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Insurance at Amerimmune Clinic in Alexandria, VA

Immunologist Accepting Insurance in Alexandria, VA

Dr. Oral Alpan, MD is accepting insurance to provide comprehensive care for immune system disorders. We offer personalized treatment plans tailored to your needs, ensuring you receive the best care possible. For more information, contact us or request an appointment online. We are located at 3541 W Braddock Road Suite 130 Alexandria, VA 22304.

Immunologist Accepting Insurance in Alexandria, VA
Immunologist Accepting Insurance in Alexandria, VA

Table of Contents:

Which insurance plans do you actively accept for immunology consultations and testing?
Are common immunology tests (e.g., flow cytometry, skin‑prick panels) covered in‑network or require out‑of‑pocket payment?
If my insurer changes policies or plans mid‑year, how will that affect ongoing lab or treatment coverage?
Do you accept my insurance for telehealth visits or virtual follow‑ups as well as in‑office consults?

Which insurance plans do you actively accept for immunology consultations and testing?


Amerimmune Clinic in Alexandria, VA, accepts a wide range of insurance plans for immunology consultations and testing. This includes major providers such as Medicare, Medicare Advantage products, Blue Cross Blue Shield PPO, CareFirst Blue Choice, Anthem Virginia, Aetna, Cigna, United Healthcare, Sentara, Tricare, Trust Mark, Meritain, PHCS, First Health Network, and Medicaid Virginia.

For Health Maintenance Organization (HMO) plans, a referral from your primary care physician (PCP) is typically required.

It’s important to note that insurance coverage can vary based on your specific plan and provider. Therefore, it’s advisable to contact Amerimmune Clinic directly or consult with your insurance provider to confirm coverage details.

Are common immunology tests (e.g., flow cytometry, skin‑prick panels) covered in‑network or require out‑of‑pocket payment?


Amerimmune Clinic offers a variety of immunology tests, including flow cytometry and skin-prick panels. Coverage for these tests depends on your insurance plan. For instance, most Preferred Provider Organization (PPO) plans typically cover flow cytometry tests. However, Health Maintenance Organization (HMO) plans often do not cover these tests.

If your insurance plan does not cover certain tests, Amerimmune Clinic offers a self-pay option. In such cases, patients are required to sign an Advanced Beneficiary Notice (ABN) form and arrange payment with the billing department.

Additionally, some tests may require prior authorization from your insurance provider. It’s essential to verify with both Amerimmune Clinic and your insurance provider to understand the coverage and any necessary steps for specific tests.

If my insurer changes policies or plans mid‑year, how will that affect ongoing lab or treatment coverage?


Changes in your insurance policy or plan mid-year can impact the coverage of ongoing lab tests and treatments. If your insurance provider alters its policies, such as changing from an in-network to an out-of-network status, it may affect the reimbursement rates for services rendered at Amerimmune Clinic. This could result in higher out-of-pocket costs for you.

In such situations, Amerimmune Clinic recommends contacting their billing department to discuss the changes and explore options. They may assist in verifying new coverage details, obtaining necessary authorizations, or setting up payment plans if needed.

It’s also advisable to reach out to your insurance provider to understand how the policy changes affect your coverage and to ensure that any required referrals or authorizations are updated accordingly.

Do you accept my insurance for telehealth visits or virtual follow‑ups as well as in‑office consults?


Amerimmune Clinic offers telehealth services in addition to in-office consultations.

Insurance coverage for telehealth visits varies by provider and plan. Some insurance plans may cover telehealth services at the same rate as in-office visits, while others may have different reimbursement policies. It’s essential to verify with both your insurance provider and Amerimmune Clinic to confirm coverage for telehealth services.

Amerimmune Clinic’s billing department can assist in determining whether your insurance plan covers telehealth visits and help coordinate any necessary authorizations or referrals.

It’s recommended to reach out to the clinic before scheduling appointments or tests to ensure that your insurance plan covers the services you need and to understand any potential out-of-pocket costs.

Understanding your insurance coverage is crucial when seeking immunology consultations and testing at Amerimmune Clinic in Alexandria, VA. While the clinic accepts a broad range of insurance plans, coverage specifics can vary based on your individual plan. It’s essential to verify with both your insurance provider and the clinic to ensure that the services you require are covered and to understand any associated costs. By proactively addressing these details, you can ensure a smoother and more cost-effective healthcare experience. For more information, contact us or request an appointment online. We are located at 3541 W Braddock Road Suite 130 Alexandria, VA 22304. We serve patients from Alexandria VA, Lincolnia VA, Groveton VA, Hybla Valley VA, Fort Hunt VA, and surrounding areas.

HMO Patient Referral Information: Your insurance plan mandates a referral from your primary care physician (PCP) for specialist visits. Please reach out to your PCP and provide them with the necessary information to submit a referral request to your insurance company. Potential necessary information is in bold below. 

• O&O Alpan, LLC group NPI – 1194870311
• Tax ID – 04-3829427 

For New Patients: 

• 99203 – New patient consult 

For Existing Patients Renewing Referral: 

• 99213 – Established patient consult 

The following codes could potentially be used for diagnostic testing at the time of the appointment: 

• 95004 – Skin prick test 
• 88184 – Flow cytometry 1 marker 
• 88185 – Flow cytometry add-on 
• 88189 – Flow cytometry reading 

The provider may also request bloodwork, which would be drawn during your appointment. Typically, these labs are sent to LabCorp; however, please note that we do not control the cost associated with this potential bill.

Additionally, the provider may recommend a comprehensive immune workup, which is processed by Amerimmune lab. The necessity of this test can be discussed further with the provider during your appointment. Please be aware that based on our experience, HMOs generally do not cover this type of blood test. If you decide to proceed with this testing, we will require you to sign an ABN form and arrange payment with our billing department. 

Insurances accepted by Amerimmune

  • Medicare
  • Medicare advantage products
  • Blue Cross Blue Shield products PPO
  • Blue Cross Blue Shield Federal Plan PPO
  • CareFirst Blue Choice Products
  • CareFirst Administrator
  • Anthem Virginia
  • Anthem Health Keeper
  • Anthem Health Keeper Plus (Medicaid)
  • Aetna products
  • Aetna Medicare
  • Cigna
  • United Healthcare products
  • United Community Plan (Medicaid)
  • United Oxford
  • GEHA
  • UMR Compass Rose
  • Sentara
  • Medicaid Virginia
  • Tricare
  • Trust Mark
  • Meritain
  • PHCS
  • First Health Network
Medicare
Blue Cross Blue Shield products PPO
CareFirst Blue Choice Products
Anthem Virginia
Aetna Medicare
Cigna
United Healthcare products
GEHA
UMR Compass Rose
Sentara
Tricare
Trust Mark
Meritain
PHCS
First Health Network
United Oxford
Medicaid

Locations of Amerimmune Clinic

Rockville, MD

  • 121 Congressional Lane, Suite 320, Rockville, MD 20852
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Arlington, VA

  • 1600 Wilson Blvd, Suite A #320, Arlington, VA 22209
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McLean, VA

  • 8260 Greensboro Drive Suite A-15 McLean, VA 22102
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Bethesda, MD

  • 4827 Rugby Avenue Suite A 201 Bethesda, MD 20814
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Alexandria, VA

  • 3541 W Braddock Road Suite 130 Alexandria, VA 22304
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Gaithersburg, MD

  • 806 West Diamond Avenue, Suite 310, Gaithersburg, MD 20878
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Directions to Nearest Location