Genetic Testing FAQs
Many labs offer out-of-pocket rates for those whose insurance will not cover testing or for those who do not have insurance.
Additionally, there are many organizations and programs that offer patient assistance, payment plans, and sometimes, free testing.
If you have concerns over paying for genetic testing, reach out for assistance!
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Do I need to get authorization from my insurance to get genetic testing for my child?
Yes. Insurance authorization is needed before genetic testing can be performed. The doctor's office will contact the insurance company on your behalf. Each insurance company is different but these authorizations take time to process. You can contact your insurance company directly to determine how long this process typically takes.
If I get insurance authorization, does this mean there is no cost to me for genetic testing?
No. An authorization means that insurance has approved the test within your insurance plan but it does not necessarily mean that insurance will pay 100% of the cost. Genetic testing coverage varies depending on your insurance plan. Some plans may include a deductible, coinsurance, and a copay. You may call your insurance company to determine how genetic testing is covered.
What if I have Medicaid?
If Medicaid denies your test: your physician's office will work with you to determine appropriate avenues for appeal.
If Medicaid approves your test: we will schedule an appointment to perform the testing with no cost for the test to you.
What if genetic testing is not covered by my insurance?
There is an appeal process that your physician's office can assist you with. Additionally it may be beneficial to contact the billing office where you received care.
My insurance says I am covered. What should I do next?
Many times we will be informed of the approval directly and we will inform you when we receive notice. When you are ready to have testing, if you choose to have the blood drawn elsewhere you may be responsible for the full cost of testing. Some approvals have a window of time when they are approved, after which time a new approval must be obtained.