VNS Health EasyCare: Outpatient Diagnostic Tests and Therapeutic Services and Supplies

Includes therapeutic radiology services, diagnostic radiology services, diagnostic procedures and tests, surgical and splinting supplies, and lab services.

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Cost
20% coinsurance for Medicare-covered therapeutic radiology services; $50 copay diagnostic procedures/tests; $110 copay diagnostic radiology; $15 copay x-rays; $0 lab services
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  1. Obtain a provider order for specific diagnostic testing.

  2. Contact the VNS Health EasyCare Team at (866) 783-1444 (TTY 711) for prior authorization.

    • The prescribing provider may help with authorization.

  3. Schedule the procedure(s) at the facility selected by the provider.

    • It is likely that the scheduling department of that facility will reach out to schedule the testing.

    • The scheduling facility may also help with prior authorization.

    • Here is a searchable list of outpatient facilities: Click on the Ancillary Services tab on the page, then select the appropriate service (as ordered by the provider).

  4. Attend the appointment and complete the testing.

  5. Upon receiving results, engage in recommended follow-up and/or referrals.

  6. If transportation is needed to and from the appointment:

    • Call (877) 718-4219 (TTY: 711), M-F 8am-8pm, at least 48 hours in advance of the needed transportation.

    • Have the date, time, location, and reason for transportation ready when calling.

    • Receive authorization and guidance on scheduling the transportation service.

    • Get confirmation of scheduled transportation.

    • Use the transportation service to and from the appointment.

Availability
Ongoing
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Covered services include, but are not limited to:

*Coverage of whole blood and packed red cells begins only with the fourth pint of blood needed—costs for the first 3 pints of blood in a calendar year must be paid out-of-pocket or the blood must be donated from self or by someone else. All other components of blood are covered beginning with the first pint.

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