Benefits of Using Aetna's Networked Diagnostic Labs for Patients (2024)

Diagnostic Labs play a crucial role in the healthcare system by providing valuable information for diagnoses, treatment plans, and monitoring patient health. Aetna, one of the leading health insurance providers in the United States, has a network of Diagnostic Labs that offer a range of benefits to patients. In this article, we will explore the patient benefits of using Aetna's networked Diagnostic Labs.

Convenience and Accessibility

One of the primary benefits of using Aetna's networked Diagnostic Labs is the convenience and accessibility they offer to patients. With a large network of labs across the country, patients can easily find a lab that is located near their home or workplace. This means that patients do not have to travel long distances or wait for extended periods to get the tests they need.

Additionally, Aetna's networked labs often offer extended hours, including evenings and weekends, making it easier for patients to schedule appointments that fit into their busy schedules. This convenience can help patients get the care they need in a timely manner, without having to put their lives on hold.

Cost Savings

Another significant benefit of using Aetna's networked Diagnostic Labs is the potential cost savings for patients. Aetna has negotiated discounted rates with many labs in their network, which can lead to lower out-of-pocket costs for patients. This can be particularly beneficial for patients who have high deductible health plans or limited Insurance Coverage.

By using a lab that is in-network with Aetna, patients can take advantage of these discounted rates and avoid unexpected and potentially expensive bills. This can help patients manage their Healthcare Costs more effectively and avoid financial strain.

Quality and Accreditation

When choosing a diagnostic lab, the quality and accreditation of the facility are important considerations. Aetna's networked labs are required to meet certain Quality Standards and accreditation requirements to be part of the network. This gives patients peace of mind knowing that they are receiving care from a reputable and reliable facility.

Additionally, Aetna's networked labs often use advanced technology and have highly trained staff members to ensure accurate and reliable Test Results. This commitment to quality can help patients feel confident in the care they receive and the accuracy of their Test Results.

Coordination of Care

Aetna's networked Diagnostic Labs are part of a larger healthcare network that includes physicians, specialists, and other Healthcare Providers. This integration allows for better coordination of care and communication between different providers, which can lead to more personalized and effective treatment plans for patients.

When a lab is in-network with Aetna, Test Results and other relevant information can be easily shared with the patient's primary care physician or specialists, allowing for a more comprehensive understanding of the patient's health needs. This coordination of care can help ensure that patients receive the most appropriate and timely care possible.

Health and Wellness Programs

In addition to diagnostic testing, Aetna's networked labs may offer health and wellness programs that can benefit patients. These programs may include screenings, educational resources, and counseling services to help patients manage chronic conditions, prevent disease, and improve their overall health and well-being.

Patients who use Aetna's networked labs may have access to these programs as part of their healthcare benefits, providing them with additional support and resources to help them achieve their health goals. These programs can complement diagnostic testing and treatment plans to provide patients with a more holistic approach to their healthcare.

Conclusion

Overall, using Aetna's networked Diagnostic Labs offers a range of benefits to patients, including convenience, cost savings, quality care, coordination of care, and access to health and wellness programs. These benefits can help patients receive the care they need in a timely and cost-effective manner, leading to improved health outcomes and a better overall healthcare experience.

By choosing Aetna's networked labs, patients can have confidence in the care they receive and the accuracy of their Test Results, knowing that they are part of a comprehensive and integrated healthcare network that is dedicated to their health and well-being.

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Benefits of Using Aetna's Networked Diagnostic Labs for Patients (2024)

FAQs

Does Aetna cover blood labs? ›

With your Aetna plan, you can save big on testing and other lab services. All you have to do is be sure your testing is sent to labs that are in the Aetna network, such as Quest Diagnostics®. Learn more about in-network lab benefits.

What lab does Aetna Medicare Advantage use? ›

Call Member Services at 1-800-522-6710. Quest Diagnostics2 is a preferred network lab that offers you other advantages. Convenience: Visit Quest Diagnostics online at www.questdiagnostics.com, for online appointment scheduling 24/7.

