Help your Aetna patients save on lab costs — refer them to preferred

advertisement
Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions
Help your Aetna patients save on lab costs —
refer them to preferred and in-network labs
Your Aetna patients generally pay a lot more money out of
pocket when they have testing done at out-of-network labs.
To help them save money, refer them to in-network labs.
Below are some of the preferred labs for your Aetna patients.
Preferred labs
Quest Diagnostics is our national
preferred lab. Your patients save when
they use them. Quest Diagnostics and their
affiliates offer a wide range of testing
services — from routine blood tests to
complex gene-based and molecular testing.
The following Quest Diagnostics affiliates
are also preferred labs in our network:
Cancer
Cancer
Neurology
A Quest Diagnostics company
Joint venture company in Arizona
Cardiology
Joint venture company in Ohio
Genetics and endocrinology
Joint venture company in Oklahoma
Joint venture company
in Erie, Pennsylvania
83.03.805.1 L (1/16)
Joint venture company in Indiana
Quest Diagnostics and their affiliates’ websites
Quest Diagnostics, www.questdiagnostics.com
Associated Clinical Laboratories,
www.associatedclinicallabs.com
Diagnostic Laboratory of Oklahoma, www.dlolab.com
CompuNet Clinical Labs, www.compunetlab.com
Mid America Clinical Labs, www.maclonline.com
Solstas, www.solstas.com
Sonora Quest, www.sonoraquest.com
Quest Diagnostics specialty labs
Athena Diagnostics, www.athenadiagnostics.com
Berkeley HeartLab, Inc., www.bhlinc.com
Quest Diagnostics Nichols Institute,
www.nicholsinstitute.com
AmeriPath, www.ameripath.com
Dermpath Diagnostics, www.dermpathdiagnostics.com
--Ackerman Academy
--AmeriPath Cincinnati, Inc.
--AmeriPath Cleveland, Inc.
--AmeriPath Florida, LLC
--AmeriPath Indianapolis, PC
--AmeriPath New York, LLC
--AmeriPath Pittsburgh, PC
--AmeriPath SC, Inc.
--AmeriPath Tucson, Inc.
--Anatomic Pathology Services, Inc.
--Colorado Pathology Consultants, PC
--Dermatopathology of Wisconsin, SC
--Dermatopathology Services, Inc.
--Diagnostic Pathology Services, PC
--Institute for Dermatopathology, PC
--Kilpatrick Pathology, PA
--NAPA 5.01(a) Corporation
--Ocmulgee Medical Pathology Association, Inc.
--Pathology Associates
--Shoals Pathology Associates, Inc.
--St. Luke’s Pathology Associates, PA
Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions
Other in-network labs
Below is a list of our national participating labs. If you are not sure if a lab is in network, visit our online provider directory
at www.aetna.com. You can access a complete list of all other in-network labs through the directory.
Acupath Laboratories, Inc.
www.acupath.com
Aegis Sciences Corporation
www.aegislabs.com
Ambry Genetics
www.ambrygen.com
Ascend Clinical, LLC
www.ascendclinical.com
Atlantic Diagnostic Laboratories
www.adllab.net
Bako Pathology Services
www.bakopathology.com
BioReference Laboratories, Inc. (BRLI)
www.bioreference.com
BRLI-GenPath Diagnostics
www.genpathdiagnostics.com
Bostwick Laboratories, Inc.
www.bostwicklaboratories.com
Brookside Clinical Laboratory, Inc.
www.brooksidelab.com
CareDx
www.xdx.com
CBL Path, Inc.
A Sonic Healthcare Company
www.cblpath.com
Clarient Diagnostic Services, Inc.
www.clarientinc.com
Clinical Pathology Labs, Inc.
www.cpllabs.com
Cockerell Dermatopathology, PA
www.dermpath.com
Counsyl, Inc.
www.counsyl.com
DaVita Laboratory Services, Inc.
www.davita.com
Dermpath New England, LLC dba
DermDX New England
www.dermpathnewengland.com
Drugscan
www.drugscan.com
Enzo Clinical Laboratory
www.enzoclinicallabs.com
Carent Laboratory Solutions
www.carentlabs.com
GeneDx
www.genedx.com
NeoGenomics Laboratories
www.neogenomics.org
New River Medical Group, LLC dba
Microbiology Associates
www.microassoc.com/index.htm
PerkinElmer Laboratories, Inc.
(formerly NTD)
www.ntdlabs.com
Poplar Healthcare dba GI Path
www.poplarhealthcare.com
Professional Technicians Incorporated
Genomic Health, Inc.
www.genomichealth.com
ProPath Services, LLP
www.propath.com
Genoptix — A Novartis Company
www.genoptix.com
Reproductive Genetic Innovations — RGI
www.rgipgd.com
Harmonyx Diagnostics, Inc.
www.harmonyxdiagnostics.com
Sequenom Laboratories
www.laboratories.sequenom.com
Informed Medical Decision, Inc.
www.informeddna.com
SHC Reference Laboratory
www.stanfordlab.com
Lakewood Pathology Associates, Inc.
dba Miraca Life Sciences, Inc.
