posted
I had BCBS of MA at the time my Igenex tests were done.
When I filed my initial claim explaining that I had numerous expensive and even invasive tests over the years which yielded nothing. I wrote that I believed this test would save them money on diagnostic procedures. It did, I had no further testing other than routine bloodwork and a SPECT scan.
Additionally, I had a letter from an in-network doctor stating the test was medically necssary. And they paid in full.
Posts: 628 | From the south | Registered: Dec 2005
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I need to retract my premature irritation....or at least withold it til the final word is in.
Lou asked me via pm what the reason was for denying the claim (thanks, Lou). When I looked more closely, it said something about the provider should have submitted it to the local BCBS, and that they (my BCBS, out of Maryland) would send it along 'as a courtesy.'
So I guess that means I haven't heard the final word yet.
I am in a PPO, btw.
Lioness, I'd give it a try if I were you, you never know.
Thanks everyone for feedback!
monkeyshines
Posts: 343 | From Northern VA | Registered: Oct 2004
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posted
The process was very bureaucratic and confusing, but BCBS reimbursed most of the cost of an out-of-state (= out-of-network) parasite test for me.
The first time I submitted a claim, they sent it back because my ID# was one digit off. They knew who I was and couldn't just change it themselves. Nice way to treat sick people, huh?
Posts: 449 | From Vermont | Registered: Nov 2004
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posted
Thanks monkeyshines. I am seeing a new LLMD next month and I am sure I will be tested for coinfections (I wasn't when I had my first Lyme test).
I will make sure to submit everything for now on!
The worst they can say is "no," right?
Posts: 240 | From MA | Registered: Nov 2006
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I submitted my Igenex claim with the form on the website for medical self-pay claims. Also mailed along copies of the paperwork Igenex sent me. You could probably still do this.
My Florida BCBS PPO paid $127.20 of the $553 total--better than nothing, I guess. they base it on what they would pay an in-network lab, which for the same tests adds up to $212, minus what would be my resposibility, $84.80.
I love unsurance company math.
Posts: 353 | From Florida boonies | Registered: Nov 2005
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-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96223 | From Texas | Registered: Feb 2001
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trails
Frequent Contributor (1K+ posts)
Member # 1620
posted
my BCBS coverage from NM paid about 200 bucks out of $1,000 worth of testing in 2005. it is worth resubmitting it.
Posts: 1950 | From New Mexico | Registered: Sep 2001
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posted
I'm on SSD, covered by Medicare, and I only had to pay $34 for the babesia panel I had done by IGeneX in July. A Lyme panel was supposed to be done at the time too but there was some misunderstanding, by someone at my doctor's office, and it didn't get done.
It took me months to realize the Lyme panel hadn't been done so I'm waiting now for the results from that. Hopefully, I won't have to pay any more than I did before, after Medicare pays their part. I'm very ANXIOUSLY awaiting these results because I'm fed up with this fibro diagnosis.
Antibiotics make me feel better, when I've been given them for other reasons, like sinus infections, so it's pretty obvious to me that I need some long-term antibiotic treatment. I just hope I can find one that doesn't give me adverse reactions, like the Cipro I was taking this week for sinusitis which caused blurred vision.
Good luck with your insurance claims...
Posts: 8 | From northwestern PA | Registered: Jun 2006
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