The GeneSight Promise
Insurance can be complicated, and we want you to feel comfortable knowing what you’ll owe. We promise that if your cost could be more than $330, we’ll call you before we process your test.
Here is what you might owe for the GeneSight test:
Medicare or Medicaid — If you have a traditional Medicare or Medicaid plan, your cost is $0
Medicare Advantage — If you have a Medicare Advantage plan, you may be expected to cover a portion of the test. That’s typically $330 or less. If it’s more, we will contact you before we process the test.
Employer or other insurance — If you have commercial insurance, you also may be expected to cover a portion of the test. That’s typically $330 or less. If it’s more, we will contact you before we process the test.
Uninsured — Please contact us to find out how we can help.
0
of patients pay
0
or less for their GeneSight test
GeneSight Financial Assistance Program
We offer a financial assistance plan for patients with commercial insurance. It is based on household income, persons in the household and other federal guidelines. Use our Financial Assistance Program Calculator to learn whether you qualify.
Financial Assistance Program Calculator
The Process
1 – Receive Sample
When your sample is received, we’ll confirm your out-of-pocket cost. If it’s over $330, we’ll call you before processing your test.
2 – Bill Insurance
After your test is processed, we’ll submit your claim to your insurance company.
3 – Apply for FAP
If eligible, we will send you an application to see if you qualify for financial assistance.
4 – Receive EOB
Your health insurance company will process our claim and then send you an EOB (Explanation of Benefits) within 30-45 days. The EOB is not a bill, but a detailed explanation of the amount your insurance has covered for the GeneSight test(s).
5- Your Bill
Once your claim is complete, we will send you a statement of what you owe, which can be paid online, by phone or via mail. Insurance processing takes time and it will likely be several months before you receive this bill from us. We will keep you in the loop along the way.