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Insurance

holdthegluten

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holdthegluten Rising Star
holdthegluten
Posted

Does blue shield ppo cover enterolab. I want to order the panel A, but it's $369.

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JennyC Enthusiast
JennyC
Posted

Funny you should ask. I was contemplating that same test for my son last week. I have Regence BlueCross BlueShield of Oregon. They said that they would cover it like an out of network provider. (In my case they would pay 60%.) Any lab tests are considered major medical, so the annual deductible applies. You may want to double check. Call enterolab and get the CPT numbers for the tests. Then call Regence and give them the numbers, and they will tell you if they will cover.

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UNCHeel Rookie
UNCHeel
Posted

Anything to do with Insurance typically is based on what your particular employer put in the contract. If you can get a Dr to say it's medically necessary then you have a better chance even if it's not "typically" covered in your plan. Look at your Summary plan description or call HR and someone shoudl be able to tell you. Good luck!

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  • 2 years later...
Crayons574 Contributor
Crayons574
Posted
Does blue shield ppo cover enterolab. I want to order the panel A, but it's $369.

Hi there~

I have BlueCross BlueShield as well, and was thinking about getting the same test run from Enterolab. I was wondering how much insurance covered for the $369 test?

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      Trying to read my lab results

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      Hi Scott, yes I have had symptoms for years and this is the second GI I have seen and he could not believe I have never been tested. He called later today and I am scheduled for an endoscopy. Is there a way to tell how severe my potential celiac is from the results above? What are the chances I will have the biopsy and come back negative and we have to keep searching for a cause? 
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      Why?

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      Why?

      By mishyj · Posted

      Perhaps I should also have said that in addition to showing a very high response to gluten, her stool study showed that she had extreme reactions to everything achievement on it long course of microbials to treat that.
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