Allergy Testing in Keelung Hospital: Coverage and Important Considerations - Internal Medicine

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Hello Dr.
Hsiao, I would like to ask if Keelung Hospital has conducted allergen testing.
If so, which department should I visit for consultation? Is this testing covered by health insurance? If it is covered, what specific tests are included? For tests not covered, can they be done on a self-pay basis? Are there any precautions to take when undergoing allergen testing? Thank you, Dr.
Hsiao.
Best regards, Chen Yi-Hua.

Chen, 30~39 year old female. Ask Date: 2007/09/30

Dr. Xiao Yongxun reply Internal Medicine


At Keelung Hospital, various tests indeed include allergen testing.
There is no specific department that exclusively conducts these tests; it depends on the physicians from different clinical specialties who order them based on the patient's condition and diagnostic needs.
The National Health Insurance will only reimburse these tests if they are deemed reasonable; otherwise, if they are denied, it could lead to unnecessary complications.
The tests may include panel tests, immunoglobulin electrophoresis, complete blood counts, provocation tests, among others.
It is essential for the physician to interact with the patient directly and use their professional knowledge and differential diagnosis to select the most appropriate tests, to avoid wasting the patient's samples, time, or money.
Therefore, if one is considering self-paying for the tests, it is advisable to first discuss this with the attending physician.
As for the precautions regarding allergen testing, it generally depends on the specific tests being conducted.
In general, bronchial provocation tests are considered more risky.
Regarding your question, I believe it would be best to discuss it first with your family physician or a specialist related to your symptoms before making a decision.
Thank you.

Reply Date: 2007/09/30

More Info


At Keelung Hospital, allergy testing is indeed available, and it can be an essential step for individuals experiencing allergic reactions or symptoms. When considering allergy testing, it is important to know which department to visit, the coverage provided by health insurance, and any precautions that should be taken before undergoing the tests.


Which Department to Visit
Patients seeking allergy testing at Keelung Hospital can consult with various departments, primarily the Allergy and Immunology department or the Internal Medicine department. The choice of department may depend on the specific symptoms and the physician's expertise. It is advisable to first consult with a primary care physician or a specialist who can evaluate the symptoms and recommend the appropriate department for testing.


Health Insurance Coverage
In Taiwan, the National Health Insurance (NHI) program provides coverage for certain medical tests, including allergy testing. However, the extent of coverage can vary based on the specific tests performed. Generally, common allergy tests such as skin prick tests or specific IgE blood tests may be covered under NHI.

Covered Tests
The specific tests that are typically covered by health insurance may include:
- Panel Tests: These tests assess multiple allergens simultaneously, which can include environmental allergens (like pollen, dust mites, and pet dander) and food allergens.

- Immunoglobulin E (IgE) Testing: This blood test measures the level of IgE antibodies in response to specific allergens.

- Complete Blood Counts (CBC): While not specific to allergies, this test can help identify other underlying conditions that may contribute to allergic symptoms.


Non-Covered Tests and Self-Payment Options
If certain tests are not covered by health insurance, patients may have the option to undergo these tests on a self-pay basis. For example, some specialized tests or panels may exceed the coverage limits set by NHI. It is crucial to discuss these options with the attending physician to understand the costs involved and the necessity of the tests.


Important Considerations Before Testing
Before undergoing allergy testing, there are several important considerations to keep in mind:
1. Medication Review: Certain medications, particularly antihistamines, can interfere with allergy test results. Patients are often advised to avoid these medications for a specific period before testing. It is essential to discuss any current medications with the physician.

2. Medical History: Providing a thorough medical history, including previous allergic reactions, family history of allergies, and current symptoms, can help the physician determine the most appropriate tests to conduct.

3. Testing Environment: Some tests, such as provocation tests, may require a controlled environment due to the potential for severe allergic reactions. Patients should be aware of the risks and ensure they are in a safe setting.

4. Follow-Up: After testing, it is important to have a follow-up appointment to discuss the results and develop a management plan based on the findings.

In conclusion, Keelung Hospital offers allergy testing, and patients should consult with the appropriate department to initiate the process. Understanding health insurance coverage, the types of tests available, and important pre-testing considerations can help ensure a smooth and effective testing experience. Always communicate openly with healthcare providers to make informed decisions regarding allergy testing and management.

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