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Please print and email the consent form to our office email: mpc.mathur@gmail.com

Consent Form


Manassas Primary Care

(571) 379-8827/8828

Manassas Primary Care PROVIDERS:
 
Navdeep Mathur, MD,  siddhi joshi, md

FOR ONLINE APPOINTMENTS OR BOOK THROUGH OUR WEBSITE BELOW

Health Insurance Forms

Insurance & Forms

We accept the following insurances:

  • Aetna (except Aetna Better Health)
  • Cigna (Except a few plans, such as Cigna Connect)
  • VA Medicaid
  • Anthem Health Keepers/Plus
  • Care First Blue Cross
  • Blue Cross/Blue Shield
  • Tricare
  • Coventry
  • Optima Choice
  • United (only PPO, NOT HMO)
  • Medicare and most medicare advantage
  • Humana 
  • Molina healthcare

We also accept payments by cash, check, or credit cards.

For self-pay patients, our consultation fee is $130 plus an additional fee if blood work or other services are provided.

PLEASE VERIFY WITH YOUR INSURANCE COMPANY THAT WE ARE IN YOUR NETWORK. WE MAY ACCEPT YOUR INSURANCE; HOWEVER, THERE ARE HUNDREDS OF "PLANS" WITHIN YOUR INSURANCE, AND WITH SOME OF THOSE "PLANS" WE MAY BE OUT OF NETWORK. THAT MEANS A HIGHER OUT OF POCKET COST OF YOU. THE BEST METHOD TO MAKE SURE THAT WE ARE IN-NETWORK WITH YOUR PLAN IS FOR YOU TO CALL YOUR INSURANCE COMPANY AND GET THEM THE VERIFY THAT WE ARE IN-NETWORK FOR YOUR PARTICULAR PLAN WITHIN YOUR INSURANCE.


Online Forms

Please follow the links provided below:

Contact our office in Manassas, Virginia, for your preventative health needs.