Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Tricare Won't Pay For My Enterolab Work


Sarah8793

Recommended Posts

Sarah8793 Enthusiast

They denied the claim even though I sent a letter from my GI doctor requesting/approving the tests and a coded invoice. UGGGHHH! Tricare said that EnteroLab is not certified with them. I told them at Tricare that EnteroLab is an independent lab and that they don't certify with any insurance companies. Didn't matter. I remember reading of others on here getting Tricare to pay for theirs, but I guess they must have had their doctor's lab order from EnteroLab. :blink: My doctor has moved to a new office and said he doesn't have his own lab. Huh??? Live and learn I guess. $500+ hurts a little, but it was definitely worth doing.

Sarah


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



AndreaB Contributor

I'm sorry you got the run around Sarah. :(

We got enterolab tests done too...I didn't even bother with finding out if insurance would cover it. I too agree that it was worth the expense.

gf4life Enthusiast

My insurance won't cover ANY test not ordered by a doctor and they only cover tests ordered by the doctor if it is done by certain labs/hospitals. So I didn't even try to get my insurance to cover it. I figured if they won't pay for an MRI that both my GP and Neurologist think I should have, then they aren't going to pay for a test by a private lab that i ordered for myself...

That said I do believe it was money well spent and I would do it again in a heartbeat if I had to. And for us it was closer to $1600 since we had 4 out of 5 in the family tested. Still cheaper than if we had the kids tested at Prometheus for $2700 (which also would not have shown my boys gluten intolerance genes) and my insurance wouldn't pay for that lab either.

penguin Community Regular

Has anyone tried with United?

tarnalberry Community Regular

Don't forget that just because an insurance company has paid for a test for someone else means that *your plan* through that came company will cover that test/procedure. Almost all insurance companies offer a wide range of plans, and what they will cover varies greatly between the plans, regardless of the fact that it is the same parent company.

Lymetoo Contributor

Has ANYBODY gotten theirs covered by insurance?

Turtle Enthusiast

Okay, i'm gonna sound REALLY dumb i'm sure but can someone please explain to me what these enterolab tests are? I keep seeing threads about them but don't have a clue what they are, what they look for, why you would have them done, do you have to ask for them to be done or does your dr suggest them etc. Thanks in advance!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



AndreaB Contributor

Turtle,

The are an independent lab that tests stool for gluten antibodies as well as ttg, malabsorption, gene test and they also do dairy, soy, egg and yeast. www.enterolab.com if you want to check them out. We did the tests on our own. Most people do I believe. They are more sensitive than blood work because the antibodies start in the intestines and once they reach a certain level are traceable in the blood. I like them because they can catch the disease in it's early stages thus minimizing the liklihood of further diseases/illnesses because of further damage.

Sarah8793 Enthusiast

Well looks like it is more the norm to not get insurance coverage for it. I'll pay again when I need to test my children. Thanks for sharing. :)

Sarah

Turtle Enthusiast

Thanks AndreaB!

I'll check out the website!

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,894
    • Most Online (within 30 mins)
      7,748

    Lostcha
    Newest Member
    Lostcha
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
    • trents
      You state in an earlier post that you don't have celiac disease. Here in this post you state you will "be doing another test". What will this test be looking for? What kind of celiac disease testing have you had done? If you have used a Entero Labs it sounds like you have had stool testing done for celiac disease which is not widely accepted as a valid celiac disease diagnostic testing method. Have you had blood antibody testing for celiac disease done and do you realize that for antibody testing to be valid you must have been eating generous amounts of gluten for a period of weeks/months? 
    • Gigi2025
      No, I've not been diagnosed as celiac.  Despite Entero Labs being relocated to Switzerland/Greece, I'll be doing another test. After eating wheat products in Greece for 4 weeks, there wasn't any reaction.  However, avoiding it here in the states.   Thanks everyone for your responses.  
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.