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
  • Massachusetts – BCBS of Massachusetts
  • Mississippi – BCBS of Mississippi
  • Missouri – BCBS of Kansas City
  • New Jersey – Horizon BCBS of New Jersey
  • New York - Blue Shield of Northeastern New York
  • New York - BCBS of Western New York
  • 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
  • Tennessee – BCBS of Tennessee
  • Washington - Premera Blue Cross
  • West Virginia – Mountain State BCBS/Highmark
• Quest Diagnostics is the nation’s largest clinical laboratory and is a participating provider with the great majority of health plans, meaning that claims for OVA1 will be processed in-network if your health plan participates with Quest Diagnostics. If you are not sure about the network status of Quest Diagnostics, we suggest you check the local Quest Diagnostics Insurance Reference Guide.
• Quest Diagnostics is currently accepting and testing samples for both in-network and out-of-network health plan members.
• Regardless of network status, it is possible your health plan may not cover the test or may not pay the full amount and if so, you may be responsible for covering all or part of the cost. If you are responsible for covering all or part of the cost, and cannot afford it, Quest Diagnostics may be able to help. Please call the Quest Diagnostics’ Patient Advocacy Hotline at 1-800-420-7225 ext. 7886 to discuss your individual situation.
• Quest Diagnostics has the largest network of Patient Service Centers of any national laboratory; to find the location and hours of the site most convenient to you, or to schedule an appointment, visit www.questdiagnostics.com/psc