Most private insurance companies cover the same indications that Medicare covers, but may cover additional indications. In either case, it is prudent to check with the insurance company prior to the PET scan. This Clinical Indications Reference Guide shows applications where PET may be used.
The cost for the PET scan is broken into three components: (1) the FDG radiopharmaceutical, (2) the actual scan, and (3) the professional fee for the physician who reads/interprets the scan.
Most insurance companies require pre-authorization for a PET scan. Physicians routinely provide clinical information to the insurance company to obtain the pre-authorization. Many coverage policies are local, so it is important to determine the coverage policies from your payers.
If private insurance does not cover PET and Medicare is not an option, the patient may want to self-fund the PET scan. Please call us for information about payment arrangements.
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).
Please contact our office with questions regarding insurance and coverage for PET scans.
Radiology Associates, LLP
6001 S. Staples (@ Wooldridge)
Corpus Christi, TX 78413
P - 361-887-7000
F - 361-993-7934
Visit: www.xraydocs.com
Our Staff:
Everett L. Gayle, MD / Director of Nuclear
Medicine
Michael Kroeger / PET Technical
Operations Manager
Terry Martinez / PET Coordinator
