Due to supply chain issues the items in your kit may be slightly different than what is pictured.

Insurance and Payment

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 EXCEPT Aetna Commercial Insurance.

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
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