COVID-19 Testing at Nantucket Cottage Hospital

COVID-19 testing for asymptomatic patients (no symptoms)

In collaboration with the Town of Nantucket, Nantucket Cottage Hospital has expanded testing for COVID-19 to include individuals who are asymptomatic, or not experiencing any symptoms, by appointment at our drive-through evaluation site. This service is for any individual or employer based on Nantucket and is intended to enhance the island community’s COVID-19 surveillance testing capability.

Employers and individuals must complete this online application form to apply for this elective, PCR COVID-19 test. Applicants will be added to a wait list and contacted when the next testing appointment is available. The Town of Nantucket has grant funds available to cover the costs of testing for those considered to be a public health priority by the local Health Department. For all others, the cost of this elective test is $150 per person.

Please be aware that there are three steps that must be completed before individuals can be scheduled for asymptomatic testing:

  1. Complete the town’s online application form
  2. Register with Mass General Brigham, or MGB, (formerly Partners Healthcare) at 866-211-6588.
  3. Sign-up for the Partners Patient Gateway or by opening the link sent to your personal email address after you register with MGB. You may also download the Partners Patient Gateway APP at the Apple App store or Google Play.

Once you have completed these three steps, please wait to be contacted by NCH to be scheduled for a testing appointment. Do not call the hospital or the Nantucket Health Department asking for an appointment. We will contact you after all three steps have been completed.

COVID-19 testing for symptomatic patients

Patients of any age with one or more symptoms of COVID-19, as well as close contacts of confirmed positive cases, should arrive without an appointment at the Nantucket Cottage Hospital drive-through evaluation site at the main entrance portico. The costs of these medically-necessary COVID-19 tests are completely covered whether you have insurance or not. The criteria to be tested include at least one of the following signs or symptoms consistent with a viral respiratory syndrome:

  • Subjective/documented fever
  • New sore throat
  • New cough
  • New runny nose/nasal congestion
  • New shortness of breath
  • New muscle aches or
  • Anosmia (new loss of sense of smell or taste)
  • Atypical symptoms concerning for COVID-19 (e.g. COVID toes)

IMPORTANT: Before you can be tested you must be registered with Mass General Brigham (formerly Partners Healthcare) by calling 866-211-6588. If you have received care at Nantucket Cottage Hospital in the past you are already registered, however, it is a good idea to confirm and update your information by calling the number above. Hours of operation to call and register: 7:30 a.m.  – 6 p.m. Mon-Thurs; and 7:30 a.m. – 5 p.m. Fridays.

Patients who meet criteria will receive a PCR COVID-19 test which may determine if an individual has the virus at the time of the test. A swab is obtained from the individual to test for the presence of the virus. The test does not determine whether the individual may have had the virus in the past or has contracted it in the days immediately preceding the test. This is not an antibody test. Results can be expected within 24 to 48 hours.

COVID-19 testing hours of operation:

  • Monday to Friday: 7 a.m. to 12 p.m. and 1 p.m. to 5 p.m.
  • Saturday to Sunday: 8 a.m. to 12 p.m.

Antibody testing

Nantucket Cottage Hospital is only offering coronavirus antibody testing with a physician order if there is a medical need. Antibody testing is not being offered on-demand. We know patients are curious about whether they may have previously been exposed to the virus, so we are evaluating how antibody testing could be offered more widely on the island. It is complicated because antibody testing does not give patients any definitive information regarding immunity or the potential for reinfection. In the absence of symptoms, antibody testing has no role in clinical management at this time. Additionally, the CDC states that in populations with low prevalence, antibody testing can be inaccurate up to 50% of the time. So at this point, outpatient antibody testing is being done elsewhere, in most cases, for the sake of curiosity with little or no medical value. Because in most cases it is not considered medically necessary, it’s also not clear whether insurance carriers will cover the cost of testing. Those are some of the issues we are currently evaluating as we consider how we could offer antibody testing more widely on the island in the future. For now, as stated above, antibody testing is only being offered with a physician order and is not being offered on-demand.

