Re: Medicare Laboratory Payments

[Guest guest]

Hello, I live in east central Illinois and have been on Medicare since 1998. I've yet to run into the situation you have with Lipd Panel labs. There are times when the clinic lab has given me an "Advanced Beneficiary Notice" that Medicare and/or insurance may not pay for a lab, in which case I'm responsible for paying. In addition to Medicare I also carry a supplemental Medicare Advantage Program insurance which is supposed to pay for anything Medicare does not. In the 5 or 6 years I've had it I've paid less than $150, $68 of which was because Medicare pays for only one physical. Perhaps others have experience or insight into how to get reimbursed and to get Medicare to cover the cost in the future. Best wishes! Joe STAR2874 wrote: I just went on Medicare in December 2005 upon turning 65. While previously covered by Blue Cross of California there was never any issue of payment for any of my periodic lab tests. Medicare however is refusing to pay for my regular Lipid Panel and annual PSA & Testosterone tests. Has anyone else encountered this? I believe the PSA denial is simply an error since their website says they pay for that annually in men over 50. The other tests have been standard for years in HIV treatment particularly when drugs have been prescribed in an attempt to get and keep them in range. Has anyone else had experience with this and gotten a denial turned

around? Thanks.