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H.Pylori test required???



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I have Aetna. I have read Clinical Policy Bulletin #0157. I haven't seen that they require an H.Pylori breath test. However, my surgeon is. His office manager, Tina (his SISTER btw) said that the insurance is only waiting for this test to approve me for the surgery. At this point I do feel the office is only trying to squeeze more money out of me. I feel I have been lied to on at least two occasions and they charge my 4x's the copay for office visits. I really don't feel like starting over with another physician. Since it's only one exam I think I should do it and get it over with. Once I get my surgery done I can relax a bit. I'm really sick of this doctor's office (and his damn sister, Tina).

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There are many types of Aetna. Even though I have AETNA that was not required for me. I do know that it is a requirement of Tricare. Tricare is one of the few insurance companies that require this test. H. Pylori is the bacteria that is responsible or ulcers. From what I have read, it is not unusual to have it and remain asymptomatic.

Khy

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Did you have an upper endoscopy done?? If so, they should have taken a tissue sample of your stomach and tested it for the bacteria then. That is the most effective way to see if you are positive for it.

I had the blood test done and it was negative. I had the tissue sample done and it was positive. WEIRD!!

Kelly :)

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I have blue shield and they approved me already without it, but my surgeon requires this test in his office. they arent getting anymore money out of me for doing it, its just something they have everyone do. i went through bariatric solutions and i love them. they have been so wonderful through this whole process. i just found out i have no copay for the surgery at all!!! if i would have known this before i would have done the sleeve years ago! good luck and i hope you get your date soon!

I have Aetna. I have read Clinical Policy Bulletin #0157. I haven't seen that they require an H.Pylori breath test. However, my surgeon is. His office manager, Tina (his SISTER btw) said that the insurance is only waiting for this test to approve me for the surgery. At this point I do feel the office is only trying to squeeze more money out of me. I feel I have been lied to on at least two occasions and they charge my 4x's the copay for office visits. I really don't feel like starting over with another physician. Since it's only one exam I think I should do it and get it over with. Once I get my surgery done I can relax a bit. I'm really sick of this doctor's office (and his damn sister, Tina).

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I have Aetna and I had to have it done. They told me it was a requirement for insurance along with an EKG.

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