We went and had our test done today. What a mass of confusion. When I called  I specifically said that the lab and dr here would not do it. So we get there and they have the kits but they don't do blood draws in this office. They arranged it with the nearby hospital lab to do the draw but I was responsible for sending the sample out. Luckily I was able to contact both Fed Ex and Phadia and find a drop box and make sure it was ok for the sample to be left in it on a warm day. However, the doctor seems great and he called in an open refill for epis to walmart-something dd's ped refuses to do. So any time or place we need them we can just call ahead and have the rx transferred and get a refill.

My insurance paid no questions asked for: IMMUNOCAP ISAC by PiRL.  Blood draw was done by archaic finger prick for one full VIAL! at the allergist's office.  I am in Northern Virginia.

Finger prick for a vial - OMG 

Finally got an appointment with a different allergist. It's 5 days before we leave for vacation so we obviously won't get any information before but at least it's a start.

Anyone having success getting this test paid for by insurance?  Have an allergist who will write letter stating medical necessity for this test?

Thanks if you can share this info . . .

To my knowledge Tricare is denying outright, but I do not know the "code" reason for denial. Sometimes that is helpful in dealing with insurance and trying to get them to reconsider and pay after all.

But getting any reconsideration will require that the ordering MD attest to the medical necessity.

Also, some insurances may be denying/refusing with claim that this test is "experimental" and "not accepted practice".


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Wondering if anyone has child in EFMP and is then afforded the test by Tricare?  Is this (EFMP) the golden ticket?

 

For those who are not biochemical protein scientists...let me know if it's helpful or still too dense. (And, of course, if you agree.)

I'm not a biochemical protein scientist...It was extremely helpful, not too dense - thank you!!!   

 

Hi Leticia,

If I remember correctly, I think it was actually indicated on the paperwork.  It is at my work, so I will check it tomorrow.

Lisa, where did you get this info? My son just got his results today ...positive on the ara h 3 so i have been looking for info about it ..thanks so much.