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:
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:
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