South Nassau Communities Hospital


Does My Insurance Plan Cover Outpatient Lab Expenses at South Nassau?

Outpatient referred laboratory testing/screening is routinely a vital component of your diagnosis and care at South Nassau. While having your lab tests performed at South Nassau may result in the greatest convenience to you, understanding your insurance plan's coverage of these services can aid in your decision to have your laboratory tests performed at South Nassau.

Please carefully review the list below, noting that some insurance companies require you to have outpatient laboratory services performed at their designated lab facilities. It is important to know the exact name of your plan and your plan type. If you wish to verify coverage, please call us at (516) 632-3991.

These plans are PARTICIPATING, meaning they will cover your laboratory tests performed at South Nassau.   These plans are NON-PARTICIPATING, when not associated with a procedure performed at South Nassau.
Aetna HMO,PPO, & POS   Aetna Medicare PPO
Aetna Medicare HMO   Affinity Medicare
Affinity - including The Health Exchange Plan   Amerigroup Medicare
Amerigroup (same contract as Healthplus)   Blue Cross (Benefit Specific)*
Blue Cross (Benefit Specific)*   Fidelis Medicare
Cigna HMO & PPO   First Health
Emblem Health (HIP HMO, PPO, GHI HMO, PPO, HIP Medicaid, HIP Medicare, GHI Medicare, Healthcare Partners through HIP, Vytra)   Healthfirst Medicaid
Fidelis - including The Health Exchange Plan   Healthfirst Medicare
Great West   Healthplus Medicare
Healthfirst Child Health Plus   Horizon
Healthfirst Family Health Plus   MDNY
Healthnet   Liberty Health Advantange
Healthplus Medicaid   Mail Handlers (Depends on the Network being used for pricing)
Health Republic Insuance - The Health Exchange Plan    
Magnacare   Wellcare Medicaid
Medicaid   Wellcare Medicare PPO
Multiplan/PHCS (same contract)    
National Benefit Fund 1199 (Through Aetna PPO)    
Oscar Insurance Corporation - The Health Exchange Plan    
Oxford - including The Health Exchange Plan   Oxford/United Medicare PPO
United Community Health Plan    
United Healthcare - including The Health Exchange Plan    
United Healthcare Medicare Advantage PPO    
Oxford/United Medicare HMO    
Wellcare Medicare HMO   All other Commercial
*Please contact your insurance company for details about "B /C BENEFIT SPECIFIC".




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