POSTED

General News

6 / 16 / 2020 by

Comments

It say’s the cost is covered in your message on your website, but there are patients in the community saying that they got billed $130.00 to $150.00. Also, an internal NCH memo also indicates $150.00 is the cost too? Can you please clarify?

Hi Beth – for patients who are symptomatic, the costs should be covered regardless of insurance coverage. For those who are asymptomatic and sought out a testing appointment, the self-pay option is $150 per test if they do not qualify for grant funding from the town (which has been set aside for those who are considered a high public health priority for testing).

Does “any individual based on nantucket” include nonresidents/visitors?
Also, can you tell me what test you are using: nasopharyngeal, nasal cavity, or spit test?

Hi Beth – yes that includes anyone on the island, resident, non-resident, visitor, worker, etc. Our staff is using the nasopharyngeal swabs for COVID-19 tests.

Hello,
I completed all steps for asymptomatic tests for my family last Tuesday, July 7 and still haven’t heard from the hospital to schedule a test. What is the usual wait time for getting an appointment? Thank you!

Hi Carrie – let us know if you have not received a call to schedule by the end of the day today. Sorry for the delay, we have been getting a heavy volume of appointment requests.

Hi Kelly – if you have symptoms, you do not need an appointment but you will need to be registered with Mass General Brigham ahead of time, which you can do by calling 866-211-6588. If you do not have symptoms, you do need an appointment, and must start by filling out the online form linked from this page.

I am a patient at Mass General already – is that enough? Or do I need to register for something special?

Yes that is enough if you have one or more symptoms. If you already have a medical record number from MGH, then just show up at the drive-through between 7 a.m. and 12 p.m. or 1 p.m. and 5 p.m. Monday through Friday, or 8 a.m. to 12 p.m. on the weekends.

If you do not have symptoms, you need to schedule an appointment by filling out the online form above.

My daughter Madeline Schiller needs to have covid testing on tuesday 7/21 for a procedure she is having at MGH on Thursday 7/23.

Hi Sally – for pre-procedural testing for patients travelling to other facilities for their procedure, patients may arrive at the NCH testing site without an appointment and proceed to Lane 1. Please inform the testing staff of your situation and provide information regarding your scheduled procedure. The hours of operation on July 21 are 7 a.m. to 12 p.m. and 1 p.m. to 5 p.m.

Hello Heidi. We are not offering take home tests at NCH at this time. Our testing is done through a swab collected at the drive-through site, or inside the hospital for admitted patients we have in-house testing capability.

Jason – I am starting the BU lab for testing students and faculty. I have a question you may be able to help me answer. Could I give you a call? I live here on Nantucket just near the windmill.

How does a symptomatic person get tested at the testing
center if they don’t have their own transportation?

Hi Elizabeth – we have had patients arrive at the drive-through on foot, on bicycle, moped, etc. There is no requirement that the individual be in a car.

I was just wondering if you have an estimate for how long it might take to get the results back?

We are traveling to Nantucket later in August. With the new travel guidelines I would expect the demand for tests to go up a lot. Is there a way to register with Mass General Brigham online rather than by phone? What do you anticipate that to do to the turn around time?

I have plans to arrive in Nantucket to visit my son, a year round ‘Sconset resident, in the end of September. My home is in Pennsylvania. In light of the Governor’s recent quarantine order, can I schedule an appointment to be tested as soon as I arrive even though I am asymptomatic? Will the cost be $150?

Hi Isaiah – we have been getting a turnaround time, generally, of 24 to 48 hours. In some cases in recent weeks, a backlog at the labs we use has pushed some turnaround times slightly beyond that.

Hi Beth – yes, you can apply for a testing appointment and when the scheduler calls you, let them know the date you would like to be tested. Please use the link to the online application form on this page.

Hi Mary – to register with Mass General Brigham you must call, there is no online option. Once you are tested, the turnaround time has generally been 24-48 hours.

Is it possible to schedule an asymptomatic test for a few weeks out? Or when you sign up for asymptomatic testing do you need to come in as soon as the test becomes available?

Hi Zoe. Yes it is possible to schedule an asymptomatic testing appointment a few weeks out. Just go through the steps outlined by clicking on the link on this page. After completing the steps, when the scheduler calls just tell them what date you would like.

