With increased attention around measles, Health Trust members may have questions about whether they are protected and what options are available to confirm immunity.
Measles Vaccine
The measles vaccine is covered at 100% for Health Trust members when received in accordance with the plan’s preventive care benefits.
Members who are unsure whether they need a measles vaccination should speak with their healthcare provider.
Measles Titer Testing
A measles titer is a blood test that can help determine whether you have antibodies indicating immunity to measles.
Unlike the vaccine, a measles titer test is generally subject to your deductible. However, where you have the test performed can make a significant difference in both your cost and the cost to the Health Trust.
A recent review of Health Trust claims for the measles titer test (CPT 86765) showed the following allowed costs:
Reading Hospital: approximately $71.83
Pottstown Hospital: approximately $67.22
Penn State St. Joseph: approximately $46.99
Quest Diagnostics: approximately $10.95
HNL Lab: approximately $9.70
Hospital-based testing is generally subject to the member's deductible. Based on the claims information reviewed by the Trust, the deductible should be waived when the testing is performed through an independent laboratory such as Quest Diagnostics or HNL Lab.
There may also be a separate charge for drawing the blood (venipuncture), which can vary depending on the provider.
How Can I Minimize My Cost?
If your healthcare provider recommends a measles titer test, consider using an independent laboratory such as Quest Diagnostics, HNL Lab, or Labcorp when available. Independent labs can significantly reduce the cost of the test and may eliminate the member's out-of-pocket expense.
Before having testing performed, members are encouraged to confirm coverage and network participation with Capital Blue Cross Member Services using the telephone number on the back of their insurance card.
Not Sure Which Option Is Right for You?
Your healthcare provider can help you determine whether reviewing your vaccination history, receiving a measles vaccine, or completing a titer test is appropriate for you.