Medicare/Medicaid/Insurance Facts

Categorizing our products in the marketplace Medicare/Medicaid (FAQ) CLIA-waiver Insurance (FAQ) Laboratory services coverage CPT codes for the BioScanner 2000™ Insurance group links Insurance billing options Insurance coding

Will private health plans such as my employer sponsored health plan pay for PTS products? There is evidence that some employer sponsored health plans are paying for PTS products including lipid panel tests. Please check with your particular health plan. You may wish to gain precertification from your health plan before purchasing PTS products. Are HMO's currently paying for PTS products? At this time, most HMO's will not pay for PTS products. However, in a few cases, a HMO may pay for the system as a glucose meter if your doctor says you need one. Please check with your particular HMO. If an HMO does pay, expect only partial payment for the system, and payment for only diabetes related supplies. Do I need a prescription from my doctor to purchase PTS products? PTS has consumer products available through distributors or direct from from PTS. If you do not intend to file an insurance claim, you do not have to prove you medically need the product. Do I need a prescription from my doctor to file an insurance claim for PTS products? Yes. Everyone who is seeking payment or reimbursement from their health plan, including Medicare and Medicaid, need a prescription from their doctor for the purchase of PTS products. The prescription will be requested by your health plan. If I purchase products direct from PTS or from a television shopping show, can I file a claim to my health plan? In these cases, you may be able to gain reimbursement for PTS products if you file a claim to your private health plan. Submit your product purchase invoice and your doctor's prescription for the products to your private health plan. Medicare or Medicaid does not usually accept claims submitted directly by the consumer.