LymeNet Flash: igeneX/insurance claim question

LymeNet on Facebook

LymeNet on Twitter

Follow @LymeDiseaseNet

The Lyme Disease Network receives a commission from Amazon.com for each purchase originating from this site.

When purchasing from Amazon.com, please
click here first.

Thank you.

Dedicated to the Bachmann Family

LymeNet needs your help:
LymeNet 2020 fund drive

The Lyme Disease Network is a non-profit organization funded by individual donations.

»	LymeNet Flash » Questions and Discussion » Medical Questions » igeneX/insurance claim question

UBBFriend: Email this page to someone!

Author

Topic: igeneX/insurance claim question

pru
Member
Member # 9070

posted

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

Posts: 55 | From portland, or, | Registered: Apr 2006 | IP: Logged |

cantgiveupyet
Frequent Contributor (1K+ posts)
Member # 8165

posted

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.

--------------------
"Say it straight simple and with a smile."

"Thus the task is, not so much to see what no one has seen yet,
But to think what nobody has thought yet, About what everybody sees."

-Schopenhauer

pos babs, bart, igenex WB igm/igg

Posts: 3156 | From Lyme limbo | Registered: Oct 2005 | IP: Logged |

bettyg
Unregistered

posted

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

IP: Logged |

hopeful4
LymeNet Contributor
Member # 8486

posted

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.

Posts: 873 | From WA | Registered: Dec 2005 | IP: Logged |

3 limes
Member
Member # 8520

posted

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.

Posts: 23 | From Camp Hill. PA | Registered: Dec 2005 | IP: Logged |

Printer-friendly view of this topic

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, NJ 08534 USA
http://www.lymenet.org/