How to Pay:

If you are not using a code from a specialty program, the standard rate for genetic counseling services is $300 per hour, or $150 per half hour. All initial appointments are scheduled for one hour.

  • When you schedule your service with Clover Genetics you will be required to put a card on file and will be charged a $150 non-refundable deposit for the first half of your appointment (this fee covers 30 minutes of service).

    • An initial appointment generally lasts one hour, so to hold an appointment spot you will be charged the rate for half-an-hour, $150

    • Appointments utilize CPT code 96040 for billing

    • Appointments will not be prorated and are based on the amount of 30-minute increments used

  • Upon the completion of appointments over 38 minutes, the remaining fees will be charged, generally another $150, to complete payment for a one-hour appointment.

If you decide to pursue genetic testing, we will not submit your order until we have received payment for any outstanding appointment fees. Genetic testing fees go directly to the testing company and you may be able to utilize insurance. We can assist in setting up genetic testing and exploring pricing.

Paying for Genetic Testing:

Clover Genetics will work with your physician or our third-party physician along with the lab to find the most affordable option if genetic testing is indicated. Most insurance plans offer coverage for genetic testing. Before any testing begins, our team will partner with the lab to provide a clear estimate of the cost. We will also explore no-cost and self-pay options to ensure access to testing. Many genetic testing laboratories offer Out-of-Pocket payment discounts for patients seeking testing without insurance. Patient Assistance Programs are often available for those who qualify.

Our practice collaborates with a family practice physician who specializes in genetics and conducts case review to authorize genetic testing requests. There is an additional $25 fee for this service and physician authorization is a legal requirement in most states to order testing. This service is available in the United States and its territories only.

For our entire billing policy, please follow this link: https://clovergenetics.com/billing-policy

 

Accepted Payment Methods:

  • Credit or Debit card

  • HSA or FSA card

  • Pre-established payment plans

  • Specialty Program codes

 

Out-of-Network
Insurance Reimbursement:

Clover Genetics is not in-network with any insurance. We offer a sliding pay scale in order to keep appointments affordable for everyone. Any balance after your appointment will be billed directly to you.

We can provide an itemized receipt (superbill) to independently submit to your insurance for reimbursement, but cannot guarantee you will be reimbursed. We can offer information on the basic process for submitting an out-of-network claim to your insurance, but cannot do so on your behalf. To set up a payment plan or any other financial needs, please contact Info@CloverGenetics.com for assistance.

 

Donated Appointments: We are currently seeking funding for our donated appointment program. If you are interested in donating funds or services to our program please contact us at: Info@CloverGenetics.com