Pricing & Insurance
Affordable, Insurance-Friendly Care for Complex Needs
Managing complex health conditions shouldn’t be a luxury. We believe higher-touch, condition-informed care should still be accessible.
That’s why we’ve built a model that combines insurance coverage with a low monthly membership fee, so you can get the support you need without the high price tag of concierge care. We accept insurance to help cover the cost of your visits, labs, medications, and more.
How It Works
Chronius is a membership-based primary care practice.
Your membership subscription gives you access to your care team and includes high-touch care coordination, patient advocacy, and longer visit lengths.
Your insurance is billed for medical visits, labs, imaging, and prescriptions, just like at a traditional PCP office. We bill visits as primary care, so your usual primary care coverage (deductible/copay/coinsurance) applies.
Plans We Are In-Network With
Commercial plans: Aetna, BCBS, Cigna, UHC
Medicare (traditional Medicare Part B)
Medicare Advantage plans: Aetna, BCBS, UHC, soon: Humana
We cannot see patients with an HMO plan or an assigned PCP, even as out-of-network / cash pay. Such plans prevent our team from delivering the level of care coordination that our patients expect and deserve. We are not yet permitted to see patients with Medicaid or Dual Special Needs Plans (D-SNP), even as out-of-network / cash pay.
Not In-Network Yet? You Can Still See Us.
If we’re not in-network with your insurance yet — or if you don’t have insurance — you can still get care with us*. Here are our cash-pay rates:
New Patient visits: $239
Established Patient visits: $89–$169, depending on the length and complexity of the visit.
Even if we’re not in-network yet, you can still use your insurance for:
Medications filled at your preferred pharmacy
Labs, imaging, or other testing your Chronius provider orders
*Note: we cannot see patients with an HMO plan or an assigned PCP, even as out-of-network / cash pay. Such plans prevent our team from delivering the level of care coordination that our patients expect and deserve. And we are not yet permitted to see patients with Medicaid or Dual Special Needs Plans (D-SNP), even as out-of-network / cash pay.
Have Additional Questions?
If you have any questions about insurance, pricing, or anything else, you can always email us at hello@chroniushealth.com.
Want to Confirm Your Coverage? Insurance plans can vary, especially employer-sponsored ones. For full clarity, call the number on the back of your card and ask if we’re in-network. If needed, here’s our NPI number: 1194409920. Here’s our practice name and address: Chronius Care Medical Group PLLC (doing business as Chronius Health), 7901 4TH ST N STE 14102 (in some places we are listed as STE 300), ST PETERSBURG, FL 33702. If that address does not work, instead try 12276 San Jose Boulevard, Building 700, Suite 722-8, Jacksonville, Florida 32223. If your insurance provider is unable to find any of the above information in their system, and if you have a UnitedHealthcare/Aetna PPO plan or a Medicare Advantage plan, then you can try using this NPI: 1528744935 (Cloud Health Medical Group). If you have BCBS, email us at hello@chroniushealth.com for more information. Here are the CPT codes that we most often bill: 99205 (New Patient visit), 99215 (established patient visit of high complexity), 99214 (established patient visit of moderate complexity).
Check if We’re In-Network with Your Insurance Plan
Florida
Medicare: Part B (traditional/original Medicare) only.
Blue Cross Blue Shield (“Florida Blue”): Commercial PPO plans. Also, BCBS Medicare Advantage PPO plans. We are not in-network with any HMO plans or any Dual Special Needs (D-SNP) plans and cannot see patients with these plans even as out-of-network / cash pay. If you have a hybrid plan type like an EPO, reach out to hello@chroniushealth.com to ask if we are in-network.
UHC: Commercial PPO plans. Also, UHC Medicare Advantage PPO plans (the only exception is that we are not in-network with any Student Health PPO plans or Oxford Health plans). We are not in-network with any HMO plans or any Dual Special Needs (D-SNP) plans and cannot see patients with these plans even as out-of-network / cash pay. If you have a hybrid plan type like an EPO, reach out to hello@chroniushealth.com to ask if we are in-network.
Cigna: Open Access Plus, Choice Fund PPO, PPO, ChoiceFund OA Plus, OAP with ChoiceFund, OA Plus, Carelink Planks: Open Access Plus, CIGNA Healthcare Seamless Network - Florida. We are not in-network with any HMO plans or any Dual Special Needs (D-SNP) plans and cannot see patients with these plans even as out-of-network / cash pay. We are not yet in-network with any Cigna Medicare Advantage plans.
Aetna:
PPO: All commercial PPO plans.
POS: Choice® POS II (Aetna HealthFund®), Choice® POS II (Open Access), Choice® POS (Aetna HealthFund®), Managed Choice® POS, Open Access® Managed Choice® POS (Aetna HealthFund®), Managed Choice® POS (Open Access), Choice® POS (Open Access), Quality Point-of-Service (QPOS®)
EPO: Open Access® Elect Choice® EPO (Aetna HealthFund®), Elect Choice® EPO (Open Access), Elect Choice® EPO
Medicare Advantage: All Aetna Medicare Advantage PPO plans.
Need to Confirm We’re In-Network? Share These NPIs with Your Insurer
Callie Pederson, DO: 1568991446
Jennifer Rubin, MD: 1285819011
Katherine Eisenberg, MD: 1659660751
Leah Probst, DO: 1487074910
Though we recommend confirming with your insurance plan that your specific Chronius physician (listed above) is in-network with your plan, you may also want to have our organization’s NPI handy, just in case:
Chronius Care Medical Group PLLC: 1194409920
Your insurance provider may also ask for the name of the practice and the practicing address: Chronius Care Medical Group PLLC (doing business as Chronius Health), 7901 4TH ST N STE 14102, ST PETERSBURG, FL 33702. Sometimes, insurers have our suite # listed as 300 instead of 14102. If that address does not work, instead try 12276 San Jose Boulevard, Building 700, Suite 722-8, Jacksonville, Florida 32223.
If your insurance provider is unable to find any of the above information in their system, and if you have a UnitedHealthcare or Aetna plan, then you can try using this NPI: 1528744935 (Cloud Health Medical Group). If you have a BCBS plan, email us at hello@chroniushealth.com for additional information.