Insurance paying for NT scan

burghbaby · April 2009

Has anyone had any issues with their insurance company paying for the optional NT scan? I have Highmark (Blue Cross Blue Sheild in western PA) and they are really pretty liberal about what they pay for. But I still worry about being stuck with a massive bill after the fact.

peas out · April 2009

If you are concerned, call them and ask! Thats what I did, and they told me that as long as the drs ordered the test, then it would be covered.

jandb_plyter · April 2009

I don't know about my insurance b/c I opted out but most people on here have said theirs didn't cover it...

j*&p* · April 2009

You can probably contact the rep for your insurance company and get information about whether its covered or not.

Rogue Lily · April 2009

They code the scan "Suspected Genetic Abnormality" here. They throw the "suspected" in there so most insurance companies will cover it.

It's all a game in med billing, it seems!

kchoi · April 2009

mine didn't pay and i have anthem blue cross. ?

jandb_plyter · April 2009

Rogue Lily:

They code the scan "Suspected Genetic Abnormality" here. They throw the "suspected" in there so most insurance companies will cover it.

It's all a game in med billing, it seems!

You are exactly right... we used to have to resend so many things with different codes just to get paid...things so simple as bilateral hearing loss versus hearing loss on one side... insurance companies just like to delay payment as long as they can...

SmallandNeedy · April 2009

CALL YOUR INSURANCE CO! It's a routine question and they'll know the answer.

Ours was covered.?

cntrygrl123 · April 2009

i called with the code numbers that they give you and ran them by the insurance company and they said bc it is blood work and an ultrasound they would cover it but i am in the same boat as yours. i am worried that even after the fact they will bill us.

SeaStar430 · April 2009

Just call them and ask them. Mine covers it, I have United.

arob2009 · April 2009

I didnt ask, but I figure if they don't cover it, I will just figure it out. My insurance only covers 70% anyway. The good thing is that you can negotiate with your doctors office to pay only a percentage of the cost or to get a payment plan over time. Insurance cos dont pay the full cost, why should you>

chick730 · April 2009

I was concerned, but made an appointment anyway so I wouldn't miss the window of opportunity. On Friday I got the copy of the authorization from my insurance company....so that was a big relief!

voelkels · April 2009

Speak to your Dr. about coding it as medically necessary. ?If for some reason it doesn't pay for it even then, I think it runs around $200 (were I live) just for consideration.?

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Insurance paying for NT scan

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