Patient Billing & Insurance

Clear and simple billing at GeneDX

Our team works directly with your care and insurance provider to make the billing process as simple and transparent as possible.

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How the billing process works

We know medical billing can feel complicated. That’s why GeneDx takes extra steps to simplify it. We will:

Verify your insurance coverage
Handle prior authorization if needed
Provide an estimate of potential out-of-pocket costs
Send you a bill only if your plan requires it

What to expect from the insurance billing process

1

Your healthcare provider will place the order for a test and GeneDx will request a prior authorization (PA) approval from your insurance company, unless it is not required. Even though GeneDx is in-network with many commercial health plans, PAs are often required for many genetic tests.

2

Your provider may complete a benefits investigation (BI) to estimate what you might pay out of pocket. This is only an estimate and can change depending on several factors, such as whether prior authorization is approved.

3

Your final cost depends on your insurance plan and the test ordered. Your plan’s copay, coinsurance, and deductible all help determine what you pay.

Learn more about your billing options for genetic testing

This video can be a helpful resource to understand the cost of genetic testing. The final cost of testing depends on the payment option selected in the process. If you are using your insurance benefits, you may have a final out-of-pocket expense depending on your remaining deductible and coinsurance, if applicable.

GeneDx Financial Assistance Program

At GeneDx, we firmly believe that everyone deserves access to vital insights from genetic testing, regardless of their financial situation. We offer a robust Financial Assistance Program to help reduce the potential out-of-pocket costs associated with testing.

Apply to our Financial Assistance Program