You can save time by checking your INR at home

If you have been on oral warfarin therapy for more than 90 days, you may be able to test your INR at home.

Self-testing your INR enables you to take control of your healthcare — and you’ll potentially save the time traveling to a lab or doctor’s office. Self-testing does require a prescription, so the first step is to discuss your interest with your doctor.

Good candidates for self-testing are interested and willing to perform their own tests, or have a caregiver who can assist them. You’ll need to test, and report the results, in accordance with your doctor’s prescription. Healthcare professionals who have been trained to provide training will help give you the confidence to perform a self-test.

In fact, self-testing may be covered by Medicare and many major insurance plans. (Coverage may vary based on patient's conditions and other factors.)

 

 

 
how does self testing work?

What is an INR test? To measure how long it takes blood to clot, your doctor will order an INR test, or international normalized ratio test. 

•  Your doctor will decide what INR number is best for you and can adjust your dose of warfarin to keep your INR within a target range.

•  A small blood sample is taken from a fingerstick.

 

Why test at home?

INR tests are typically performed in a hospital, medical lab or doctor’s office, but testing at home is a convenient alternative with the same trusted technology as used in a doctor’s office.

At home, you or a caregiver draw a small blood sample with a simple fingerstick. The blood sample is analyzed by a handheld device in just a few minutes. You report the results, and your doctor will change your warfarin dosage as needed.

 
How INR home testing worksTesting at home is easy with CoaguChek Patient Services. We provide you with the same INR monitor and test strips that doctors and nurses use in their offices. A healthcare professional certified in self-testing training can teach you how to use the device. Here’s an overview of the process: Self-Test at home Test yourself at home at the frequency prescribed by your doctor. Report Results Send us your results by submitting them online (via CoaguChek Link) or through the CoaguChek XS meter mPOC kit, live agent support, or using the automated phone system – you decide what’s easiest for you Your doctor receives and monitors Once your doctor or healthcare provider receives your results, they will contact you with any changes to your warfarin dose.
take the assessment to learn if you're a good candidate for self-testing

Is INR Testing at home right for you?

If you take warfarin and plan with your doctor to take it for 90 days or more, you could be a good candidate for monitoring your therapy at home. People who want to be in greater control of their warfarin therapy, and who follow their doctor's orders and prescription instructions also make good candidates for self-testing.

If you anwer yes to most of the questions on our self-testing assessment, you may be a good candidate for self-testing.

does insurance cover self-testing

 

Our experts help you determine out-of-pocket costs

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

 

Our experts help you determine out-of-pocket costs

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

Our experts help you determine out-of-pocket costs

 

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

Our experts help you determine out-of-pocket costs

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

Our experts help you determine out-of-pocket costs

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

Our experts help you determine out-of-pocket costs

The cost of self-testing will vary depending on your insurance coverage. (Coverage may vary based on your condition and other factors.)

 
Medicare Medicare may cover the cost of INR self-testing for patients with atrial fibrillation, mechanical heart valves and deep vein thrombosis (DVT).1  Secondary insurance We will work closely with your secondary private insurer to assess any additional out-of-pocket expenses.  Private insurance Many private insurers will cover service for INR self-testing.2 Our knowledgeable insurance experts will work directly with your carrier to determine eligibility.   Self-pay We offer self-pay opitons to qualified patients.
talk to your healthcare provider
CoaguChek Patient Is Self Testing For Me Say Yes

Whether you perform INR tests at home or you go into the doctor’s office, hospital or a medical lab, monitoring according to your doctor's perscription enables your doctor to adjust your warfarin dosage to better manage your risk of complications.

Take an active role by checking and reporting your INR as prescribed by your doctor, and make sure to share any relevant information about changes in your lifestyle that may affect your blood test results, such as:

•  Missed doses of warfarin

•  Changes in your diet

•  Alcohol intake

•  Stress

•  Herbal supplement you’re considering

•  New medications prescribed by other doctors

heart-check

Ready for more information? Call us at 1-800-780-0675.

