How does the Patient Protection Plan work?
• The Patient Protection Plan limits an eligible, enrolled patient’s liability to 20% of the cost of the test, even if the patient’s insurance plan pays nothing. Patients enroll in the program by signing the enrollment form and paying 20% of the cost of the test within 21 days of the test order. • Athena handles all the billing to the insurance company including the appeals process when applicable. Our appeals experience can help save time and frustration in dealing with the insurance company. Certain insurance plans require the patient to appeal. In these cases, we will supply documentation to the patient to appeal directly to their insurance. We may also ask the physician for medical records and/or a letter of medical necessity when needed as part of the appeal process. • For patients enrolled in the Patient Protection Plan, any amount collected from the insurance company in excess of 80% of the amount billed will be refunded to the patient.
The Patient Protection Plan limits an eligible, enrolled patient’s liability to 20% of the cost of the test, even if the patient’s insurance plan pays nothing. Patients enroll in the program by signing the enrollment form and paying 20% of the cost of the test within 21 days of the test order. Athena handles all the billing to the insurance company including the appeals process when applicable. Our appeals experience can help save time and frustration in dealing with the insurance company. Certain insurance plans require the patient to appeal. In these cases, we will supply documentation to the patient to appeal directly to their insurance. We may also ask the physician for medical records and/or a letter of medical necessity when needed as part of the appeal process. For patients enrolled in the Patient Protection Plan, any amount collected from the insurance company in excess of 80% of the amount billed will be refunded to the patient. The “if” and “how much” a patient may receive is
