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Blood Panel Insurance Question

790 Views | 4 Replies | Last: 2 yr ago by dgb99
aggiesman23
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Hello, I have BCBS PPO. I want to get a blood panel done as a self check up as I haven't had one in a few years. My card says "$0 copay for In-Network Wellness." Does this mean that the panel would be free? Or how do I know how much the panel would cost? TIA
ptothemo
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AG
You'll need to go online or otherwise access your plan details in more detail. Blood panels are most often considered lab work that is differentiated from wellness or check-ups. My guess is that there is a non-zero copay to have it done, but it depends on the plan.
bigtruckguy3500
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No idea. But would suspect it's a 0 copay for a wellness appointment with a doctor. Usually you get an annual check up years with no copay. Don't think it means on whatever wellness labs you deem indicated. I'm not an insurance expect though, I just know insurance sucks.
AJ02
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AG
Wellness usually just refers to stuff like annual Pap smear, mammogram, prostate exam type stuff. In my experience, it hasn't included bloodwork in that.
dgb99
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AG
I have BCBS PPO as well although I think many minor things depend on your specific company's contract with BCBS.

As an example of insurance sucking...if I go in for a checkup/physical and I don't have any specific complaints, the office visit is coded as preventative and it, along with most bloodwork the doctor orders, is paid 100% with 0 copay. Every once in a while, my doctor warns me that he's ordering a specific test that might not be covered by insurance. Sometimes he's right, sometimes he's wrong...I imagine it's hard to keep up.

However, if I go in for checkup/physical and mention that my shoulder has been hurting for a little while and that I might want to get it checked out further, the office visit is coded differently and is not covered 100%. This I somewhat understand.

But all the labs that my doctor orders are also no longer covered at 100% even though my cholesterol numbers don't have much to do with a sore shoulder. That didn't seem right to me and was a surprise bill.
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