Hi All. I haven't posted in a week or so, as my computer is having the ol' repair. I am still awaiting my IgeneX results, should be back tomorrow though, I'm pretty nervous.
My question is, when sending in the insurance claim provided by igeneX, should I write my insurance company a letter stating why i had the test done, and why i felt i needed to have it at a more specific lab, versus Labcorp or Quest.
I am really hoping to be reiumbursed and I know there is a possibility they wont because lyme can be tested for through labs covered by insurance.
what did some of you do in order to get money back?
Thanks, Michelle
Posted by cantgiveupyet (Member # 8165) on :
I wouldnt draw any more attention to it then need be. If you need to appeal their denial then you can inlcude the letter.
I have Aetna and they approved mine and paid for most of it (since i had met my yearly deductable)
Good luck with the results...post them when you get them so we can give you some feedback.
Posted by bettyg (Member # 6147) on :
I have IOWA BCBS, but it had to go to BLUE CHIP, since another out of state lab was involved, and went thru CAL. BS office!
I was reimbursed only $43 ofthe $180. If IGENEX would have been on approved list, they would have paid 80$ of $180.
I'm not on medicare; approved for SSDI benefits; so medicare will pay for ALL of testings there.
Bettyg
Posted by hopeful4 (Member # 8486) on :
As I recall, and my memory isn't too terrific (!), my husband had to do this, too. I think that Igenex sent him a statement or claim. They also sent some instructions or helpful hints on how to file with your insurance company.
He submitted the claim as instructed, and did get a good reimbursement from his insurance co.
If you need further help, try contacting Igenex for their suggestions on submitting your claim.
Good luck.
Posted by 3 limes (Member # 8520) on :
Coverage is often determined by the type of insurance product you have. If you have an HMO or managed care product, you may have to use a network lab to get any reimbursement at all. You will want to check your insurance plans benefit book for out of network care. Traditional indemnity and PPO products provide more freedom to use out of network providers and labs. Igenex fees for the CPT codes they use are a little higher than what most plans reimburse. $43 for their IGG/IGM is the reimbursement I received for their charge of $190.
If you still have questions, call the customer service number on your ID card. Hope that helps.