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

Celiac Panel Bloodwork

njbeachbum

Recommended Posts

njbeachbum Explorer
njbeachbum
Posted

OK so I had blood drawn to test for Celiac on November 9, 2007. My Insuance provider is Aetna. When they received the claim from Quest Diagnostics, they denied all 3 tests for the Celiac panel on the basis that they are "experimental and investigational". I am now slapped with a bill for $600 that is ready to go to a collections agency and I am fighting with Aetna reps, Quest reps and my doctor's office to appeal this and get it paid for. Even according to my doctor, there is nothing experimental about these DIAGNOSTIC tests.

This is so frustrating! I'm wondering if anyone else has had a similar battle with insurance over this blood work.

:angry:

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

Celiac.com Sponsor (A8-M):


Gemini Experienced
Gemini
Posted
OK so I had blood drawn to test for Celiac on November 9, 2007. My Insuance provider is Aetna. When they received the claim from Quest Diagnostics, they denied all 3 tests for the Celiac panel on the basis that they are "experimental and investigational". I am now slapped with a bill for $600 that is ready to go to a collections agency and I am fighting with Aetna reps, Quest reps and my doctor's office to appeal this and get it paid for. Even according to my doctor, there is nothing experimental about these DIAGNOSTIC tests.

This is so frustrating! I'm wondering if anyone else has had a similar battle with insurance over this blood work.

:angry:

To be honest, I paid for my testing out of pocket because I wanted it done FAST and the doctor I went to was not covered under my HMO plan. This is a precursor to national health and what we are in for if certain people are elected to office in this country. :angry:

Mine was done 3 years ago and I paid $380.00 for a full Celiac panel. So, I really do not understand why your cost was so high. Secondly, your doctor's office should be handling this for you, if they filed the original claim. If your doctor ordered the panel, they should cover it, period. I would think a short call from the physician to the crooks at the insurance would do it but I know that's a tall order for some doctors to do.

If the claim is in dispute, then you are not obligated to pay it, no matter what a collection agency might say in the near future. Seeing's as this country lets illegals flood our emergency rooms for free medical care, I would not give in and pay it! In fact, if you receive any threatening calls, I would ask them point blank if they harass illegals as much as citizens for payment...that usually shuts them up!

njbeachbum Explorer
njbeachbum
Posted
  • Author

lol - thanks, i needed that. the problem is that my doctor's office called a couple of weeks ago and told me that everything was taken care of. then the collection notice arrived the other day. so i called aetna, and spoke with a complete moron who said i have to file an appeal. apparently nobody told my doctor's rep that when she called two weeks ago. what a cluster f@ck. so then i hung up at 4:45 and called my doctors office (hours till 5pm) and i got their answering service. how nice. i wish i could leave work early everyday too.

ok. end of rant.

:blink:

happygirl Collaborator
happygirl
Posted

They are NOT investigational at all----you are right.

Good luck! Hopefully your doctor will be able to clear this up.

Archived

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

Go to topic listing
  • Celiac.com Sponsor (A19):

  • Member Statistics

    • Total Members
      133,351
    • Most Online (within 30 mins)
      7,748
    giuseppe gamerra
    Newest Member
    giuseppe gamerra
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):

  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):

  • Upcoming Events

  • Posts

    • par18
      Is it gluten?

      By par18 · Posted

      Thanks for the reply. 
    • Scott Adams
      nothing has changed

      By Scott Adams · Posted

      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Is it gluten?

      By Scott Adams · Posted

      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      Trip to Anaheim/Disney

      By Seaperky · Posted

      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

      By Churley · Posted

      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
×
×
  • 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.