Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×

  • 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

Insurance Coverage For Enterolabs

RunnerNYC

Recommended Posts

RunnerNYC Rookie
RunnerNYC
Posted

Just wanted to know of those who got the enterolab tests done - who was able to get their insurance to reimburse the tests...?

Does anyone know how I can get my insurance to cover it?

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

Celiac.com Sponsor (A8-M):


mle-ii Explorer
mle-ii
Posted

Don't know if mine would have been covered but I'll check when I can.

Here are the numbers for your insurance company from my invoice.

One Gluten and Milk sensitiity stool/gene panel complete ($369)

Itemized costs of Stool tests included in panel

Antigliadin IgA (CPT 83520) $99.00

Anti-tissue transglutaminase IgA (CPT 83520) $50.00

Anti-Casein IgA (CPT 83520) FREE

Quantitative fecal fat (CPT 82710) $90.00

Itemized Costs of Gene Tests included in panel

HLA-DQB1 typing:

PCR Amplification (CPT 83898) $30.00

DNA Isolation (CPT 83890) $30.00

DNA Separation (CPT 83894) $30.00

Probe Identification (CPT 83896) $30.00

Molecular Identification and Interpretation (CPT 83912) $10.00

One Egg, Yeast and Soy Sensitivity Stool Panel ($199.00)

Itemized Coslts of Stool Tests Included in Panel

Anti-Saccharomyces cerevisiae IgA (CPT 83520) $66.33

Anti-Ovalbumin IgA (CPT 83520) $66.33

Anti Soy IgA (CPT 83520) $66.33

Materials and shipping charge $19.95

Total charge: 587.95

AndreaB Contributor
AndreaB
Posted

I didn't even try to run it through insurance. Sorry I can't help you.

jerseyangel Proficient
jerseyangel
Posted

My insurance company told me that they would cover any testing ordered by my doctor.

jams Explorer
jams
Posted

I just had my kids HLA tested through the dr. My insurance paid th 90% they should have. My dr was little worried that they might not cover, but they did. It was $297 per kid (2kids) and I have to pay $25.82. They sent it to Quest in Chicago.

Mayflowers Contributor
Mayflowers
Posted
Just wanted to know of those who got the enterolab tests done - who was able to get their insurance to reimburse the tests...?

Does anyone know how I can get my insurance to cover it?

I submitted mine to NJ Plus (Blue Cross Horizon) and I'm still waiting for a response. I called and they said I have a $100 deductable and then 70% will be reimbursed....It's been a couple of weeks. <_<

chewymom Rookie
chewymom
Posted

I have Blue Cross Blue Shield of Alabama. My daughter's was covered, but I was not reimbursed the full cost. Enterolab was considered out of network, so first they took off the $200 deductable. Then they paid 50% of all other "customary" charges--meaning they considered some of the costs to be too high. Basically, they paid about $60 for her. I have already met my deductable, so if I get tested, they'll reimburse about $150 of the $360 I pay.

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

Celiac.com Sponsor (A8-M):


RunnerNYC Rookie
RunnerNYC
Posted
  • Author

Thanks guys. I also have empire blue cross blue shield HMO. They basically told me enterolab is out of network, but that they would pay for any lab tests done at quest diagnostics. from what i can tell quest does the gene test, but i don't really understand how that is different from enterolabs...

AndreaB Contributor
AndreaB
Posted

Enterolab also tests stool for gluten/dairy/soy/egg/yeast antibodies....depending on what all you order.

Super Bellybutton Rookie
Super Bellybutton
Posted

If the tests are done at Quest or LabCorp, my insurance covers it (Alliance PPO).

Other than that I doubt the Enterolab would cover it.

dionnek Enthusiast
dionnek
Posted

I was told that mine would be covered 100% (by BCBS of GA) - I met my deductible a LONG TIME AGO :huh:

Anyway, I just did the genetic test on my daughter with Enterolab since I was dx by blood test and biopsy 3 months ago. Just sent in the claim, so not sure yet if they will really pay (lady on the phone at BCBS said it was covered). We'll see.

penguin Community Regular
penguin
Posted

I imagine, though I haven't checked with my company (United), that you'll have a much better chance of having it covered by a PPO than an HMO...