Can Aetna patients use LabCorp? ›

In-network with most major health plans

Labcorp Oncology is contracted with approximately 800 payers across the country, including Aetna, CIGNA, UnitedHealthcare, Humana, and the majority of Blue Cross and Blue Shield plans.

What is CPT code 99499 in Aetna? ›

If a plan requires a referral, the PCP should issue it for all specialist visits, including visits in a hospital clinic. Referrals may be issued for consultation and treatment by using the CPT code 99499. Referrals are valid for 1 year, and the first visit must be used within 90 days.

Does insurance work for labs? ›

Does Insurance Cover Lab Tests? Most major health insurance providers cover the costs of lab tests, irrespective of whether they are subsidized health plans or private health insurance policies. For example, Medicare Plan B policyholders are also covered for most lab tests.

How often does Aetna cover a colonoscopy? ›

Aetna considers any of the following colorectal cancer screening tests medically necessary preventive services for average-risk members aged 45 years and older when these tests are recommended by their physician: Colonoscopy (considered medically necessary every 10 years for persons at average risk); or.

Is Aetna Medicare Advantage better than Medicare? ›

Medicare Advantage plans can offer richer benefits at a more reasonable price, because they harness the power of coordinated care within a network of providers. But keep in mind not every doctor or hospital is part of your network, and if I a provider is outside your network, their services may not be covered.

Which Medicare covers lab work? ›

Part B (Medical Insurance)

covers medically necessary clinical diagnostic laboratory tests, when your doctor or provider orders them. These tests may include certain blood tests, urinalysis, certain tests on tissue specimens, and some screening tests.

Does Aetna cover mammograms? ›

Your EyeMed vision plan remains the same for 2023. How are mammograms covered? Aetna covers routine mammograms as well as diagnostic mammograms, including 3D mammograms.

What blood tests does Medicare not cover for seniors? ›

It's important to know that Medicare won't cover any blood test if it isn't medically necessary. If you seek a blood test on your own, it's unlikely you'll get it covered. Tests not covered may include those for employment purposes, wellness screenings, or routine monitoring without medical necessity.

Can I use Quest instead of LabCorp? ›

Choosing between Labcorp and Quest Diagnostics ultimately depends on your specific healthcare needs, location, and personal preferences. Both labs are reputable, offer a wide range of services, and maintain high standards of quality and accuracy.

Does Medicare use Quest or LabCorp? ›

Does Medicare Cover LabCorp or Quest? Medicare covers medically necessary lab tests from huge national and international organizations that provide outpatient laboratory testing like LabCorp and Quest Diagnostics, as well as from smaller labs.

What is the 59 modifier for Aetna? ›

Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circ*mstances.

What is the Aetna modifier 80? ›

Definitions. CPT Modifier 80 represents assistant at surgery by another physician. This assistant at surgery is providing full assistance to the primary surgeon. This modifier is not intended for use by non-physicians assisting at surgery (e.g., Nurse Practitioners or Physician Assistants).

Does Aetna require a CQ modifier? ›

Aetna will require the use of the CO and CQ modifiers to signify services furnished in whole or in part by an OTA (use the CO modifier) or a PTA (use the CQ modifier). This Billing Reduction change was first adopted by Medicare in 2022 which was required by law through the 2018 Bipartisan Budget Act.

Does Aetna cover blood pressure monitors? ›

In addition, Aetna considersers validated blood pressure monitors medically necessary for members receiving hemodialysis or peritoneal dialysis in the home. In addition, validated blood pressure cuffs are considered medically necessary DME for members with hypertension.

What does Aetna consider preventive care? ›

This includes routine screenings and checkups.

Many of these services are covered as part of physical exams. These include regular checkups and routine gynecological and well-child exams. You won't have to pay out of pocket for these preventive visits, when provided in network.

Does Aetna cover diagnostic mammograms? ›

How are mammograms covered? Aetna covers routine mammograms as well as diagnostic mammograms, including 3D mammograms. Routine mammograms are covered at 100% and diagnostic mammograms would fall under the diagnostic X-ray benefit.

Does Aetna Medicare cover annual physicals? ›

Preventive care coverage: Benefits like annual physical exams, certain vaccines and some health screenings. Prescription drug coverage: Benefits for prescription medication.

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