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Physician Home | Insurance Coverage | Private Insurance Private Insurance
Generally, most private insurance companies cover the same indications as Medicare, although some may cover more indications and some may cover fewer indications. Private payers can have wide variations in coverage policies, coverage criteria or procedures. The referring physician and the imaging center work together to verify specific local coverage guidelines and to obtain pre-authorization prior to performing the scan.Patients are responsible for deductibles, co-payments and remaining balances. Payment is expected when services are rendered and all patients are responsible to supply an insurance card and a referral from their primary care physician (if needed). Click here to view a list of clinical indications that have historically been covered by some private payers. If private insurance does not cover the PET or PET/CT scan, and Medicare is not an option, the patient may CHOOSE to self-fund the procedure. Please call us for information about payment arrangements. Please contact our office with questions regarding insurance and coverage for PET scans. Mercy Medical Center 1111 6th Avenue, Suite 2310 Des Moines, IA 50314 Phone: 515-247-4372 Fax: 515-643-5362 West Lakes Cancer Center 12495 University Avenue Clive, IA 50314 Phone: 515-358-9450 Fax: 515-358-9460 Hours of Operation: Monday-Friday, 7am-4pm Our Staff: Tim Brockway, Nuclear Medicine Supervisor Patty Mares, Nuclear Medicine Technologist Mike Foldes, Nuclear Medicine Technologist Matt Kauffman, Nuclear Medicine Technologist Email Us Mercy Medical Center Disclaimer This information provided by PETNET Solutions is based on published guidelines and on our experience. It is provided for general information only, as a service and at no charge to our customers. It is based on information found in published CMS National Coverage documents, but is not all-inclusive. We believe that the information set forth herein is generally accurate; however, we cannot provide assurance that it is complete, accurate or current. Always check with your local insurance carriers, as coverage may vary by region. The referring physician is responsible for pre-authorization and providing proof of medical necessity for any PET scan. PETNET Solutions and its representatives hereby expressly disclaim any and all liability for claims, including bodily injury or death, arising from any reliance on the information set forth herein. |