Struggling with medications for mental health conditions?
We’re Committed to Helping You Navigate Cost
Costs for the GeneSight® test may vary based on your insurance plan. That is why we offer the GeneSight Promise.
See what portion of the cost you may pay for the GeneSight test with the Cost Estimator.
98%
of patients pay $330 or less
for their GeneSight test1
of patients pay $330 or less
for their GeneSight test1
$0
is the typical out-of-pocket cost for patients
on Medicare (Part B) and Medicaid
is the typical out-of-pocket cost for patients
on Medicare (Part B) and Medicaid
COST ESTIMATOR
Patients Who Received GeneSight Testing Saved Over $1,000 in Medication Costs
According to a large study, on average, patients who received GeneSight testing saved over $1,000 on their total annual medication costs compared to traditional approaches.2
Insurance Coverage
If you have been diagnosed with a mental health condition and are taking or considering mental health medication, your insurance may cover the cost of the GeneSight test.
| INSURANCE TYPE | TYPICAL COST |
| Medicare (Part B) | $0 out of pocket |
| Medicaid | $0 out of pocket |
| Medicare Advantage (Part C), Commercial or Other |
$330 or less |
| Uninsured | $330* or less |
*Reduced Self-Pay Cost
For Medicare, if the test is considered non-covered, your clinician will need to submit an Advanced Beneficiary Notice signed by you before we can deliver the GeneSight® test. By signing the ABN, you agree to pay the full cost of the test and will be billed accordingly. Learn more about ABN’s here.
If you have questions around cost and insurance coverage prior to getting tested, please call our customer service team at 866.757.9204.
The GeneSight® Promise
If you decide to use your insurance and we determine that your cost will exceed $330, we will contact you before processing the test and before billing you to make sure you would like to proceed.
Reduced Self-Pay Option
All patients are eligible for the reduced self-pay option of $330. Self-Pay may be the most affordable option for patients whose out-of-pocket cost is estimated to be higher than $330, for those whose insurance does not cover the GeneSight test, or for those without insurance.
Need Financial Assistance? You Have Options.
Financial Assistance Program
We offer a financial assistance plan for patients with or without commercial insurance. See if you might qualify.
Once you have been tested, you can apply for financial assistance here.
Interest-Free Payment Plan
If your cost is $100 or more, we offer an interest-free payment plan that allows you to spread your cost out for up to 12 months, regardless of insurance coverage or household income.
To apply for our financial assistance program or an interest-free payment plan, please visit our patient payment portal.
* Based on people who meet the U.S. Department of Health and Human Services federal poverty guidelines. Due to regulatory limitations, people who carry federally funded health insurance such as Medicare, Medicaid, TRICARE, and Medicare Advantage are not eligible for financial assistance. People with some types of Medicaid plans, including those with limited state-funded plans such as emergency-only coverage, or Medicaid in states that do not have coverage for Myriad testing, are eligible for the Myriad Financial Assistance Program; contact Myriad for details about your specific plan type.
The GeneSight Test Can Be a Benefit to Patients and Clinicians
2M+
people have taken the
GeneSight test
7
clinical studies
published
Thousands
of clinicians registered to offer the GeneSight test
Our Billing Process
We Receive Your Sample
When we receive your sample, we review your insurance benefits to estimate your out-of-pocket cost. If it could be more than $330, we will contact you before processing the test to discuss your options, including canceling the test at no cost to you.
Insurance and Cost
If insured, we bill your insurance after processing your test. Your health insurance company will process our claim, then send you an EOB within 30-45 days. This is not a bill that you pay. The EOB or Explanation of Benefits is a detailed explanation of the amount your insurance has covered for the GeneSight test(s). Most EOBs require no action.
If uninsured, use our Cost Estimator to learn whether you qualify for financial assistance.
Billing
Once your claim is complete, you will receive a statement of what you owe, which will be sent via U.S. Mail from Myriad Genetics. You can either pay in our online portal or process with our billing team at 888-496-2391.
If insured, 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. Once you know what you’ll owe, you may also qualify for financial assistance to what your insurance does not cover and we offer an interest-free payment plan.
If uninsured, apply for financial assistance and/or interest-free payment plan once you receive your GeneSight statement by contacting us at 888.496.2391 or billing@assurexhealth.com.