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Cost-sharing for sleep disorder testing (sleep studies)

November 1, 2012

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.

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