Archived

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

Go to topic listing

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate
  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):



    Celiac.com Sponsors (A17-M):



  • Recent Activity

    1. thejayland10
      - thejayland10 replied to thejayland10's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      5

      TTG IgA and IGA elevated mildy

      my ttg iga was 16.5 3 months ago and jumped to 30.1 last week. my iga was 415 and jumped to 455. This was done at a different lab though than the first test for ttg iga one had units as ml the other as cu... so not sure if they really jumped as much as shown. i am so strict on my diet and have no clue why this is happening thank you for attaching...
    2. HilaryM
      - HilaryM posted a topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      0

      New onset constant gas

      Hi all, I’ve been following a strict gluten-free diet for 1.5 years since I was diagnosed. The last few weeks though I’ve suffered almost continual bloated stomach and flatulence. It literally is almost constant - and I was never this way before. I can’t think of any change to my diet, activity, etc. I’m dying - it’s so uncomfortable and embarrassing to feel l...
    3. knitty kitty
      - knitty kitty replied to Bindi's topic in Super Sensitive People
      43

      Refractory or super sensitive?

      @Levi, How are you doing? Sorry I missed your posts. How's your thyroid? Did your Vitamin D stabilize? Do you have long hauler syndrome after Covid? Consider switching to Vitamin D 3, the natural form of Vitamin D. Vitamin D 2 is the synthetic form of Vitamin D which the body can have difficulty changing to an active form. Also, Thiamine...
    4. lizzie42
      - lizzie42 posted a topic in Gluten-Free Foods, Products, Shopping & Medications
      0

      Gluten free and oat free bars not sugary?

      I'm looking for bars or non perishable snacks for my 2 kids. They are 5 and 3. The 3 year old seems sensitive to oats also. We do a lot of long hikes and bike rides. They eat mostly fresh foods but for these rides and hikes we need easy and non perishable. Also that taste good! We do a lot of larabars and freeze dried apples but those are getting old. Any...
    5. knitty kitty
      - knitty kitty replied to MagsM's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      5

      Inflammation and Menier’s disease link?

      Oh, @MagsM, Sorry you had that happen with Niacin. 500mg is the maximum amount of Niacin one should take. Niacin works hand in hand with Thiamine, so a big influx like that can imbalance thiamine if not supplemented at the same time. All the B vitamins work together in concert. Niacin in doses at 500 mg or above have been used by doctors to lower...
  • Celiac.com Sponsor (A19):


  • Member Statistics

    • Total Members
      129,769
    • Most Online (within 30 mins)
      7,748
    Francie Bailey
    Newest Member
    Francie Bailey
    Joined
  • Celiac.com Sponsor (A20):

  • Forum Statistics

    • Total Topics
      121.2k
    • Total Posts
      1m
  • Celiac.com Sponsor (A22):



  • Celiac.com Sponsor (A21):


  • Upcoming Events

  • Posts

    • thejayland10
      TTG IgA and IGA elevated mildy

      By thejayland10 · Posted

      my ttg iga was 16.5 3 months ago and jumped to 30.1 last week. my iga was 415 and jumped to 455. This was done at a different lab though than the first test for ttg iga one had units as ml the other as cu... so not sure if they really jumped as much as shown. i am so strict on my diet and have no clue why this is happening  thank you for attaching this, could this happen randomly even after being gluten-free for so long ? my ttg iga was 16.5 3 months ago and jumped to 30.1 last week. my iga was 415 and jumped to 455. This was done at a different lab though than the first test for ttg iga one had units as ml the other as cu... so not sure if they really jumped as much as shown. i am so strict on my diet and have no clue why this is happening 
    • HilaryM
      New onset constant gas

      By HilaryM · Posted

      Hi all, I’ve been following a strict gluten-free diet for 1.5 years since I was diagnosed. The last few weeks though I’ve suffered almost continual bloated stomach and flatulence. It literally is almost constant - and I was never this way before. I can’t think of any change to my diet, activity, etc. I’m dying - it’s so uncomfortable and embarrassing to feel like I have zero control over this. Any ideas? Thank you!
    • knitty kitty
      Refractory or super sensitive?

