out of interest, how much does this service charge?
Thanks so much for the detailed response. That's exactly the info I needed! Great to hear I'll likely be able to test more often than I report to the service to save cost.The service I use (Biotel Remote INR) provides 3 methods to report
1. Entry on website (this is what I use)
2. Phone call (used once, but prefer the website)
3. Bluetooth connection from the device to a mobile App (I don't use this - see below*)
The service will then report it to your Provider.
It's important to understand they bill this as a Service. They don't bill for the device, strips, or lancets.
Biotel and another service I looked into, bill every 4th Reported result. They require at least 1 test every two weeks or they will not allow you to stay in the program.
Two weeks is the frequency I signed up for. However occasionally I test more often, but don't report it. That minimizes the cost.
*That is the reason I don't use the Bluetooth reporting method since that will automatically send every test to Biotel that had not been previously transmitted.
When I signed up, I was on their auto ship process. They shipped strips out far more often than I used them - about 70% more strips than I needed to maintain an every two weeks schedule. I shut off the auto ship because eventually strips would have expired before needed. I order strips via the website often enough to ensure I have sufficient supply (usually a couple boxes) on hand to test more frequently if needed.
So in summary, the lowest cost way to handle the INR service is to sign up for an every two week schedule and report only on that schedule.
You will be able to test more often, but I don't know if you would quite get to a weekly test under that scenario. If you sign up for a weekly test schedule, then obviously they will ship enough strips for at least that frequency and probably more, but not likely to be enough for daily testing.
I know you can order more strips even when on auto ship (I tested that and they shipped them), but don't know how often you could do that. Fortunately I have been in range 93% of the time since I started using the service in 2021 and only needed to test more than every two weeks a few of times.
will be a cost from my health care provider
Does the remote monitoring service adjust your dosage, or does your doctor/clinic?
Cardionet charges me on$880 per month. Medicare pays $51.27 and my insurance pays $12.82. Since they accept Medicare I’m not responsible for the balance. They do charge my cardiologist’s Coumadin clinic $20 per month. Medicare pays $6.44 and my insurance pays $1.60.
When I got my Coagsense I was set up with mdINR. I am supposed to have my supplies automatically shipped to me, but it seems I am always calling to order them. I go through them a little quicker than they expect when I test for a second time a week rather than the once a week. I put my result in an app and they call they provider. I do not put the result in if I test a second time unless the cardiologist is the one who asked me to test again. I pay a flat amount for the monthly service whether or not I get more supplies.Question about at-home testing through an insurance-covered service:
Does the testing device automatically report back to the service, or do you need to enter the value on a website or manually report it some other way?
I'm wondering if I can use a device provided by the service to test my INR more frequently than the service prescribes. So, if they say test once a week, would there be a problem if I test every day, for example, assuming I pay for the strips?
I'm new to this thread - or at least, I haven't read it for a few months.Yeah, I'm aware that some Roche Coaguchek XS models are for Professional use only, but there was a Coaguchek XS model approved for home use in 2007. Here is the FDA record.
The current system for home use is the Vantas which is what I received from the INR monitoring service (no up front cost). The Roche Vantas system approved in 2018 succeeds the XS home use model. FDA states in their decision summary "The CoaguChek Vantus System is intended for single patient self-testing only for adults, age 22 years and older." Here is the FDA record for that system.
And yet, the Vantas system is difficult to find for sale direct to consumer at medical device suppliers, pharmacies, etc.
The professional model of the XS system is still available from various suppliers. Wilburn Medical for example sells XS (for professional use), but not Vantas and steers home users to the CoaguSense device.
I don't think the FDA is the reason direct purchase of Coaguchek devices and supplies is so difficult here.
Pell, I'm curious can you buy your Coaguchek test strips from official/approved Medical supply distributers in Australia or do you buy from eBay?
I moved to the InRatio - again, bought on eBay. It was much easier to use. The strips didn't require refrigeration. I thought it was accurate -- that is, until I had a stroke because it was telling me that my INR was in the mid-2s, and the hospital showed INR of around 1.6. I didn't take them to court, or reported this to the FDA, but should have
n regards to the Vantus:
Plus, if I recall, it may not give the prothrombin time - just the recorded INR.
well I understand that, if one sees numbers that are good one could be tempted to test less. I still use my seatbelt analogy and put it on every drive. I don't test every drive, but I do test every Saturday, and enter that into my sheet. Its a small thing but having "habits" or "rituals" in life are important for beings like humans ...I haven't been as diligent about weekly testing that I should be - or that I told others on this forum to do religiously.
I have 24 strips that I probably won't use up before they expire.
In my case at last year rates $113
That was the case I was asking about.
Update: BioTel/CardioNet finally submitted a claim for 2022. The new cost is $96.08 - about 15% lower than last year. Since these provider-insurance contracts tend to be multiyear, I'm expecting I can plan on that cost until I'm on Medicare in a couple years.
Any idea why there is a restriction to GP only sales?Yeah that's correct. I'd be happy to buy via Rx from a pharmacy or medical distributor here in the US even if not covered by insurance as I did in the past, but for some reason Roche is no longer allowing that. One other fact to note is US Federal law restricts sale of medical devices like an INR meter and test strips to physician ordered sales only. In other words an Rx is required.
That seems correct. I think it came out in 2019, while Vantas was 2018. By the way Inrange is for patient use outside the US. Vantas is for patient use in the US. The only functional difference I am aware of is the Inrange can report INR, seconds (prothrombin time) or something called %Quick while the Vantus is limited to reporting only INR.
The only issue for me is the cost. It's about $10 per strip, once per week, which doesn't sound much, but over a year, it adds up. And after 10 years, don't get me started
if there is a genuine reason as to why there are restrictions on this machine, suddenly, I'm concerned!
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