Inr Testing Machine Covered By Medicaid

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.

Inr testing machine covered by medicaid.

Call advanced cardio services and we can quickly provide you with a quote of insurance benefits. Secondary insurance additionally we will work closely with your secondary private insurer to. 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. 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.

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. Self testing with the device should not occur more frequently than once a week. Medicare coverage for many tests items and services depends on where you live.

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. If you meet one of the above criteria medicare will cover most of the cost of pt inr self testing. 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. Medicare recently expanded coverage for pt inr self testing for patients with atrial fibrillation mechanical heart valves and deep vein thrombosis.

This list only includes tests items and services that are covered no matter where you live. 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. Since march 19 2008 medicare has effectively covered 80 of the service once you ve been able to meet up with the annual deductible. But as most people conduct these tests on their own at home testing supplies and equipment are also covered by medicare.

History of medicare coverage. 2 most private insurance companies also cover inr self testing. 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.