A health care provider’s most valuable diagnostic tools include laboratory exams. Whether it is a blood test, urinalysis, tissue sample biopsy, or another type of screening test, the exam results may help your physician diagnose, or rule out, suspected illness, disease, or other conditions.
Any time you visit your health care provider, he or she may suggest getting lab work done. Because this sort of diagnostic testing is so common, it is important to have insurance coverage. It is also important for Medicare recipients to have knowledge about which exams are paid for and what diagnostic laboratories are included in your Medicare benefits.
Private laboratories like Quest Diagnostics may be included in your Medicare insurance network. This allows you to have your lab work done in one of their laboratories. Quest has over 2200 labs across the country and perform over 3500 types of tests. You can find out if there is a Quest Diagnostics lab in your area on their website.
Your Medicare benefits may cover the expense of laboratory tests done at Quest labs, but it depends on which state you live in, and what tests your health care provider has ordered. Here is more information on your Medicare coverage of Quest Diagnostics.
Does Medicare Cover Quest Diagnostics?
Whenever your health care provider orders medically necessary clinical diagnostic laboratory services, your Medicare Part B (medical insurance), or Medicare Advantage (Part C) plan covers the expense. In most cases, you do not pay for any clinical diagnostic lab tests that are Medicare-covered.
These lab tests include certain blood tests, urinalysis, tests on tissue specimens, and some screening tests that are meant to help prevent, discover, or manage a suspected medical problem.
Medicare recipients have coverage for these exams if the laboratory providing them meets Medicare requirements. Every state in the U.S. has its own list of Medicare Coverage Policies for tests or test group coverage. They also have a list of laboratories that are Medicare-approved.
Before you visit a Quest Diagnostics laboratory for your lab work, make sure that you discuss coverage with your insurance provider.
If you have a Medicare Advantage (Part C) policy, it may include Quest Diagnostic labs in its network of accepted health care providers. You have the responsibility of verifying whether your policy includes Quest in its network before you have your lab work done there. Be certain to read your policy or ask a licensed representative of your insurance provider if you have such coverage.
If you chose a provider that is outside your plan’s network, you may have a higher out-of-pocket cost for the services you receive.
What Tests and Screenings Are Covered by Medicare at Quest?
Because Medicare has limited coverage policies for certain lab tests and some also have frequency limitations, be sure to discuss these details with your health care provider.
Beyond routine blood and urine testing, Quest Diagnostic labs offer preventive services and screenings that are covered by your Medicare benefits. These tests ay be associated with Medicare’s annual Wellness Visit or screenings for the following conditions:
- Colorectal cancer
- Hepatitis B and C
- Cervical cancer
Having all your blood tests, screenings, and other lab services done in one place is convenient. You can make appointments online, get your results swiftly and easily, either online or from your health care provider, and you can cover your costs with your Medicare insurance.
If you wish to take advantage of the convenience that Quest Diagnostics offers, you must ensure that you have Medicare coverage first. You can get more information about your personal coverage by speaking to a representative of your private health insurance provider.