HealthieOne is a Medicare-approved lab and is eligible for insurance reimbursement. HealthieOne works as a reimbursement model: you pay for your test upfront, then submit documentation to your insurer to be reimbursed for any covered portion.

What tests do insurance plans typically cover? 

  1. Basic Annual Blood Tests: 

     2. Medically Necessary Tests: 

  • For tests beyond the basics, insurance companies require clinical justification: symptom justification or abnormal value justification, and the tests must be ordered by your doctor. 

  • HealthieOne Complete also includes many tests that may be deemed medically necessary.

  • Because HealthieOne Follow-up retests your specific abnormal markers from your Complete results, that portion is typically considered medically necessary and is eligible for reimbursement.

How reimbursement works?

  1. Ask your primary care provider (PCP) for the ICD-10 diagnosis codes that support your test.
  2. Pay for your HealthieOne test upfront in full.
  3. After your results are delivered, submit your itemized receipt, laboratory information and your PCP's ICD-10 codes to your insurer for reimbursement.
  4. Your insurer reviews the claim and pays any approved reimbursement for basic annual and medically necessary tests directly to you. 

Note: These coverage policies are set by insurance companies, not by HealthieOne.