 
CoaguChek Patient Is Self Testing For Me Ask Your Doctor

•  Self-testing can enable you to test more conveniently, which may improve your time in the target INR range set by your doctor.1,2

•  Self-testing is easy with a home monitor and a simple fingerstick to obtain your blood sample.

•  Self-testing can help you stay connected to your doctor, who quickly receives the results.

•  Home INR testing may be covered by Medicare and many major insurance providers.

(Coverage may vary based on your condition and other factors.)

+References

1  Kortke, H., Minami, K., Reymann, T., et al., (2001). “INR self-management after mechanical heart valve replacement: ESCAT (Early Self-Controlled Anticoagulation Trial).” Z Kardiol 90(6)118-124.

2  Heneghan CJ, et. al. Self-monitoring and self-management of oral anticoagulation. Cochrane Database of Systematic Reviews2016, Issue 7. Art. No.: CD003839. DOI: 10.1002/14651858.CD003839.pub3.

 
frequently asked questions about self-testing
CoaguChek Patient Why Test FAQ Icon

What are the benefits of self-testing?

Checking your INR at home offers you:

Convenience

Check your own INR at home per your doctor’s prescribed test frequency on your own schedule, and never worry about missing a test.

Consistency 

Use the same CoaguChek XS technology your doctor most likely uses to ensure results that are just as accurate as an in-office test.

More time in your target range 

Self-monitoring per your doctor’s prescribed test frequency allows your doctor to make timely dosage adjustments, which may result in more time in range.1

Peace of mind 

Being able to test where and when you need to enables you to test as prescribed, which may help you stay in therapeutic range longer.1

Are the CoaguChek XS meter and supplies covered by insurance or Medicare?

If you have a mechanical heart valve, chronic atrial fibrillation or venous thromboembolism, and you’re on long-term warfarin therapy, Medicare Part B may cover meter training, services, equipment and supplies for monitoring your INR at home with a portable handheld meter.2 Most private insurance companies also cover INR self-testing.3 Individual plans vary, so it’s important to talk to your provider to find out if you’re covered. (Coverage varies based on your condition and other factors.)

Do I need a prescription for self-testing?

The CoaguChek XS meter and home testing must be prescribed by your doctor. Only you and your doctor can decide if home monitoring is right for you. Be sure to discuss testing options with your doctor. Read our Get Started Guide to learn more about how to start home testing.

Is it easy to learn how to perform a self-test?

It’s easy, thanks to our certified training. A certified healthcare professional will sit down with you at home or in your doctor’s office to provide step-by-step instructions for running a test and reporting the results.

How do I report test results to my doctor?

We offer you four easy ways to record your INR results. Choose the one that is best for you:

Secure patient website CoaguChek Link 

1. Intuitive and secure, our website enables you to easily record your latest INR results. 

2. You can also review any changes to your warfarin dosing schedule, and access your previous INR results.

Automated phone system

1. Report your results 24 hours a day.

2. Never have to wait on hold to report your results.

3. You can even use our automated system to: 

a. Reorder testing supplies

b. Check your previous results 

c. Update insurance information

CoaguChek XS mPOC Kit

1. Wirelessly transmit results from your meter directly to CoaguChek Patient Services.

2. The kit comes with a SmartClip that attaches to your CoaguChek XS meter.

3. The SmartClip works with our iOS app (available from the Apple® App Store®), or the 2net™ Hub transmitter, to transmit your results to CoaguChek Patient Services, which makes themavailable to your healthcare provider.

4. mPOC requires cellular connectivity 2net™ Hub transmitter works only in the United States and requires a reliable cellular connection.

Live phone support

Call our toll-free number, 1-800-780-0675

Talk directly with our knowledgeable CoaguChek Patient Services staff. We’re here to help answer all your questions and will communicate directly with your doctor.

Who is responsible for repairing or replacing a defective INR meter?

If your testing device is not working properly and our telephone technical support staff is unable to resolve the issue with you, we ship a new device to replace your defective device at no additional cost to you.

