Genemarkers is committed to providing patients with quality service, which includes ensuring a clear understanding of the billing process and access to a manageable payment arrangement. Most insurance plans, including Medicare and Medicaid, offer limited coverage of the test.
Genemarkers offers an affordable self-pay rate for each one of our panels for patients who are uninsured or those who have insurance and prefer not to bill their plan.
(including Medicare Advantage Plans)
Genemarkers will submit the insurance claim on behalf of patients.
After the insurance claim has been processed to the fullest extent, Genemarkers will bill patients for any out-of-pocket expenses. Genemarkers will bill patients for the amount determined by their insurance plan. This may be related to co-payments, co-insurance or deductibles.
Genemarkers has several options to help alleviate any financial burden due to out-of-pocket costs.
PGX testing for most medical conditions is not currently covered by Medicare. Patients will need to sign an Advance Beneficiary Notice of Non-Coverage (ABN). If the test is not covered, the patient will be financially responsible. Patients can receive the self-pay rate if they elect not to bill Medicare and pay for the test out-of-pocket.
Genemarkers currently accepts Medicaid from several states. If the test is covered, there are no out-of-pocket costs.
Genemarkers has several financial support options to help alleviate any financial burden due to out-of-pocket costs, including:
zero interest payment plan
financial assistance plan for those who meet income-based guidelines