Responsible for cost share for my physical?
Hi all, thank you in advance.
Medical benefit covers one routine physical at 100% per year, deductible waived. Primary care office visits I pay $40 copay.
The office staff damaged my arms (dark purple/terrible pain for two weeks) two times trying (failing) to do lab work. Ended up going to labcorp for a third attempt. Because there were three attempts, I have 4 claims (3 labcorp, 1 office)
These services were covered 100% in the first claim, but I’m responsible for the cost in the subsequent claims:
ASSAY THYROID STIM HORMONE;
SERUM IRON BINDING TEST;
ASSAY SERUM IRON;
ASSAY FERRITIN.
Then I received additional charges for:
RETICULOCYTE, AUTOMATED;
AUTOMAT HEMOGRAM-COMPLET DIF These were not included in my first two lab tests.
Should I be paying out of pocket for these? My understanding is that all these should be grouped into one physical and I should not pay anything.
I was also charged for “office/outpatient established mod mdm 30-39 min”. Assuming this is an office visit copay? If so, I’m being charged as a specialist visit, not primary, which is confusing. I told the HCP I’m all good in terms of health and requested no additional services beyond a standard physical.
Thank you for your help.