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Author Topic: Genome Testing  (Read 1223 times)

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Offline greg_atl

  • Member
  • Posts: 19
Genome Testing
« on: January 12, 2013, 10:12:37 AM »
I am having issues with BCBS paying for part of the Genome test that my Dr ordered  to determine if I had any resistance to medication.  When I received my EOB it indicated that the a portion of the test ran was basically not a medically necessary test and that it was not covered.  Has anyone ran into this?  Both my Dr and I have  filed an appeal and I am still waiting to hear there determination.  The BCBS rep also stated that each state has different criteria when it comes to testing and that since mine was filed through BCBS of GA I need to file my appeal with BCBS of MA since that is where my plan is managed out of. 
08-27-12 - Results came in as +
09-24-12 - Earliest Dr appt I could get. 7 Test tubes of blood
10-17-12- 2nd Dr visit.. started on Bactrim & Complara - 1 more blood test
CD4 - 117
CD 4 Helper - 10.6%
V/L - 168,240

Offline Pontus

  • Member
  • Posts: 32
Re: Genome Testing
« Reply #1 on: June 11, 2013, 07:42:40 PM »
I have BCBS in Tx and mine was fully covered.
05-17-13 - Diagnosed/ Westerblot
06-03-13 - VL=500,193 / CD4 384
06-03-13 - Gnome - no resistance
06-05-13 - Start Stribild
07-23-13 - VL = 100 / CD4 664
10-14-13 - VL = 40 / CD4 592
01-03-14 - VL = UD /CD4 784

 


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