Preferred Lab Benefit Program


FOR BOTH PLANS A AND C


Active State, Non State Employer Group and NON-MEDICARE ELIGIBLE Retiree/Direct Bill Members

To use the Preferred Lab Benefit:

For Plan A:  Present your State Employee Health Plan ID card identifying your membership.  When you use a participating laboratory, either Quest Diagnostics or Stormont-Vail/Cotton-O’Neil, for outpatient non-emergency testing that is covered and approved by your health benefit plan, you pay no Deductibles, Copays or Coinsurance.

For Plan C:  Present your State Employee Health Plan ID card identifying your membership.  When you use a participating laboratory, either Quest Diagnostics or Stormont-Vail/Cotton-O’Neil, for outpatient non-emergency testing that is covered and approved by your health benefit plan.  After you meet the Deductible, covered outpatient lab tests performed by the Preferred Lab providers are paid at 100% by the Plan. Note: You may pay these claims with your Health Savings Account dollars.

If your doctor doesn’t use Quest Diagnostics or you are not a Cotton-O’Neil patient, bring the lab orders from your doctor to one of the locations provided by Quest Diagnostics or Stormont-Vail/Cotton-O’Neil to have the lab work done and receive either benefit.

  Quest Diagnostics offers collection sites at various locations throughout the State of Kansas and nationwide.  Also, you can arrange to have specimens picked up from your doctor’s office.  All it takes is a telephone call to the number on the back of your Quest ID card.

  Stormont-Vail/Cotton-O’Neil offers 10 locations in northeast Kansas for all State Employee Health Plan members.  You do not have to be a Cotton-O’Neil patient to access this benefit.  Lab orders from your physician are required.

PLEASE REMEMBER: You must verbally request to use your Preferred Lab Benefit.

The Preferred Lab Benefit Program does NOT cover:
     Testing ordered during hospitalization
     Lab work needed on an emergency or STAT basis
     Testing done at any other laboratory
     Non-Laboratory work such as mammography, x-rays, imaging and dental work
     Time-sensitive, esoteric testing such as fertility testing, bone marrow studies and spinal fluid tests
     Testing not approved and/or covered by the State of Kansas Plans A or C
     Lab work billed to your health plan by your doctor or another laboratory

The Preferred Lab Benefit is completely voluntary. If you and your health care provider choose to use a lab other than those provided by either Quest Diagnostics or Stormont-Vail HealthCare you still have laboratory coverage.  However, you will be responsible for any Deductible, Copayments or Coinsurance applied by the health plan.