What if I’m uncomfortable drawing my own blood sample?

Don’t worry – self-testing is quite different from veinous draw. Instead of drawing blood from a vein in the bend of your elbow, you simply stick a finger with a specially designed device. Once a small drop of blood appears, you apply it to a disposable test strip inserted into an easy-to-use, handheld CoaguChek XS meter. In approximately one minute, you have a result. Most people who try self-testing prefer it to lab testing.5

Does it hurt to get a blood sample?

Getting a blood sample takes just a small fingerstick. A specially designed lancing device, which is about the size of a pen, quickly inserts a tiny needle and pulls it out again. You can even set the lancing device to go no deeper than necessary. Most people who try self-testing prefer it to lab testing.5

How can I make it easier to get a drop of blood sample?

Try these tips:

•  Warm your hand by holding it under your arm.

•  Use a hand warmer.

•  Wash your hands in warm, soapy water, and then rinse and dry thoroughly before testing.

•  Gently shake your arm down at your side for about 30 seconds.

•  Watch this video to learn how easy it is.

Where can I order testing supplies?

For your convenience, your supplies will automatically be delivered to your door with quantities based upon your testing frequency.

• Contained within each shipment you will find 2 boxes of testing strips, and 1 box of lancets which will provide adequate testing supplies for up to 12 tests.

• Your initial training will include everything you need to get started, and your continuation of supplies will automatically be delivered shortly thereafter.

• If you should need additional supplies while waiting for your automated order please visit us online at coagucheklink.com. You may also contact Customer Service at 1-800-780-0675, who is available Monday through Friday from 8 AM to 6 PM EST to support your continued enjoyment of our service.  

Do you need more information or want to talk with our knowledgeable staff?

One of our CoaguChek Patient Services representatives is available to answer your questions, including helping you find out what expenses are covered by Medicare or your private insurance. Call us at 1-800-780-0675 from 8:30 a.m. to 8:30 p.m. ET.

Is it easy to learn how to perform a self-test?

It’s easy, thanks to our certified training. A certified healthcare professional will sit down with you at home or in your doctor’s office to provide step-by-step instructions for running a test and reporting the results.

 

How do I report test results to my doctor?

We offer you four easy ways to record your INR results. Choose the one that is best for you:

Secure patient website CoaguChek Link 

1. Intuitive and secure, our website enables you to easily record your latest INR results. 

2. You can also review any changes to your warfarin dosing schedule, and access your previous INR results.

Automated phone system

1. Report your results 24 hours a day.

2. Never have to wait on hold to report your results.

3. You can even use our automated system to: 

a. Reorder testing supplies

b. Check your previous results 

c. Update insurance information

CoaguChek XS mPOC Kit

1. Wirelessly transmit results from your meter directly to CoaguChek Patient Services.

2. The kit comes with a SmartClip that attaches to your CoaguChek XS meter.

3. The SmartClip works with our iOS app (available from the Apple® App Store®), or the 2net™ Hub transmitter, to transmit your results to CoaguChek Patient Services, which makes them available to your healthcare provider.4 (Nominal Fee Applies.)

Live phone support

Call our toll-free number, 1-800-780-0675

Talk directly with our knowledgeable CoaguChek Patient Services staff.

We’re here to help answer all your questions and will communicate directly with your doctor.

 

+References

1  Kortke, H., Minami, K., Reymann, T., et al., (2001). “INR self-management after mechanical heart valve replacement: ESCAT (Early Self-Controlled Anticoagulation Trial).” Z Kardiol 90(6)118-124.

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 January 2018)

3  Coverage varies by plan.

4  The CoaguChek® Vantus system may be used up to a maximum altitude of 13,120 feet. 

5  Gardiner, C., Williams, K., Mackie, I.J., Machin, S.J., Cohen, H. (2004). “Patient self-testing is a reliable and acceptable alternative to laboratory INR monitoring.” British Journal of Haematology 128;242-247.