How Much Does an IDgenetix® Test Cost?
We Bill your insurance for the cost of the IDgenetix® test.
Medicare (Part B) Covered Tests:
You will have to pay $0 out of pocket cost.
Medicare Advantage Covered Tests:
You might have to cover a portion of the cost.(Typically $330 or less)
Commercial or Other Insurance:
Out-of-Network plans vary, but you may be expected to cover a portion of the cost (typically $330 or less). In-Network claims are subject to applicable co-pay, co-insurance, and deductible amounts. AltheaDx is in-network with the Multiplan Network; your insurance provider/insurance ID card will indicate the specific network (i.e., MultiPlan, PHCS, Beech Street, AMN/HMN/RAN, IHP or ValuePoint).
Participating Medicaid States:
Normally, you will have a $0 out of pocket cost.
Uninsured:
Please contact us to find out how we can help.
Note: AltheaDx bills your insurance for the cost of the IDgenetix test If you have any questions, please contact an IDgenetix Billing Specialist at 1-855-MY-PGX-ID or billing@idgenetix.com and we will be happy to assist you further. For those who qualify, we offer a financial assistance program to help with these out-of-pocket costs.
IDgenetix® Billing Process Overview
Step 1: Provide your physician with your current insurance information required on the test requisition form and a copy of the front and back of your insurance card. This information is required by IDgenetix® staff in order to bill your insurance provider.
Step 2: The insurance provider usually processes the initial claim within a 30-45 day period. Once processed, you should receive an Explanation of Benefits (EOB) from your insurance provider. The EOB is not a bill, but rather a detailed explanation of the amount the insurance provider has covered for the test.
Step 3: After IDgenetix® staff files an insurance claim and any applicable appeals on your behalf, you will receive a patient statement for remaining balances due.