I have a Healthnet SBG (small business group, employer-based) HMO policy, in CA. I’m still trying to figure out what their procedure is, because neither my PCP nor their customer service is giving clear and coherent answers. (For example, Healthnet says PCP needs to issue a referral for a covid test to be covered, PCP says they don’t issue referrals for covid tests, and go to urgent care.)
Either way, the vast majority of covered tests are either inaccurate antigen tests, or PCR tests that take 1-3 days to get results.
I found one clinic in my city that offers NAAT PCR molecular testing with 1-hour results (Abbott ID Now), I’d love to use that. But they don’t work directly with insurance, so if I went that route I’d be sending the invoice to claims.
Any idea if Healthnet’s procedures on COVID19 tests are same as other HMO labwork (out of network = denied) or more forgiving?
submitted by /u/MediaComposerMan
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I have a Healthnet SBG (small business group, employer-based) HMO policy, in CA. I’m still trying to figure out what their procedure is, because neither my PCP nor their customer service is giving clear and coherent answers. (For example, Healthnet says PCP needs to issue a referral for a covid test to be covered, PCP says they don’t issue referrals for covid tests, and go to urgent care.) Either way, the vast majority of covered tests are either inaccurate antigen tests, or PCR tests that take 1-3 days to get results. I found one clinic in my city that offers NAAT PCR molecular testing with 1-hour results (Abbott ID Now), I’d love to use that. But they don’t work directly with insurance, so if I went that route I’d be sending the invoice to claims. Any idea if Healthnet’s procedures on COVID19 tests are same as other HMO labwork (out of network = denied) or more forgiving?
submitted by /u/MediaComposerMan [link] [comments]Read Morer/HealthInsurance