Insurance Coverage

Vermillion, Inc. is working closely with our commercialization partner, Quest Diagnostics Incorporated, to secure coverage and reimbursement for OVA1^®. As OVA1 is a new technology, health plans require time to make their coverage decisions.

The following information is to assist you and is subject to change without notice. We will however update this page as new information becomes available.

• For a copy of the Highmark Medicare Coverage Policy, click here: https://www.highmarkmedicareservices.com/policy/mac-ab/l31161-r1.html
• Since OVA1 is a covered service with Medicare, Medicare Advantage plans are required to cover the test.
• Multiple independent Blue Cross Blue Shield (“BCBS”) health plans across the United States, as well as other local and regional plans, have issued positive coverage policies for OVA1. Reimbursement will be based on the individual’s benefit plan and benefit level. Patients should check with their insurance carrier to determine if their specific policy covers OVA1. Some of the BCBS plans covering OVA1 include:
  • Alabama – BCBS of Alabama
  • Alaska - Premera Blue Cross Blue Shield
  • Arizona – BCBS of Arizona
  • Arkansas – BCBS of Arkansas
  • California - Blue Shield of California
  • Delaware – BCBS of Delaware
  • Idaho – Blue Cross of Idaho
  • Iowa - Wellmark BCBS
  • Louisiana - BCBS of LouisianaHealth
  • Massachusetts – BCBS of Massachusetts
  • Michigan - BCBS of Michigan
  • Mississippi – BCBS of Mississippi
  • Missouri – BCBS of Kansas City
  • New Jersey – Horizon BCBS of New Jersey
  • New York (as below)
    
    • Blue Shield of Northeastern New York
    • BCBS of Western New York
    • Excellus Blue Cross Blue Shield
  • North Carolina – BCBS of North Carolina
  • Pennsylvania (as below)
    • Capital Blue Cross
    • Highmark BCBS
    • Independence Blue Cross (IBC)
    • Northeastern PA
  • Rhode Island - BCBS of Rhode Island
  • South Dakota - Wellmark BCBS
  • Tennessee – BCBS of Tennessee
  • Washington - Premera Blue Cross
  • West Virginia – Mountain State BCBS/Highmark