Insurance Coverage

Many insurance companies and medicare cover INR self-testing

Many insurance coverage plans, including Medicare and Medicaid, reimburse costs for physician review and interpretation of INR test results. Many health plans also reimburse healthcare practices for patient self-test training conducted by a registered nurse. This training can also be completed by a certified trainer from CoaguChek® Patient Services. 

Private insurance

Many private insurance companies may cover INR self-testing. When you have a patient who’s ready to begin self-testing, CoaguChek Patient Services will work with his or her insurance carrier to verify coverage. 

Medicare coverage

For many patients on long-term warfarin therapy, training and INR self-testing may be covered by Medicare Part B.1,2 (Coverage varies based on condition and other factors.)

Note: If your patient has a mechanical heart valve, chronic atrial fibrillation or venous thromboembolism, and he or she is on long-term warfarin therapy, Medicare Part B may cover training, equipment and patient self testing services.2

 

We also help coordinate insurance coverage

CPS will work with your patients to make sure they are informed of available benefits. Coverage varies based on condition and other factors.

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+References

  1. Medicare Part B provides coverage for use of home PT/INR monitoring for chronic, oral anticoagulation management for patients with mechanical heart valves, chronic atrial fibrillation or venous thromboembolism (inclusive of deep venous thrombosis and pulmonary embolism) on warfarin. Home testing must be prescribed by a treating physician, and other requirements must also be met to qualify for coverage. Under private insurance, coverage varies by plan. Consult your health insurance provider for details regarding coverage.
  2. Centers for Medicare and Medicaid Services. National Coverage Determination (NCD) for Home Prothrombin Time/International Normalized Ratio (PT/INR) Monitoring for Anticoagulation Management (190.11). http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=269&ver=2 (accessed February 2017).
  3. Coverage varies by plan. 
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For more information on reimbursement and Medicare coverage requirements, read the 2018 CoaguChek Medicare Reimbursement Handbook for Healthcare Professionals