Inr Testing Machine Covered By Medicaid
Medicare recently expanded coverage for pt inr self testing for patients with atrial fibrillation mechanical heart valves and deep vein thrombosis.
Inr testing machine covered by medicaid. The service includes all necessary testing equipment meter loan ongoing supply of test strips and lancets needed in order to obtain a weekly inr test result. You meet your insurance provider s coverage requirements for home inr testing varies by company or can pay out of pocket for testing equipment and supplies. Medicare s national coverage determination ncd effective july 1 2002 currently available at 190 11 of the national coverage determinations manual limits coverage of home pt inr monitoring to anticoagulation management for patients with mechanical heart valves who are on warfarin. As of 2008 medicare part b helps pay for the cost of your pt inr equipment when used to determine how well your anticoagulants are working.
Self testing with the device should not occur more frequently than once a week. 2 most private insurance companies also cover inr self testing. History of medicare coverage. Many insurance plans including medicaid and medicare will cover the cost of home inr testing for some but not all conditions that require anticoagulation therapy.
Call advanced cardio services and we can quickly provide you with a quote of insurance benefits. This list only includes tests items and services that are covered no matter where you live. The good news is that medicare now covers self inr testing provided you have been on anticoagulant drugs for at least three months before commencing the use of a coagulation meter. If your test item or service isn t listed talk to your doctor or other health care provider.
If you have a mechanical heart valve chronic atrial fibrillation or venous thromboembolism and you re on long term warfarin therapy medicare part b may cover meter training services equipment and supplies for monitoring your inr at home with a portable handheld meter. All other indications for home pt inr monitoring not indicated as nationally covered above remain at local medicare contractor discretion. Insurance coverage for many patients on long term coumadin or warfarin therapy home inr testing supplies training and service are covered under medicare part b and private insurances. Secondary insurance additionally we will work closely with your secondary private insurer to.
Nothing is billed to medicare for the service until 4 successful test results have been reported to acs and transmitted to the physician for interpretation. Medicare coverage for many tests items and services depends on where you live. Since march 19 2008 medicare has effectively covered 80 of the service once you ve been able to meet up with the annual deductible.