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
There are two options to get started. Genomind’s PGx test must be ordered by a provider either online through our At-Home option or through your existing provider. Choose the option that works best for you.
Genomind At-Home
Any PGx test must be ordered by a provider. With Genomind’s At-Home option, a telehealth provider authorizes your test after you register. We then ship a test directly to your home. It’s that simple.
Genomind At-Home (Self-Pay)
$599 one-time payment prior to testing.
Genomind’s At-Home PGx test is a one-time payment before testing is completed. Insurance is never billed. Genomind accepts Debit, Credit, HSA, FSA, and Affirm payments. Apple Pay, Google Pay, PayPal or Venmo are accepted.
Order Through a Local or Existing Provider
An existing provider can also order the Genomind test. With this option, patients may choose to utilize insurance or self-pay for the test. NOTE: Patient responsibility varies based on your unique insurance carrier and plan.
Commercial insurance (US only)
$399 prepayment is required prior to testing.
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.
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 Part B-enrolled provider.
Genomind PGx testing is covered nationally by Medicare Part B.
Medicare Advantage (Part C)
No prepayment 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: A prior authorization may be requested.
Self-Pay
$599 one-time payment is required prior to testing.
Many decide to pay directly for genetic testing to avoid complications with insurance. In these situations, patients may utilize the Genomind At-Home option (above) or have an existing provider place an order.
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
Genomind is unable to determine specific insurance coverage prior to submitting a claim. Several factors may impact the cost, such as a deductible, out-of-pocket cost, copayment, plan type, diagnosis and medical necessity.
If you are unsure about your coverage or anticipated costs, please contact your insurance plan.
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 benefitscover 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 you receive an EOB and have questions about it, please contact your insurance 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 in order 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:
Attn: Billing Department
Genomind, Inc.
PO Box 74008113
Chicago, IL 60674-8113
If your insurance plan requires prior authorization, we may submit one on behalf of you and your provider depending on the plan’s coverage and limitations. Your provider can request prior authorization before submitting your sample.
You may still be responsible for an out-of-pocket cost even if prior authorization is obtained.
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.
Genomind now offers an At-Home option where you can get our test through our website!
All pharmacogenetic testing is required to be ordered by a provider, but with our At-Home option, a telehealth provider places the order after your register.
The reason a provider must always order the test is because pharmacogenetic testing contains information about prescription medication and dosages. The report must be ordered by a prescribing clinician per FDA guidelines.
NOTE: You should not make any changes to any medical care (such as medications, diet, exercise, etc.) without consulting your provider.
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. Please note that we do not accept checks or money orders.
Email billing@genomind.com for an itemized receipt of the Genomind PGx testing.
Genomind’s Pharmacogenetic Testing, Precision Medicine Software, and expert Precision Medicine Consultations are available at no cost to providers.
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
