Accepted Insurances
EFFECTIVE May 2020
Apex will bill the following insurance plans: (Patients will be responsible for any co-payments, co-insurance, or deductibles)
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1199 * AARP/AARP Medicare (Medicare Complete) Aetna (Only MEB prefixes) **** Affinity Health Plan AIG Employee Medical Plan Americhoice (UHC Community Plan) * Archcare AVMed (Medicare Plans) Blue Cross/Blue Shield (Only E6D, JWX and VOF Prefixes) Centerlight (CCM) * Elderplan (Fax order to 631-435-1716) ** Empire (890) (United) * GEHA Health Care Partners (Physician must get pre-authorization, fax: 516-746-6433) Health First (NO Senior Whole Health) Health Net of New York Heritage Horizon (HMO, POS, PPO, Cap Product, NJ Health) * Humana (HMO plans, physician must get pre-authorization, fax: 800-266-3022) Humana PPO Independence Care System (Medicare Managed Plans ONLY) Island Group Administration |
Magna Care * Medicare Metro Plus Montefiore CMO Multi Plan (Include billing address) No Fault (Include all necessary information) Oxford * Oxford Medicare * Partners Health Plan Preferred Care Partners Railroad Medicare Sunrise Advantage Touchstone Health (THP) (Pre-authorization needed) Tricare (Pre-authorization needed) United Health Care * United Health Care Commercial Plans * UHC (Medicare Complete Choice) UHC Medicare Advantage UHC Medicare Solutions US Family Health Plan/Uniform Service Family Health VNS Choice (ID's beginning with V600 need pre-authorization) Wellcare |
* Apex will provide home phlebotomy services. However, the specimens will be sent to LabCorp for testing & billing. Call 800-788-9091 for LabCorp results.
** Apex will provide home phlebotomy services. However, specimens will be sent to Sunrise Lab for testing & billing.
*** Physician must get pre-authorization, call 888-447-2884.
**** Physician must get pre-authorization for all W prefixes and fax to 631-753-3910 with order.
THE FOLLOWING INSURERS WILL NOT REIMBURSE APEX LABORATORY, INC., THEREFORE, APEX CANNOT PROVIDE LABORATORY SERVICES OR BILL THE FOLLOWING PLANS:
Americare/Amerigroup
Blue Cross/Blue Shield, Blue Choice *EXCEPT E6D, JWX or VOF PREFIX* (Please contact Quest@ 718-351-4924 or 866-340-2558)
Cigna
Emblem
Epic
Fidelis Care
GHI
Health Plus
HIP
Medicaid
PHCS
Workers Compensation
This insurance list is not all inclusive. It is subject to change at any time. To verify if a specific plan participates with Apex, please call our Billing Department at 631-753-3900 ext. 227.