The complaint has been investigated and
resolved to the customer's satisfactionResolved Blue Cross Blue Shield — not paying for routine physical lab fees
The complaint has been investigated and
resolved to the customer's satisfaction
resolved to the customer's satisfaction
I recently visited my doctor’s office for a routine physical. The doctor took a blood sample that day. It all seemed like a very routine check and never was I informed that any out of the ordinary tests would be conducted.
Sure enough, two weeks later I get a bill from quest diagnostics charging me $215 for a vitamin d-3 test.
Why is blue cross blue shield not paying if this is a routine physical?
Why did the doctor not warn me? Why is quest charging so much? I called all of them, and everyone blames everyone else. The bottom line is, this is a huge rip-off. Beware before you take any blood test and make sure your doctor does not order any tests that will result in such outrageous fees.
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Some of the lab charges have to be ordered for specific diagnosis before insurance carriers will cover it. They want to know why your doctor thinks you need your vitamin D checked. Do you have osteoporosis, have you been on long term steroids that could have resulted in bone loss e.t.c Your doctor has to provide a diagnosis that meets medical necessity before your insurance will paid for services. This is a quality initiative, which prevents doctors from ordering any test without medically necessary reasons. It prevents abuse and over-utilization of medical services and in long run reduces high cost of health care.
Lateef Ayinde, BS, CCSP, ACS-EM.