I have a Medicare Advantage Plan with Anthem/BCBS. Just had comprehensive blood work done including a lipid panel for cholesterol levels. The plan paid for everything except the lipid panel.
“The submitted procedure is disallowed because it is not recommended for payment based on CMS National Coverage Lab Policy.”
I am appealing this because Medicare should pay for cholesterol testing.
“I am appealing this because Medicare should pay for cholesterol testing.”
Based on what I’ve learned, there’s not much to be gained from standard cholesterol testing in the first place. If it’s up to me, I won’t bother with it, since all it does is lead to being prescribed statins, which is something that I won’t get near, given my earlier experiences with it.