I've confirmed our benefits for medical diagnostic lab is "Co-Insurance Preventive 100.00%" and that the provider is in-network. Our doctor is telling us our co-pay is $1000. Why?
Your benefits can be different for routine services versus diagnostic services. By asking your doctor why a test or service is ordered, you will know whether to expect the claim for the services to be covered under your routine services benefit or your diagnostic services benefit.
I am sending you a direct message with further benefit information.
Colonoscopy is a MANDATED screening exam for patients over the age of 50 at 5 year intervals. This is to screen the number three killer Colo-Rectal cancer by visually examing your GI Tract under semi-conscious sedation or Outpatient. Like mentioned earlier insurance carriers Must pay for this exam 100%. Your MD was WRONG! Or Most likely uninformed! Pay no attention to him/her
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