Hi Jason, we are coming to visit Nantucket and traveling on to Maine thereafter. Maine requires a covid PCR test done 72 hours before arrival for visitors from Mass. For us that would mean a sample would need to be taken specifically on the date 8/6 with results back by am of 8/9. Is that possible? If not I can find a way to get tests to fedex off island perhaps. Thank you for your help

Hi Callie – if you initiate the process as soon as possible by completing the form linked from this page, then yes, this seems doable. We cannot guarantee the turnaround time as we are utilizing laboratories that are processing samples from around the state, but generally, yes the turnaround time has been 24 to 48 hours.

Hello, we need to schedule our appointment for this Thursday and haven’t heard from the scheduler yet. Is there someone we can call or email? Appreciate your help with this.

Hi Kara. It looks like from our records you completed the online form over the weekend. As stated in the form and in the reply e-mail you received, it may take several days to be scheduled as our volume is extremely high right now. They will reach out to you to schedule your testing appointment as soon as possible.

Hi Jason,

What’s the current turn around from sign up to getting the asymptomatic test? My daughter is being required to be tested by her employer after going to MV for the day. Thanks!

My son, Thomas Meade, received a call yesterday to schedule his asymptomatic test appointment, but he did not have payment information and was told to call back. I have left two voice mails on the number he was given but the message only gives a person’s name and does not identify her as part of NCH so I am not sure we have the correct number. Can someone please return my call at 914-346-7595 so his test can be scheduled. Thank you .

Thank you for the quick reply! We were tested and it was a very smooth process. My husband and I received our negative results within 30 hours. We are still waiting for our children’s test results (under 18). Do results get delivers over the weekend too? Thank you again!

are test results posted to the patient portal. We need a printed document for my son’s school? Thsnks

Hi Amanda – once tested, the turnaround time is 24 to 48 hours for results. There is some lag time from the point of requesting the asymptomatic test through the online form and getting scheduled, so I would encourage you to fill out the form and the other steps as soon as possible.

Hi Jason – we filled out the online form on Friday. I should have been clearer, my question is when can I expect to hear from the hospital about a test date?Thank you.

Hi – I did all three steps to get a Covid test on Island – how long before I receive a call (or email?) to schedule my appointment?

Hi Liza. Did you receive a confirmation e-mail stating we had received your request for a testing appointment?

yes – it read: “Your registration form has been received and your name has been added to our wait list. It may take several days for this form to be processed, after which you will receive a call from Nantucket Cottage Hospital to schedule your test. In the interim, please do not call the hospital to inquire about your application or scheduling.

Remember that you will not be scheduled for a test unless you have completed the final two steps:

· Register with Mass General Brigham (formerly Partners Healthcare) at 866-211-6588. If you have received care at Nantucket Cottage Hospital you are already registered but it is a good idea to confirm and update your information by calling the number above.

· Sign-up for the Partners Mass General Brigham Patient Gateway or by opening the link sent to your personal email address. You may also download the Partners Mass General Brigham Patient Gateway APP at the Apple App store or Google Play.”

And I have completed the next two steps

Yes I did an I followed the two steps – wondering how long it might be before I get an appointment? “Your registration form has been received and your name has been added to our wait list. It may take several days for this form to be processed, after which you will receive a call from Nantucket Cottage Hospital to schedule your test. In the interim, please do not call the hospital to inquire about your application or scheduling.

Remember that you will not be scheduled for a test unless you have completed the final two steps:

· Register with Mass General Brigham (formerly Partners Healthcare) at 866-211-6588. If you have received care at Nantucket Cottage Hospital you are already registered but it is a good idea to confirm and update your information by calling the number above.

· Sign-up for the Partners Mass General Brigham Patient Gateway or by opening the link sent to your personal email address. You may also download the Partners Mass General Brigham Patient Gateway APP at the Apple App store or Google Play.”

Hello! I signed up for asymptomatic testing on July 30th and received a confirmation email that day, but still haven’t heard about scheduling my appointment. Completely understand there’s a long wait list right now, just wanted to make sure that it’s normal to still not have heard yet? Is there any idea when approximately I’ll be able to schedule my appointment?

