What's the best way to avoid surprise bills for lab tests under Medicare Advantage?

Question

Joseph Meyers · Accepted Answer

When having lab tests done check with your Advantage plan agent or customer service center to ensure you are staying IN NETWORK! Also ask the medical provider ordering the labs if these are standard, common and preventative tests or if they are more rare. The insurance company can also help with pricing if they have all the information.

Answered by Joseph Meyers on April 7, 2025

Broker Licensed in MI & TN

Answered by Joseph Meyers Medicare Insurance Agent

William Lawler · Answer

The best way to avoid surprise bills for lab work is to contact your insurance company`s member services. Make sure the proposed lab tests are covered by your health plan.

William Gray · Answer

In your summary of benefits and your annual plan book there will be a list of costs associated with lab tests 

You should not be getting surprised billing you should only have to pay your co pay.

Ben Washington · Answer

What's the best way to avoid surprise bills for lab tests under Medicare Advantage? To go in network or go to lab in the office

Lynn Pepsidero · Answer

It’s important to have a dependable local Independent Advisor you can call or text throughout the year with any questions about your Advantage plan. I explain the plans copays, networks, Out-of costs and I provide all my clients with the Summary of Benefits and the Evidence of Coverage to keep for their records.

Answered by Lynn Pepsidero on April 22, 2025

Broker Licensed in FL, AL, GA & 12 other states

Answered by Lynn Pepsidero Medicare Insurance Agent

Wild Bill Anderson · Answer

Know your plan and call us with questions. Knowledge is power! This is why we are here for our trusted clients.

Dominic Javier · Answer

Lab tests are usually prescribed by your doctor (in-network) and coverage of tests should be thereby indicated. You can call and ask the laboratory prior to the test so you'll know your benefits and the net cost, out of your pocket.

Answered by Dominic Javier on April 22, 2025

Broker Licensed in TX

Answered by Dominic Javier Medicare Insurance Agent

Lesley Burns · Answer

The best way to avoid surprise bills for lab tests is to have prior authorization under Medicare Advantage.

Britania James · Answer

Ask the billing office at the provider's office if there is an out-of-pocket cost for the lab or test. Most non-routine labs and tests require a prior authorization from the insurance carrier before they are conducted.

Your Medicare agent can also assist with any additional information that is unclear. As a Medicare agent, I am always happy to inquire with insurance carriers regarding coverage based on a client's specific plan and the lab/test in question.

Gus Kinnie · Answer

Most places can run your insurance card to see if the lab test are covered before hand. You can also call your insurance company, and go over your plan with someone who is trained to help like a insurance to see if the lab test is covered.

Answered by Gus Kinnie on April 9, 2025

Agent Licensed in IN, CA, IA & 6 other states

Answered by Gus Kinnie Medicare Insurance Agent

What's the best way to avoid surprise bills for lab tests under Medicare Advantage?

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents Hub
A non-government resource website

What's the best way to avoid surprise bills for lab tests under Medicare Advantage?

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website