurance claims documentation, for you to submit to your specific health plan, for reimbursement. Payment is due upon the time of your scheduled appointment and we accept major credit cards as forms of payment.
For patients with our select participating BCBS PPO health plans and who have met their current calendar year deductible; Potomac Health & Wellness will submit your office visit claims, on your behalf, to your specific participating BCBS PPO health plan. However, you are solely financially responsible for all of your assigned co-pays, co-insurances, deductibles, account balances, etc., due at the time of your appointment. Patients who have not yet met their current calendar year deductible must self pay for their office visits, and may opt to use their health savings accounts (HSA) or flexible savings accounts (FSA) for payment.
NOTE: Office consultation fees are not inclusive of any additional health care or administrative services (e.g. medical records or medical documentation review, medical record fees, third party patient forms, disability determinations, dietary counseling, special reports, etc.), which are an additional charge, ranging anywhere from $25-$100, due at the time of your scheduled appointment. All patients are solely financially responsible for all of their third party, health coordination services, including labs, pharmacies, imaging, etc. which may or may not be covered by your specific healthcare insurance plan. Our office accepts most major credit cards as forms of payment. All patient billing inquiries should be directed to Physicians Billing Service.
Potomac Health & Wellness
Participating Health Plans