Do I need a referral from my primary care doctor to be seen?
No, self-referrals are accepted. But we do prefer to work collaboratively with your primary care physician. We will communicate results of testing and treatment recommendations to your physician at your request. It is very important that your physician be aware of any new medications you are taking.
Will my visit be covered by insurance?
Most insurance companies are accepted at Advanced Lipidology, including Medicare. We do not currently accept Medicaid. It is always a good idea to make sure the specific provider you will be seeing is “in network” with your insurance. You will need to see the specific provider who is listed as in network. If you are unsure, please contact your insurance company.
What is advanced lipid testing?
An initial advanced lipid testing done by Advanced Lipidology is likely to include an NMR Lipoprofile or Apo B, a Lipid panel including Non HDL cholesterol, a Comprehensive Metabolic Panel (CMP), a Thyroid panel (TSH) and Free T4, and perhaps antiTPO antibodies and antithyroglobulin antibodies, a 25 OH Vitamin D test, a Lipoprotein (a) test, and it is also likely the evaluation may include LpPLA2 (PLAC) or hsCRP tests.
Will the labs be covered by my insurance?
That depends on the coverage provided by your insurance policy. We find that the majority of lab work is generally covered by most insurance policies. Some, but not all, insurance policies cover the advanced testing. It always a good idea to check with your insurance provider, if you are uncertain about your coverage.
We do have the ability to order labs through an alternate route that will provide coverage for advanced testing and other optional labs at NO out-of-pocket cost to patients, if their insurance does not cover these services. All patients should now have access to advanced testing at reduced to no cost, if not routinely covered by their insurance. When scheduling labs ask the scheduler about your options
Is Carotid Intima Media Thickness Evaluation normally covered by insurance?
The Carotid Intima Media Thickness Evaluation (CIMT) is an ultrasound test, not “lab work.” It is not routinely covered by most insurance companies. The cost of a CIMT is $250. The cost is eligible for payment using your medical flexible spending accounts. To read more about CIMT please click here.
Can Advanced Lipidology providers see me for my primary care needs?
Advanced Lipidology is a specialty clinic. The providers are Board certified Lipid Specialists. We do not manage patients’ primary care needs. It is important that you maintain your doctor-patient relationship with your primary care physician.
What are the hours of operation?
Monday through Thursday 8:00 – 5:00, or at other times by special appointment.