Site of Service Benefit Option
Anthem's Site of Service benefit option makes it possible to get quality care and save money at the same time, when you choose a lower-cost lab or ambulatory surgery center (ASC) for your services.
Your doctor wants you to get a lab test. If you use one of the labs located on Anthem's Find a Doctor tool you pay $0 for services. Whether you need a blood, urine, or strep test, nothing comes out of your pocket. That means no deductible or coinsurance.
- To find a lab near you, go to Anthem's Find a Doctor tool and follow the prompts.
- You can also contact these independent labs for the most up-to-date locations:
A: It can reduce your out-of-pocket costs, as well as the overall cost of health care. By using labs found on Anthem's Find a Doctor tool, which include all independent labs in New Hampshire and some hospital labs, you will not have a copay for your lab services. It's one of the ways we are working to help ensure you have access to affordable care when you need it.
A: Just log on to anthem.com and click "Find a Doctor." Then, follow the prompts.
A: You may use any lab you'd like. However, if you choose a lab that's not listed on the Find a Doctor tool, your share of the costs may be higher.
A: Yes. Independent labs specialize in these types of services. They have the same level of quality and offer the same types of services as other outpatient labs.
A: Yes. When your doctor orders lab work, ask him or her to order your lab work at an independent lab. Even if your doctor usually uses another hospital lab not found on the Find a Doctor tool, he or she can order your lab work at an independent lab.
A: Your doctor can easily set up an account with independent labs (e.g., LabCorp, Quest Diagnostics®, LLC or NorDx) through their websites.
While the account is being set up, your doctor can still order your lab work at an independent lab by giving you the laboratory order form. You'll need to take the form to the lab. Once your doctor has an account with the lab, the lab will automatically pick up your specimen(s) from the doctor's office.
A: Remind your doctor that under New Hampshire law, you have the right to choose where you want to receive services, including lab services. Your doctor is required to give you a laboratory order form to take to the lab you want to use.
A: ASCs are ambulatory surgery centers that provide a wide range of same-day surgical services, such as a tonsillectomy or knee arthroscopy.
A: Go to anthem.com/siteofservicenh and click on "ambulatory surgery centers," or call the Customer Service number on your member ID card.
A: Ask your doctor to recommend a surgeon who may be able to perform your surgery at an ASC.
A: If you use an ASC found on anthem.com/siteofservicenh for same-day surgery, you'll have one low copay. Your copay will range from $100-$150. See your plan details for the exact amount.
If you need additional care as part of the surgery or procedure you may have to pay coinsurance and/or a deductible (the amount you pay before the plan pays). For example, you may pay more for pathology or lab work if it is not sent to one of the labs found on Anthem's Find a Doctor tool. Make sure your doctor at the ASC knows you have Anthem's Site of Service benefit option.
If you have additional questions about the Site of Service benefit option, just call the phone number on the back of your Anthem member ID card.