www.miracalifesciences.com
Solstas Lab Partners
(see Quest Diagnostics, page 1)
www.solstas.com
Manhattan Physicians Laboratory
www.manhattanlabs.com
Sonic Healthcare USA, Inc.
www.sonichealthcare.com
Medical Diagnostic Laboratories, L.L.C.
www.mdlab.com
Spectra Laboratories
www.spectra-labs.com
Medical Neurogenetics, LLC
www.medicalneurogenetics.com
SpectraCell Laboratories, Inc.
www.spectracell.com
Miraca Life Sciences, Inc.
www.miracalifesciences.com
Sunrise Medical Laboratories
www.sunriselab.com
Myriad Genetics, Inc.
www.myriad.com
Transgenomic, Inc.
www.transgenomic.com
Natera, Inc. (effective 2/15/16)
www.natera.com
Veracyte, Inc.
www.veracyte.com
Nationwide Laboratory Services, Inc.
www.nationwidelab.com
VHS Genesis Lab
www.genesislab.com
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including
Aetna Life Insurance Company and its affiliates (Aetna).
Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions
Out-of-network labs
Referring your patients to the out-of-network labs below will
cause them to pay more out of pocket.
The following table shows how much more your patients
can pay when they use out-of-network labs1:
It is also not consistent with Aetna policy regarding the use
of in-network laboratory services for most plans.
In-network lab
In-network hospital lab
Out-of-network lab
Cost of lab test
$30
$60
$300
Member copay percent
20%
20%
40%
Member pays
$6
$12
$120
Out-of-network labs include:
•Accu Reference Medical
Laboratory, LLC
•Accurate Diagnostic Labs
•Ameritox
•Ariosa Diagnostics
•ARL/Labsouth, Inc.
•Axis Diagnostics
•Bio-Chem Technology Laboratory
•Burlington Laboratories, Inc.
•Calloway Laboratories, Inc.
•Center for Genetic Services
•Centrex Clinical Laboratories
•Choice Laboratory Service, LLC
•DCL Medical Laboratory
•Dianon
•Dominion Diagnostics
•Dynacare Hermann Laboratory
•Dynacare Laboratories Tenn
•Dynacare Mississippi
•Dynagene
•EMES Professional Associates, PC
•Empire City Laboratories
•Good Start Genetics
•Health Diagnostic Laboratory/True
Health Diagnostics
•Hunter Laboratories
•Integrated Genetics and Integrated
Oncology (a Laboratory Corporation of
America Holdings-owned company),
formerly known as Genzyme Genetics
and Esoterix Genetic Laboratories
•LabCorp
•LabCorp United
•LabWest, Inc.
•Lenco
•Logan Laboratories
•Medical Arts Clinical
•Medical Laboratory Diagnostics, Inc.
•Millennium Laboratories
•Monogram BioSciences
•National Genetics Institute
•Our Lab
•Pacific Physicians
•PathLab, Inc.
•Peach State Medical Labs
•Physicians Reference Laboratory
(termination effective 12/15/2015)
•Progenity, Inc.
•Singulex, Inc.
•Sky Toxicology
•SMA
•Tandem Lab
•United Dynacare Center for Genetic
Services
•United Medical Lab dba Infinity
Clinical Laboratories
•U.S. Labs
•ViroMed Laboratories
•Western Health Sciences Medical
Laboratory
etna Strategic Contract Manager, 2012. Based on a patient whose deductible has already been met. Data is not representative of
A
hospitals that have a separately negotiated laboratory agreement.
1
Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions
BRCA: cancer risk and genetic testing
Aetna has expanded its network of high-quality BRCA
providers offering testing for members. For services
Aetna covers in accordance with our Clinical Policy Bulletin
#0227 (CPB), all BRCA testing must be precertified. Please
contact one of the participating BRCA providers for your
member’s needs.
GeneDx, Genpath, BioReference
Quest Diagnostics, Inc.
Submit completed form to Myriad Genetics, Inc., with
the completed specimen collection kit or fax to
801-584-3615. For questions, please call
1-800-469-7423.
Include completed form with your Quest Diagnostics
or affiliate lab requisition and blood sample, or fax
to 1-855-422-5181. Please call BRCAvantage
Concierge Services at 1-866-436-3463 or visit
www.brcavantage.com for more information.
Ambry Genetics
Submit completed form with specimen sample to
Ambry Genetics, or by fax to 949-900-5501.
You may order collection and transportation kits from
Ambry Genetics by calling 1-866-262-7943 or at
www.ambrygen.com.
©2016 Aetna Inc. 83.03.805.1 L (1/16)
Submit completed form and blood samples to GeneDx. You
may order collection and transportation kits from GeneDx
at 1-888-729-1206 or at www.genedx.com/oncology.
Myriad Genetics, Inc.
Medical Diagnostic Lab, LLC
Submit the preauthorization form by fax to
609-570-1062. For questions or more information,
please call 1-877-269-0090 or visit www.mdlab.com.
Counsyl
Include the completed form and BRCA requisition with the
sample. For more information, please call 1-888-COUNSYL
(1-888-268-6795), e-mail support@counsyl.com or visit
www.counsyl.com.
www.aetna.com
Download