Accepted Insurances
EFFECTIVE March 2021
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 and W 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) Careplus Medicare(Only Carefree and Careone) Centerlight (CCM) Cigna **** Elderplan (Fax order to 631-435-1716) ** Emblem Health **** Empire (890) (United) * Fidelis GEHA Health Care Partners (Physician must get pre-authorization, fax: 516-746-6433) Healthfirst Health Net of New York HealthPlus BCBS **** Heritage HIP **** 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 |
Longevity Health Plan Magna Care * Medicaid **** Medicare Meritain Health Metro Plus Montefiore CMO **** Multi Plan ****(Include billing address) MVP No Fault (Include all necessary information) Oxford * Oxford Medicare * Partners Health Plan Preferred Care Partners Railroad Medicare Senior Whole Health 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 Village Care Max VNS Choice (ID's beginning with V600 need pre-authorization) Wellcare Workers Comp(Include plan name and billing address) |
* 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 for all W prefixes and fax to 631-753-3910 with order.
**** Apex will provide home phlebotomy services. However, specimens will be sent to Quest for testing & billing.
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)
Epic
GHI
PHCS
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.