Hi I need to get tested before I see my 70 year old mom. Either on the 18th or the 19th. I registered with the online form but haven’t received a call back yet. Thank you!

Hi Anna – you should have received an automatic reply upon completion of the online form that asks you to please allow for several days for NCH to process the form and have a scheduler get in touch with you. You will be contacted as soon as possible.

Hi Pamela – Nantucket Cottage Hospital follows Mass General Brigham criteria for testing. For symptomatic patients, the criteria is: At least one of the following signs or symptoms consistent with a viral respiratory syndrome:
•Subjective/documented fever,
•New sore throat,
•New cough,
•New runny nose/nasal congestion,
•New shortness of breath,
•New muscle aches, or
•New anosmia
•New loss of smell or taste
•Atypical symptoms concerning for COVID-19 (e.g. COVID toes)

This is the same testing criteria as Mass General, Brigham and Women’s Hospital, and all the other MGB hospitals. I understand that the CDC has listed vomiting and diarrhea as potential symptoms of COVID-19. We did not write this policy so I’m unsure why they are not included, but this is the policy we follow.

Hi,
My husband and I have a test scheduled for when we arrive on island on Sept 5 at 9 am, but due to a change in the ferry we are taking, we will be a bit later than that. I have tried to reach someone to reschedule, but have had no luck. Can we just go when we arrive, even if it is a little bit later than our scheduled time?

Why the three step process, which seems like it will creates delay and discourage some people from getting tested?
Case in point, I just called the Mass General number and they are closed for the weekend.

Hi Paul. Part of this process is to allow the Town to review asymptomatic testing requests to see if they would be covered by the town grant for a free test. This is a process (for asymptomatic covid testing) we had to establish essentially from scratch for patients who experiencing no symptoms but need/want to receive a non-medically necessary test. Anyone receiving services at NCH has to be registered with a medical record number and we have set it up so this high volume of patients can receive results through the Patient Gateway rather than have a provider call them back individually with negative test results (positive test results do receive a call of course). We will continue to refine the process and hopefully make it smoother for patients as we go and learn more.

Hello—my 10 year old daughter requires a test for her school this fall. I understand that many schools are now using a less-invasive nasal swab testing procedure and wanted to see if that is available through NCH for children, either drive through or in the hospital or a clinic? Thank you!

Hi Stephanie – we are close (awaiting emergency use authorization) to being able to implement a less invasive nasal swab that would just collect specimens from the front of the nostril that will be much better for children. Unfortunately I can’t give you an exact date of when this will be available but it should be soon. I can only speak to what is available through the NCH drive-through testing site, but I know there are other options available elsewhere with differing techniques and sensitivity.

Hi, we made online application for the PCR testing but it is for Asymptomatic. We just want to have PCR test for my traveling. Ive never been expose to positive.

I took the test, Logistics question, where does the receipt for the $150 come from so that I can claim it from my insurance company?

Hi Jason,
I am having trouble getting receipts on the patient gateway and have reached out. Any other suggestions?

Hi Jean – yes you can have them print or take a screenshot of their test results from the Patient Gateway.

Hi Jason, who falls under the category of “a high public priority?” I am a diabetic and my parents are 75. Would we be charged $150 and need to make appointment if not showing symptoms?

Hi Mary – this is determined by the Town of Nantucket Health Department. Typically, these are people who are in high traffic work situations with a large number of interactions with the public, making them at higher risk for transmission. However, as I said, this is determined by the Town of Nantucket Health Department. You can apply by completing the online form linked from this page.

Hi Nantucket Cottage Hospital,
I am a captain on a private yacht at the Boat Basin.
I have a client (76yrsold) coming to the boat on the 27th of September he would like all the crew PCR covid 19 tested.
I have a total of nine crew.
Is this possible in Nantucket at the Cottage Hospital..
Thank you for the assistance

Stay Safe Stay Healthy be Wise.

Kind Regards,

Captain Scott Miller.
m/y Far From IT

tel # 9548066068

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