Frequently Asked Questions Regarding Cardiovascular Testing
Q: Who should receive this testing?
A: Athletes and students between the ages of 12 and 25 years old who participate in sports and high-endurance activities (such as marching band, cheerleading, dance, and ROTC). Studies indicate the risk for sudden cardiac arrest is 3 times higher in competitive athletes than in non-athletes; the risk is significantly greater in individuals who participate in high-endurance activities than in those who are not active.
Q: What type of testing will students receive?
A: Students will receive an electrocardiogram (EKG), a test that checks for problems with the electrical activity of the heart, and an echocardiogram, an ultrasound that visualizes the structure and function of the heart. Additionally, students will receive a vascular ultrasound of their carotid arteries, abdominal aorta, and the arteries and veins of the lower extremities. All tests are non-invasive and involve no radiation exposure. The privacy of each student is maintained. Read More About Diagnostic Tests
Q: What do the tests look for?
A: The cardiac testing evaluates for structural, functional, and electrical heart abnormalities that have been known to contribute to sudden cardiac death in young athletes. These abnormalities are often completely asymptomatic until sudden cardiac arrest occurs. The vascular ultrasound testing assesses for the presence of vascular abnormalities (such as blood clots) for which athletes have demonstrated a unique predisposition. Read More About Cardiovascular Conditions
Q: Why is this cardiovascular testing important?
A: Published studies estimate that pre-participation screening (history and physical exam) only catches 3-15% of cardiac problems. The majority of athletes do not exhibit recognizable symptoms indicating a heart problem. In addition, students may not know their family medical history, or parents themselves may be unaware they have a heart condition. These tests identify cardiovascular conditions that pose an immediate risk to a student’s life and those that may affect the student’s well-being down the road, regardless of the presence of symptoms or family history.
Q: What will happen if a test shows something significant?
A: For Middle/High School students, Wimbledon Health Partners will immediately alert the student’s parent/guardian of any significant findings. For College and University students, WHP will immediately alert the school’s point of contact of any significant findings for their student athletes. One of our board certified cardiologists, pediatric cardiologists, or radiologists will review any such findings, and a recommendation will be made if there is a need for additional testing or a referral to a specialist. For Middle/High School students, detailed test results will be emailed directly to the student’s parent/guardian approximately 14-21 business days following testing. For College/University students, detailed test results will be accessed by the school’s point of contact. WHP’s medical staff is always available for consultation on a diagnosis and/or treatment options.
Q: What is the cost of the testing?
A: Wimbledon Health Partners will bill the student’s health insurance for the services provided, which include administration of the tests and reading of test results, accepting what the insurance carrier deems usual and customary. There is no balance billing. As required by law, WHP will bill the policyholder for the deductible or co-insurance, if applicable. If a balance is due, WHP can offer a payment plan or can eliminate the balance entirely for those in genuine hardship situations. There are a number of circumstances that would qualify as a financial hardship. Please call WHP Customer Relations at (855) 200-8262 to verify your health benefits and to find out how you might qualify to receive testing at little to no cost. Click Here For A Waiver Of Financial Responsibility
Q: What will the policyholder receive from the insurance company?
A: The policyholder will likely receive multiple Explanation of Benefits (EOBs) from the insurance carrier as the claims move through the billing cycle. These statements may indicate you owe a specific amount, but these are not bills and should not be remitted; they are routine notifications from the insurance company and do not accurately reflect the costs of the testing nor what you owe. The administration of tests (by WHP techs) and the reading of test results (by WHP physicians) are two different services and will be reflected in separate EOBs for multiple companies.
The insurance company may send a check for the services rendered by WHP directly to the policyholder. In these instances, we ask that the policyholder forward the check to WHP’s corporate office: 7000 West Palmetto Park Road, Suite 205, Boca Raton, Florida 33433. Please call (855) 200-8262 with any questions.
Q: If I have a Health Savings Account (HSA), Flexible Spending Account (FSA), or Health Reimbursement Account (HRA), with this be affected?
A: Yes, these accounts are established to help cover part or all of a policyholder’s deductible or co-insurance, and funds may automatically be deducted if a balance is due, even if a waiver has been submitted. Please check with your specific plan prior to testing, as each policy is different, or call WHP Customer Relations at (855) 200-8262 to learn more about how your account may be affected.
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