Private Insurance

Generally, most private insurance companies cover the same indications as Medicare, although some may cover more indications and some may cover fewer indications. Private payers can have wide variations in coverage policies, coverage criteria or procedures. The referring physician and the imaging center work together to verify specific local coverage guidelines and to obtain pre-authorization prior to performing the scan.

Patients are responsible for deductibles, co-payments and remaining balances. Payment is expected when services are rendered and all patients are responsible to supply an insurance card and a referral from their primary care physician (if needed).

Click here to view a list of clinical indications that have historically been covered by some private payers.

If private insurance does not cover the PET or PET/CT scan, and Medicare is not an option, the patient may CHOOSE to self-fund the procedure. Please call us for information about payment arrangements.

Please contact our office with questions regarding insurance and coverage for PET scans.

NCPIC is a not-for-profit, community benefit organization committed to providing the most advanced level of PET/CT imaging services. NCPIC was established in 1992 as the first freestanding non-university PET center in the nation and continues to be a nationally known center of excellence.

"Patient Preparation for your Scan"

Expanded Medicare PET Coverage

Expanded Coverage Table

What's New at NCPIC?
NCPIC News
NOPR News

Positron Emission Mammography (PEM) is here!

PEM Patient Testimonial

Locations:
Main Facility Midtown Sacramento
Roseville Sutter Roseville Medical Center
Carmichael Mercy San Juan Medical Center
Fairfield NorthBay Medical Center
Woodland Woodland Healthcare
Grass Valley Sierra Nevada Memorial Hospital

Hours:
Monday - Friday 7:00am - 5:00pm
(National holidays observed)

Scheduling for ALL Locations:
916-737-3211
888-PET-3211 or 888-738-3211
Fax: 916-737-6203

Downloadable Forms:
PET/CT Scan Request
Diagnostic CT Request
Medicare Brain PET Scan Request
NOPR Clinical Indicator Table
M-Care Dementia Guidelines
Patient Instructions
Why Proper Preparation is So Important
"What Should I Expect During My Scan?"
Insurance and Payer Contracts
HIPAA Notice of Privacy
Patient Consent Forms

Contact Us and Meet our Experts:
PET Physicians
Administration
Support Staff
Technologists



Disclaimer
This information provided by PETNET Solutions is based on published guidelines and on our experience. It is provided for general information only, as a service and at no charge to our customers. It is based on information found in published CMS National Coverage documents, but is not all-inclusive. We believe that the information set forth herein is generally accurate; however, we cannot provide assurance that it is complete, accurate or current. Always check with your local insurance carriers, as coverage may vary by region. The referring physician is responsible for pre-authorization and providing proof of medical necessity for any PET scan. PETNET Solutions and its representatives hereby expressly disclaim any and all liability for claims, including bodily injury or death, arising from any reliance on the information set forth herein.