Please call Athena Diagnostics at 1.800.394.4493, option 4, for test pricing information in order to complete Billing and Insurance Forms and prevent any delays in processing and testing.
| Financial Assistance Application and Income Eligibility Chart | To enroll in the Athena Alliance Program, the Financial Assistance Application must be completed and returned in order to reduce the invoice to the patient's qualified amount (not all patients will qualify for assistance) | DOWNLOAD |
| Advanced Beneficiary Notice | For noncovered tests, Medicare requires this form to be be completed and signed by the patient stating they understand Medicare will not cover the test and they will be financially responsible (they can apply for financial assistance) | DOWNLOAD |