Insurance and Payment for MicroGenDX Tests
Our tests are covered by Medicare Part B, so no payment is required from the patients as long as they have traditional Medicare Part B
- Medicare Advantage plan —patients could have co-pay, co-ins, and deductibles
- Pre-Authorization is required for SOME Medicare Advantage plans
We are contracted with many state Medicaid plans, Tricare, and select commercial plans – patient payment outlay varies by plan View contracted plans
Important patient information: What patients need to know
Medicare/insurance: MicroGenDX will file claims to Medicare, Medicare Advantage, Medicaid, Medicaid Advantage, Federal Plans and All commercial plans.
Patient obligation: For any patient responsibility after insurance has processed, we will send you a statement. If Insurance reimburses the patient for service rendered by MicroGenDX, we will expect you to send us the check or make a payment in the amount that was reimbursed to you. If insurance does not pay, we will bill the patient directly for most of our standard tests.
Advance payment option: Tests can also be paid for in advance of use by the patient using the following methods:
- Check or money order
- Credit card
- Calling the MicroGenDX Billing Department
- Online through the MicroGenDX Patient Billing Portal
Billing and insurance Inquiry:
For insurance coverage regarding specific insurance plans, please contact the billing and insurance department using this form:
We also offer discounted rates for private pay patients.
