It's just a deferment to the changes. They are still on the table, just at the other end of it.
I got a bill for my last VL test too. $155! I believe I am entitled to 4 qualitative tests in a 12 month period while receiving treatment but this was my first. I did have several quantitative. The path request form clearly states I am under treatment with DAAs. Idiots.
M 61yo HCV+ ~ 30 yrs Gt1a F2 VL 223,000 ALT 54 AST 42 Tx start Sof/Dac 17Dec15.
SVR4 at 7Apr16 ALT 22 AST 22
SVR12 at 9Jun16 ALT 23 AST 25
No Kill to Bulk Bill Aust
6 years 8 months ago #16100
Agree hence calling it an election sweetener but it's something to report for now.
My bill was also $155 for the VL post EOT SVR4 the PCR RNA was free.
My doc ticked bulk bull too. Wrote 4/52 tx too.
The links here I don't think we should have to pay Sonix but we are.
2 quantitative and 4 qualitative while on DAA treatment but my understanding is that the request needs to specify certain information like who the precribing/authorising physician was rather than just the monitoring one?
With the current political situation regarding pathology tests I suspect both Path labs and Medicare will be making sure they follow the letter of the rules while also point scoring against each other where they can which may mean that patients end up on the paying end of a bill for path requests that would normally just be accepted as "close enough" and paid by Medicare. Maybe their doctor needs to dot an i or cross a t on the request? Maybe it was an error of interpretation or counting by one of the above parties?
Don't just accept the charges, challenge them and request information on why you didn't qualify for coverage.
G3a since '78 - Dx '12 - F4 (2xHCC)
24wk Tx - PEG/Riba/Dac 2013 relapsed
24wk Tx - Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx - 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 - 22/06/17 UND
SRV12 - 27/07/17 UND
SVR24 - 26/10/17 UND