Our Insurance Coverage FOR MRI SCANS
Most major insurance plans cover MRI scans when medically necessary. At Edloe Imaging, we work with your insurance provider to verify coverage, handle pre-authorization, and ensure you understand your benefits before your MRI appointment.
MRI Pre-Authorization Process
How We Handle MRI Insurance Approval
NO SURPRISE BILLS
Know what you’ll pay before your scan.
- We Handle the Hassle – Our billing specialists manage all insurance paperwork and phone calls, saving you time and frustration.
Faster Approval Process – Our established insurance relationships help expedite your MRI pre-authorization and reduce typical approval times.
Avoid Claim Denials – We know exactly what documentation insurance companies require, reducing the risk of coverage denials.
Peace of Mind Scheduling – Schedule confidently knowing your insurance approval is secured before you arrive for your MRI.
Expert Insurance Navigation – Our specialists explain your coverage details in plain language, not confusing insurance jargon.
Eliminate Surprise Bills – Know exactly what you’ll owe before your MRI, preventing unexpected charges weeks later.
Insurance Verification
We verify your insurance benefits
Medical Documentation
Gather the necessary medical documentation and clinical information
Authorization Request
We submit the pre-authorization request to your insurance company
Coverage Confirmation
Once approved, we contact you to confirm your MRI appointment and explain any out-of-pocket costs based on your specific insurance benefits.
Understanding Your MRI Costs
- Deductible Status If you haven’t met your annual deductible, you may be responsible for the full cost until your deductible is satisfied. Once met, your insurance coverage kicks in according to your plan’s benefits.
- Coinsurance and Copays After meeting your deductible, most plans cover 70-90% of the MRI cost, with you paying the remaining coinsurance percentage. Some plans have fixed copay amounts instead.
- In-Network vs. Out-of-Network Using an in-network imaging center like Edloe Imaging typically results in lower out-of-pocket costs compared to out-of-network providers.
- No Surprise Billing – We provide complete cost estimates before your MRI appointment. Our billing team explains exactly what you’ll owe based on your insurance benefits, so there are no unexpected charges after your scan.
What to Expect From Your Insurance Coverage
Factors Affecting Your MRI Costs
Your out-of-pocket costs for an MRI scan depend on several factors related to your specific insurance plan