IML | Medicare Coverage

UnitedHealthcare

IML is a participating provider with UnitedHealthcare. Patients receive full in-network benefits when using IML with either their UnitedHealthcare Individual Health plan or a UnitedHealthcare Medicare Advantage Plan.

UnitedHealthcare Laboratory Benefit Management Program

UnitedHealthcare has instituted a Laboratory Benefit Management Program for patients with commercial (non-Medicare) plans in Florida.

This Program manages lab test utilization for these patients through two separate processes.

BeaconLBS Advance Notification

UnitedHealthcare requires that physicians ordering certain tests, referred to as Decision Support Tests, provide Advance Notification through www.BeaconLBS.com prior to testing. The subsequent PDS Outcome Summary must be on file so that the test may be appropriately handled. This process is separate from the Pre-Authorization procedure required for some other health services.

If you have any questions about the required Advance Notification process through www.BeaconLBS.com, please contact a BeaconLBS Representative at (800) 377-8809 or email AskBeacon@BeaconLBS.com

Medical Policies

UnitedHealthcare has established Medical Policies that limit coverage of certain lab tests. Testing for patients whose diagnoses do not meet these guidelines will not be covered. In these cases, patients must be advised in advance of testing and indicate in writing that they are willing to accept financial responsibility for the charges in order for testing to be completed.

Click on the test names below to find coverage limitations for each test.

Acid Phosphatase Testing

Allergy Testing

Alpha Fetoprotein (AFP)

B-Type Natriuretic Peptide (BNP)

Bladder Tumor Marker Testing

Blood Counts

Blood Glucose Testing

C-Reactive Protein, High Sensitivity

Calcium Studies

Carcinoembryonic Antigen

Cytogenetics Testing