      By knitty kitty · Posted

      @Levi, How are you doing?  Sorry I missed your posts.   How's your thyroid?  Did your Vitamin D stabilize?  Do you have long hauler syndrome after Covid? Consider switching to Vitamin D 3, the natural form of Vitamin D.  Vitamin D 2 is the synthetic form of Vitamin D which the body can have difficulty changing to an active form.  Also, Thiamine is needed to active Vitamin D.   Hypothyroidism can be caused by Thiamine deficiency.  The thyroid is an organ that uses lots of thiamine.  sometimes thyroid deficiency can also cause hyperthyroidism, or swings between both hyper- and hypo-thyroidism. We need more Thiamine when we're sick with an infection (like Covid) or injured.  We need more Thiamine when we're physically active.  We need more Thiamine when we're emotionally stressed or worried.  Our brain uses the more Thiamine just thinking than our muscles do while running a marathon.  Thiamine is extremely important in fighting infections.  Covid patients and long haulers have found taking Thiamine has improved their survival rate and long term symptoms.   Consider taking a Thiamine supplement like Benfotiamine which has been scientifically shown to promote intestinal healing.  Damaged villi need thiamine to grow back.   Be sure to take a magnesium supplement, too.  Thiamine and magnesium make life sustaining enzymes together.  You also need magnesium to keep calcium in the bones.  The thyroid regulates calcium.  A wonky thyroid can lead to reduced bone density.   Remember the B vitamins all work together in concert so adding a B Complex to Benfotiamine and magnesium supplements and Vitamin C would be great in improving absorption of nutrients while we're dealing with celiac disease. Namaste
    • lizzie42
      Gluten free and oat free bars not sugary?

      By lizzie42 · Posted

      I'm looking for bars or non perishable snacks for my 2 kids. They are 5 and 3. The 3 year old seems sensitive to oats also. We do a lot of long hikes and bike rides. They eat mostly fresh foods but for these rides and hikes we need easy and non perishable. Also that taste good! We do a lot of larabars and freeze dried apples but those are getting old. Any ideas? 
    • knitty kitty
      Inflammation and Menier’s disease link?

      By knitty kitty · Posted

      Oh, @MagsM, Sorry you had that happen with Niacin.  500mg is the maximum amount of Niacin one should take.  Niacin works hand in hand with Thiamine, so a big influx like that can imbalance thiamine if not supplemented at the same time.  All the B vitamins work together in concert.  Niacin in doses at 500 mg or above have been used by doctors to lower triglycerides levels and raise HDL, the good cholesterol.  Pharmaceuticals to do the same thing are more expensive and thus more profitable for physicians. Has your doctor tested you for H. Pylori?  An infection by H. Pylori can be tested for by your doctor.  H. Pylori can cause low tTg IgA results, too.   I would hold off on the microbiome test for now.  Your microbiome is going to change when you go gluten free.  Your microbiome will change when you start taking Thiamine.  Thiamine supplementation influences which microbes grow in the intestines, encouraging beneficial bacteria and getting rid of the bad ones.  Thiamine in the form Benfothiamine promotes intestinal healing, too.  Adopting the Autoimmune Protocol Diet (by Dr. Sarah Ballantyne, a Celiac herself) after diagnosis will also change your microbiome.  This is the best diet to heal and recover, IMO.   If you're going to have more testing done for vitamin deficiencies, don't take vitamin supplements beforehand, otherwise the tests will measure the vitamin supplements in your bloodstream and give false results.  Same thing will happen if you take B vitamin shots.  The supplements you mentioned (Arterosil HP and Vascanox HP) are herbal support and do not contain all eight B vitamins.  There's no harm in taking them, but I prefer a B Complex that contains all the B vitamins in activated forms like Life Extension's Bioactive Complete B Complex.  All the B vitamins work together in concert.  Magnesium is important to supplement as thiamine and magnesium make life sustaining enzymes together.  Do not buy supplements containing Thiamine Mononitrate because it is not biologically active.  It is very hard for the body to utilize.  Most of it (70%) passes out unused.    Yes, my Meniere's disease has not returned.  I was deficient in Vitamin D.  I took high doses of Vitamin D 3 to correct the deficiency quickly.  I also took TTFD (tetrahydrofurfuryl disulfide) which is a form of thiamine different from Benfotiamine.  TTFD can cross the blood brain barrier without a carrier, so it can get into the brain very easily.  TTFD helps the Vagus nerve function.  The Vagus nerve regulates the ears and balance, and also the digestive system.  I like Allithiamine by Ecological Formulas.  I also like Thiamax by Objective Nutrients.  You should have improvements within a hour with TTFD.  TTFD is much stronger, so lower doses will give amazing benefits (50-200 mg).   I hope this helps give you some direction to take on your journey!
×
×
  • Create New...