Pharmacogenomic Testing

Our mission is to serve as a trusted partner to physicians, healthcare professionals and patients by providing quality testing services. Pharmacogenomic testing can improve medication management by reducing trial and error prescribing, minimizing adverse drug reactions, improving medication compliance and quality of life, and managing health costs.

How will testing help me?

This test will help your physician prescribe medications and doses of medications that will work best for you. Your DNA does not change so this test is only performed once in your lifetime. Your doctors can use the test results as your health conditions and medication needs change.

This test will help to:

  • Reduce unwanted side effects
  • Help your physician select the most effective drugs
  • Help your physician select the correct dose

Testing Process

Our testing process is quick and easy. Once a licensed provider orders the test, the sample can be collected right at your provider’s office. Test results are available quickly for your provider to review and make any necessary changes to your medications.

Highlights:

  • DNA is collected by a simple swab of the cells from the inside of your cheek
  • Sample can be collected right in your provider’s office
  • Genetic information is kept private according to HIPAA and federal guidelines

Billing Policy

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.

Self Pay

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.

Commercially Insured

(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.

Traditional Medicare

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.

Medicaid

Genemarkers currently accepts Medicaid from several states. If the test is covered, there are no out-of-pocket costs.

Financial Assistance

Genemarkers has several financial support options to help alleviate any financial burden due to out-of-pocket costs, including:

prompt-pay discount

 zero interest payment plan

financial assistance plan for those who meet income-based guidelines

Insurance Coverage

Genemarkers encourages patients to confirm coverage with their insurance if they choose to bill their insurance. This guide will help with the information needed to reach out to insurers. Clinicians can provide the appropriate diagnosis codes (ICD10).

Insurance Coverage and Pre-Authorization Guide

Required Forms

In order to properly bill for the test, we need the following information.

Letter of Medical Necessity
Advance Beneficiary Notice of Noncoverage (ABN) (Medicare patients)
Copy of Insurance Card

Contact us to learn how to get tested