Insurance & Forms
Insurance Plans & Forms
We currently participate in the following insurance plans. The list may change, so please check with us as insurance plan lists are often outdated or inaccurate.
Family Healthcare of Fairfax is accepting new patients with all of the following:
- Aetna HMO, PPO, EPO, MC Insurance
- Anthem BC/BS of Virginia Insurance
- BC/ BS NCA Insurance
- CareFirst/ BlueChoice Insurance
- Cigna PPO Insurance
- Cigna HMO Insurance
- Cigna Open Access
- Medicare
- PHCS: Private Healthcare System Insurance
- United Healthcare as secondary only
Patients without insurance are welcome – and receive a 20% discount
New Patient Forms
Registration Form
Financial Policy
Disclosure Form
Health History Form
Gyn Exam Form
Physical Exam Form
Most insurances pay for only one physical and Gyn Exam per year.
Be sure to schedule your exam within a timeframe that it is covered.