Cost and Coverage
Personalized medicine should be a standard of care, and our mission includes making genetic testing affordable for all.
What you can expect to pay for Genomind testing and services
Genomind’s PGx test must be ordered by a licensed provider – either through Genomind At-Home via a Telehealth provider or your existing healthcare provider. The cost depends on how the test is ordered and your payment method.
Flexible payment options are available, including all major credit and debit cards, HSA, FSA, and Affirm (pay-over-time). We also support Express Pay through Apple Pay, Google Pay, PayPal, and Venmo.
Note: The cost and coverage options below apply to US residents only. Contact us to learn more about international pricing.
Order Genomind At-Home via a Telehealth Provider
This option is ideal if you don’t already have a provider or prefer a simple, self-directed experience. A licensed Telehealth provider reviews your registration information and orders the Genomind PGx test for you.
Genomind At-Home (Self-Pay)
$599 one-time payment when registering.
Genomind’s At-Home PGx test is a one-time payment when registering for the test. Insurance is never billed with this option.
Order Through a Local or Existing Provider
Choose this option if you already work with a healthcare provider who can order the Genomind PGx test on your behalf.
Note: Genomind primarily offers self-pay testing and may bill claims as a courtesy. Patient responsibility varies based on your unique insurance carrier and plan.
Self-Pay (Preferred)
$599 one-time payment is required prior to testing.
Choosing the self-pay option is simple and predictable. Pay a single, one-time fee for the Genomind test—with no insurance and no surprises. Many decide to pay directly for genetic testing to avoid complications with insurance.
Commercial Insurance (US only)
$399 prepayment (lab fee) is required prior to testing.
Pay an initial lab fee. A claim may be submitted to your insurance based on your plan benefits. Your final cost may include deductibles, copays, coinsurance, or a remaining self-pay balance.
Traditional Medicare (Part B) / Fee-For-Service
You will pay $0 out of pocket if coverage criteria are met and the test is ordered by a Medicare Provider.
Genomind PGx testing is covered nationally by Medicare Part B.
Medicare Advantage (Part C) Managed Care/Supplemental Plans
No prepayment (lab fee) is required prior to testing if coverage criteria are met and the test is ordered by a Medicare Part B-enrolled provider.
Genomind coverage varies by insurance plan. You may have to cover a portion of the cost, such as a copay or deductible. Please contact your insurance plan for coverage and estimated cost.
Medicaid and Managed Medicaid plans
You will pay $0 out-of-pocket.
Note: Prior authorization may be required.
Let your provider know you’re interested in Genomind’s test.
Download our guide to help with the conversation.
What if you still can’t afford Genomind's PGx test?
We never want finances to prevent you from accessing safer, individualized treatment. That’s why we offer various resources to help you manage payment.
Payment Plans
Genomind has partnered with Affirm, allowing you to split out-of-pocket costs into more affordable payments. Please note that Affirm requires a soft credit check.
Additionally, our checkout now includes Express Pay, which lets patients complete payments quickly and securely using Apple Pay, Google Pay, PayPal or Venmo. We also accept Debit, Credit, HSA, FSA, and Affirm payments.
What is the process for payment?
Frequently asked questions (FAQs) about cost and coverage
Health insurance plans do not universally cover comprehensive PGx (genetic) testing, and reimbursement is not guaranteed. Coverage for Genomind’s PGx test varies by insurer and individual plan.
Looking for more predictable pricing? Some patients choose to self-pay for the test to avoid insurance uncertainty.
If you choose to proceed with insurance, Genomind will review your benefits and may submit a claim to a plan that Genomind accepts, provided all requirements have been met. Please note that this does not guarantee coverage or payment, and any balance assigned by the insurance may be your responsibility.
If you choose to proceed with insurance and it requires a prior authorization, Genomind may submit an authorization request on your behalf, depending on your insurance plan’s coverage and limitations. However, please note that most insurance plans require the ordering provider (your doctor) to submit the prior authorization request before testing can be performed.
Additionally, obtaining prior authorization does not guarantee that the claim will be approved or that costs will be fully covered. You may still incur out-of-pocket expenses based on your insurance plan’s terms.
An Explanation of Benefits (EOB) statement is not a bill from Genomind and is generated by your insurance plan.
Each time your insurance company processes a claim submitted by you or your healthcare provider, you will receive an Explanation of Benefits (EOB) statement to explain how your claim was processed. An EOB explains how your benefits cover the service provider’s claim. It includes the date you received the service, the amount billed, the amount covered, the amount your insurance plan paid, the amount credited toward any deductible, and any balance you may be responsible for paying the provider.
If your insurance plan has reimbursed you directly for our Genomind PGx testing, it is your legal obligation to forward the payment to Genomind for services rendered, along with a copy of the Explanation of Benefits (EOB). It is important to include a copy of the EOB to appropriately apply payments to your claim. If your insurance notifies us that you have received payment for Genomind laboratory services, you may receive a bill for the reimbursement you received.
You can forward the insurance payment you received in one of three ways:
- Endorse the check – sign the back of the reimbursement check you received from your insurance, and print “Payable to Genomind” underneath your signature.
If you already cashed the reimbursement check:
- Write a personal check in the amount of the payment you received. Please make the check payable to Genomind.
- Contact our billing team at 877-895-8658 and make a debit or credit card payment over the phone.
Please send your check and EOB to the following:
- Genomind, Inc.
- PO Box 74008113
- Chicago, IL 60674-8113
We accept all major credit and debit cards, HSA, and FSA. For added convenience, Genomind offers Express Pay options, including Apple Pay, Google Pay, PayPal, and Venmo. Additionally, we’ve partnered with Affirm to provide flexible payment plans.
Email customerservice@genomind.com for an itemized receipt of the Genomind PGx testing.
No. Genomind’s Pharmacogenetic Testing, Precision Medicine Software, and expert Precision Medicine Consultations are available at no cost to providers.
Yes, inform your provider that you would like to pay for testing instead of utilizing your insurance plan. Your provider will need to select self-pay as your payment method when ordering your test.
To me, using this service is a no-brainer. It can save time, money, and angst on appointments and medications that aren’t likely to work for you because of the way you’re hard-wired.
Brandon B., Genomind PGx Patient
