EFFECTIVE May 2020
Apex will bill the following insurance plans: (Patients will be responsible for any co-payments, co-insurance, or deductibles)
AARP/AARP Medicare (Medicare Complete)
Aetna (Only MEB prefixes) ****
Affinity Health Plan
AIG Employee Medical Plan
Americhoice (UHC Community Plan) *
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) *
Health Care Partners (Physician must get pre-authorization, fax: 516-746-6433)
Health First (NO Senior Whole Health)
Health Net of New York
Horizon (HMO, POS, PPO, Cap Product, NJ Health) *
Humana (HMO plans, physician must get pre-authorization, fax: 800-266-3022)
Independence Care System (Medicare Managed Plans ONLY)
Island Group Administration
Magna Care *
Multi Plan (Include billing address)
No Fault (Include all necessary information)
Oxford Medicare *
Partners Health Plan
Preferred Care Partners
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)
* 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:
Blue Cross/Blue Shield, Blue Choice *EXCEPT E6D, JWX or VOF PREFIX* (Please contact Quest@ 718-351-4924 or 866-340-2558)
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.