Beginning with December 1, 2012, dates of service, cost-sharing (deductible,
coinsurance, and/or copayments) will
apply to sleep studies for all commercial HMO, POS, and PPO members. Members
will be responsible for the same cost-sharing that is applied to their routine
radiology benefit. Cost-sharing varies based on the member?s type of coverage
and benefit plan. Providers can view a summary of member benefits on the
NaviNet
? web portal.
Cost-sharing for sleep studies can be found under ?Routine
Radiology/Diagnostic? within the Benefit Snapshot when using the
Eligibility
and Benefits Inquiry transaction. Providers without NaviNet access must
contact Customer Service at
1-800-ASK-BLUE to
determine the appropriate member cost-share responsibility.
Please refer to our
Medical
Policy website for detailed information on IBC?s coverage of sleep
disorder testing.
NaviNet? is a registered trademark of NaviNet,
Inc., an independent company.