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For Purdue Incentive and Purdue Copay Participants

Tiered Lab Benefit FAQ

Choice Fund with HSA participants: See how you can save, too, by using a Tier 1 lab

  • What labs are in Tier 1?
  • How can I find a Tier 1 lab?
  • What labs are in Tier 2?
  • What labs are in Tier 3?
  • Do lab charges apply to my plan deductible?
  • Do lab charges apply to my out-of-pocket maximum?
  • What happens if the doctor does my lab work in his or her office?
  • My doctor did a rapid strep test on my child in his office. Will the medical plan process this as a Tier 1 lab charge or as a Tier 2 lab charge?
  • I need to have a pap smear. How will the tiered lab benefit work?
  • My doctor removed a mole. What lab benefit applies?
  • What if I'm hospitalized and labs are done during my hospital stay?
  • I'm having an outpatient surgery. If they do a lab as part of the surgery, how will it be paid?
  • What happens if I have to go to the emergency room and they perform lab work?
  • What happens if I visit an urgent care clinic and they perform lab work?
  • My doctor performed a urinalysis in her office to see if I had a urinary tract infection. Will the medical plan pay this as a Tier 1 lab charge or as a Tier 2 lab charge?
  • My doctor does not send lab work to a Tier 1 lab. What can I do?
  • A Tier 1 lab cannot do the lab service that I need. Will I have to pay for those lab charges?
  • I am receiving anticoagulation therapy. I currently have my labs done at an anticoagulation clinic. What Tier 1 labs can provide this service?
  • My doctor says that I need to have a "stat lab." What Tier 1 labs can provide this service?

For Choice Fund with HSA plan participants

  • I'm on the Choice Fund with HSA Plan. How will my lab claims be handled?