INFORMATION FOR THE MEDICARE PATIENT
The Medicare program has certain guidelines for
payment of laboratory testing. Medicare will pay for laboratory
tests which are medically necessary. Medicare will not pay for
laboratory tests which are associated with a routine physical.
Also, Medicare will not pay for non-FDA approved tests or those
tests ordered by a Chiropractor or Naturopathic Doctor.
Your physician will supply us with information
about your condition or symptoms. Medicare requires that this
information be included on the claim for laboratory services.
The information about your condition will affect the settlement
of the claim. It will cause Medicare to either pay for the testing
or to deny payment of the testing.
At the time of specimen collection, Interpath
personnel or doctor's staff will advise you if Medicare may deny
payment for any of the tests ordered. You will be asked to sign
the Federal form called Advance Beneficiary Notice. By signing
this form you will agree to be financially responsible for payment
of tests not paid by Medicare.
Some supplemental medical insurance policies
will pay for tests not covered by Medicare. Medicare will send
information about your claim automatically to most supplemental
insurance companies. If you are not sure if your insurance company
is receiving this information, you may contact Medicare to find
out. Their phone number is (800) 444-4606.
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