![]() ![]() To them it doesn’t matter where that payment comes from,” Shafir said. The challenge is that new test sites don’t usually have existing relationships with insurers, so instead they charge the individual, Pan said. The law also doesn’t address the issue of having to pay upfront. “Trying to splice the bill in a way that continues to have a cost to the patient is certainly not in the spirit of the law,” Pan said. Pan said his office is looking into cases of providers who are tacking on extra charges to a test - they’ll provide a procedure code for the test itself that patients can then submit to their insurer for repayment, but they won’t provide a reimbursement code for the mysterious extra charge. 1, codifies federal rules into state law, requiring insurance companies to cover testing without any cost sharing such as copays or deductibles. Richard Pan, a Democrat from Sacramento, who last year authored a bill, SB 510, that clarified rules around free testing. When Rebecca called her sister’s Medicare plan, she was advised to print the email and send it in by snail mail, but there was no assurance she’d be reimbursed because the printed email might not suffice.Įxperts recommend checking receipts for extra service charges, such as a fee for expedited results.Ĭharging an extra fee for rapid results is deceptive, said state Sen. Rebecca said she did not receive a receipt after her sister’s test, but she had an email confirmation from the testing provider, Covid Clinic. Stacy Santucci is covered by Medicare, which covers people with disabilities. Claims can be filed online or sent to the insurer by mail.īut it’s not always a guarantee that they’ll get their money back. But some private testing clinics charge individuals, who are then responsible for seeking reimbursement from an insurer. Instead, they collect insurance information so they can be paid. Some pop-up testing sites charge upfront, creating confusion as to why, since testing is supposed to be free.Īt most pharmacies and doctor's offices, providers do not charge people directly. Many of these are free, but they are booked for weeks. Save your receiptsĬalifornians have an array of places where they can be tested: a hodgepodge of pharmacies, community clinics, government mass-testing sites and private pop-up sites. Health experts say getting results quickly is vital to protecting people and avoiding long quarantines, but rapid tests have long been in short supply. PCR and antigen tests are both used to diagnose COVID-19 antigen tests can yield faster results but PCR tests are more sensitive to detecting the virus so they are considered more accurate. “The test site is not always pitching it that way.” “With rapid tests, what people may be paying for is the guarantee of quick results,” said Shafir. The clinic also advertises a free standard PCR test with results in two or more days. At San Diego International Airport, the cost is $135 to $165, and at Long Beach Airport, a test with 1.5-hour results costs $250.Īt the Lakewood clinic where Santucci went, costs range from $129 for a rapid antigen test with one-hour results to $299 for a PCR test with two-hour results. ![]() ![]() According to one LAX provider, Clarity Mobile Venture, debit or credit card payments are required, although a receipt is provided for insurance reimbursement. ![]() At Los Angeles International Airport, a rapid PCR test with results in one hour costs $199. At San Francisco International Airport, a rapid test is $275. Pop-up sites at California’s international airports charge upfront. People need them to visit nursing and senior homes, return to day care programs or board flights to Hawaii or overseas. “With this omicron surge, some people are again waiting four to five days for those lab results and at that point those results are essentially useless.”Īdding to the demand for quick results is that certain places demand proof of testing within a time frame of 24 to 72 hours. “There is a requirement that testing be free, but there is no requirement of how fast those test results need to be returned,” said Shira Shafir, a UCLA professor of epidemiology. Those who can’t afford to pay will often have to wait hours in line at local and state free testing sites, and then sometimes wait days for the lab results. Quick results often come with hefty upfront costs: Some clinics charge nearly $300 for a rapid PCR test.Īlthough state and federal regulations require COVID tests to be free or covered by health insurance, people often have to pay upfront, and the amount is unaffordable for many Californians. State and local testing sites offer free COVID-19 tests, but they are swamped, forcing people to seek private pop-up clinics. With the explosion of the highly transmissible omicron variant, more Californians find themselves seeking tests wherever they can find them. ![]()
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