Topic: Anyone get Reimbursement From Ins. Co. for Igenex testing?
BostonLyme2005
Unregistered
posted
Hey guys,
I just mailed this off to my Ins. co. Anyone have any luck getting money back? My cost was $615.00 for six tests. Are there any other LLMD's that I should mail my test results to, for them to look at? I am wondering why my tests were positive on the first run? MMMMMM!
posted
Depends on the ins co. Mine paid only a small amount of the bill.
If you are looking for negative results, plenty of labs will be glad to oblige. Most people are pleased to have a positive test to go along with their lyme symptoms.
I seriously doubt that any LLMD's would have the time to look at results mailed to them from non-patients. You apparently have not had much experience with the medical world. I don't think any doctor anywhere would look at test results from a stranger, without payment. Hoo boy, what an idea! And lyme docs are swamped with actual patients, not looking for test results in the mail from you. Astonished at your naivete, did I spell that right. Wishing I did not have so much experience in the medical world. Not laughing at you, just shaking my head in amazement.
Posts: 8430 | From Not available | Registered: Oct 2000
| IP: Logged |
Michelle M
Frequent Contributor (1K+ posts)
Member # 7200
posted
I got $50.00 back from Blue Cross on a $250 IgeneX bill. HAH!
I confess I still have no idea what you mean by "positive on the first run."
Does that mean that at some earlier date and time, you tested positive somewhere else? And maybe after various course of abx, you are now testing negative or equivocal thru IgeneX?
Un-confuse me, please.
Michelle
Posts: 3193 | From Northern California | Registered: Apr 2005
| IP: Logged |
dmc
Frequent Contributor (1K+ posts)
Member # 5102
posted
I have BC/BS and they paid thed whole Igenex bill. My other family members with United Healthcare also had 100% reimbursement.
Posts: 2675 | From ct, usa | Registered: Jan 2004
| IP: Logged |
BostonLyme2005
Unregistered
posted
The first run of the tests were positive, from Igenex, I guess they did a second run that day or the next day, and the majority came back neg. Thanks for the imput re: other doc's looking at my results. Dont take questions so seriously guys! I am only asking here.
IP: Logged |
posted
My insurance company (Golden Rule - Alliance PPO) allowed most of the charges and would have paid if our deductable had been satisfied. Of course this was early on and now they pay for everything. They get me for an out of network fee on my LLMD but reimburse for most of the charge.
-------------------- When I feel blue . . . . . . its time to take another breath Posts: 296 | From East Coast | Registered: Aug 2005
| IP: Logged |
Iowa does NOT have IGX on their APPROVED list of labs so reimbursed me $43 out of $180 western blot tests. If IGX was ON approved list, they would have reimbursed me 80% of amount.
So always check with YOUR state's health insurance company since it's California's BLUE shield office you deal with for BCBS coverage.
IP: Logged |
What a person is (or is not) reimbursed by their insurance company is only ---- ONLY------determined by their own insurance company AND the plan they have with that insurance company.
For instance---- I have Blue Cross PPO------ but the plan was one negotiated by a Teachers Retirement Plan.
Because of that unions efforts we have just about 100% paid for absolutely everything. Even non-formulary drugs included.
However, there are also other Blue Cross PPOs that don't have as good a plan and because of that they may not give the same reimbursement percentage.
Absolutely correct! That's an important point people need to realize about ins companies.
Mine paid most of the charges. I think maybe 80%....but can't remember. That was 5 yrs ago and I do well to remember what I had for lunch!!!
I have Aetna, through a teacher retirement plan.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96239 | From Texas | Registered: Feb 2001
| IP: Logged |
posted
On a $199.00 bill from IGeneX for a western blot, I submitted to Aetna and received $145.00 back.
Posts: 146 | From New Jersey | Registered: Jun 2005
| IP: Logged |
The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:
The
Lyme Disease Network of New Jersey 907 Pebble Creek Court,
Pennington,
NJ08534USA http://www.lymenet.org/
UBBFriend: Email this page to someone!
![[dizzy]](graemlins/dizzy.gif)
![[Big Grin]](biggrin.gif)
Printer-friendly view of this topic