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Social Security & Medicare

Susan Calvin

(2,283 posts)

18. Actually, they had the cost right on the form they wanted me to sign.

Reply to PoindexterOglethorpe (Reply #17)

Sat Nov 30, 2019, 01:42 PM

Nov 2019

What I can't find out is what Medicare would or wouldn't pay for.

I'm currently working on the assumption that the ones listed they don't think Medicare is going to pay for, because as I recall it wasn't all of them. But maybe it was.

There's nothing for it I guess but to go back to the lab and try to get them to explain the coding to me. I didn't have time the first time, because I just dropped by on my way to somewhere else, and I didn't expect anything out of what's previously been ordinary to happen.

I haven't had any blood work whatsoever in two years, and this is standard stuff they check, so I'm gonna think it's really weird if Medicare won't pay for it.

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24 replies

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I just got an ABN from the blood test lab, and I am very confused. [View all] Susan Calvin Nov 2019 OP

That unquestionably sucks, but you are stuck with a Hobson's choice... TreasonousBastard Nov 2019 #1

I just went through the same thing BittyJenkins Nov 2019 #2

sounds like the doctor's office may have used an incorrect diagnosis or code on the written order yellowdogintexas Nov 2019 #6

Pretty sure it comes down to the code in my case. Susan Calvin Nov 2019 #11

Did you get the test???? dixiegrrrrl Dec 2019 #22

Thank you for asking. Susan Calvin Dec 2019 #23

Medicare pays for 80% of what is deemed "reasonable" CharleyDog Nov 2019 #3

Except Medicare providers are required to accept the amount Medicare says is reasonable - pnwmom Nov 2019 #4

not exactly how payment is determined yellowdogintexas Nov 2019 #5

The lab I went to did not even contact the doctor's office. Susan Calvin Nov 2019 #12

Susan it may have been some or all of the charges. yellowdogintexas Nov 2019 #7

I'm on traditional Medicare and TRICARE. Susan Calvin Nov 2019 #13

Medicare isn't shy about stating that if a provider won't cover the cost of a procedure then the abqtommy Nov 2019 #8

Wow, it sounds like you talked to some people at Medicare who are actually competent. Susan Calvin Nov 2019 #16

From my experience that is standard, if Medicare or any insurance for that matter doesn't cover still_one Nov 2019 #9

I'm not sure now, since they wouldn't give me a copy of the ABN, Susan Calvin Nov 2019 #14

I think your assessment is probably right. Regardless, if you need the results in orders to know still_one Nov 2019 #15

Thank you so much for the responses. Susan Calvin Nov 2019 #10

That is absolutely standard. PoindexterOglethorpe Nov 2019 #17

Actually, they had the cost right on the form they wanted me to sign. Susan Calvin Nov 2019 #18

Oh, good, I'm glad they had the cost. PoindexterOglethorpe Nov 2019 #19

You're probably right about the Medicare website, but I have had no luck so far . Susan Calvin Nov 2019 #20

Trust me, there is zero transparency about the cost of anything PoindexterOglethorpe Dec 2019 #21

That's for sure El Mimbreno Dec 2019 #24