Patient Assistance Program

Our mission at PreciseDx® is to deliver objective, accurate, and reliable reporting of key clinical information within hours, to improve comprehensive decision-making for patients affected by cancer.

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Precisebreast

Patient Assistance Program

Our Patient Assistance Program is designed to provide access to PreciseBreast™ testing for those individuals who may need additional financial help. We understand that cost can be a barrier to care, and we are committed to making sure patients have access to the testing they need to make more informed decisions about their health. If you need help managing out-of-pocket costs, we offer financial assistance options to make PreciseBreast™ testing accessible and affordable.

You can apply for our Patient Assistance Program by downloading the application form below. If you need further support, please contact our billing services team at (855) 212-4410.

FAQ’s

Is the PreciseBreast test covered by my health insurance?

A patient’s individual health benefits will determine insurance coverage for the PreciseBreast test. PreciseDx will do all we can to ensure the test is affordable to patients. If you are interested in inquiring about your individual health benefits, please contact your health plan directly. The PreciseBreast billing code is CPT 0220U.

If I have health insurance, will I have any out-of-pocket expense?

There are differences among health insurance programs that determine an individual patient’s covered services, co-insurance, co-pay and deductible. It is difficult to determine what an individual’s out-of-pocket cost might be for the PreciseBreast test until the entire billing and appeals process is complete.

What if my claim is denied by my health insurance plan?

If your health plan denies your claim for any reason, PreciseDx will appeal the claim on your behalf. We will work diligently to get the claim paid through our exhaustive appeal process. You may receive one or more Explanation of Benefits (EOB)(s) during this process. An EOB is NOT A BILL.

If I have gone through the appeals process, but am still unable to pay, what are my options?

Please review the information on our Patient Assistance Program (PAP) to determine whether you qualify for a reduced out-of-pocket cost for the PreciseBreast test. You can also contact our billing department at 855-212-4410.

What is the cost of the test?

The cost of the test will depend on your individual health insurance coverage (for example, in-network, out-of-network, co-insurance, deductible and co-pay). We also offer a Self-Pay program.

Do you have a flexible payment plan?

Yes, we offer several payment plan options, as well as an interest-free payment plan over a period of up to 6 months.

Do you provide financial assistance to cover the cost of the test?

Yes, please contact our billing team to further discuss our Patient Assistance Program (PAP) and eligibility requirements. A copy of our PAP application can be found at precisedx.ai

How do I make a payment?

Please call our billing department at 855-212-4410 to arrange for payments. Diagnostic laboratory tests are also eligible for reimbursement with a Flexible Spending Account (FSA) or a Health Savings Account (HSA). We accept all major credit cards, checks and money orders.

What if my insurance plan sends me a check directly for the cost of the PreciseBreast test?

1. Endorse the check by signing the back and writing the following under your signature: “Payable to PreciseDx, Inc.” 2. Please mail the check along with any cost-sharing, deductible or co-pay amounts and a copy of the Explanation of Benefits (EOB) to the following address: PreciseDx, Inc. P.O. Box 25532 New York, NY 10087- 5536 Please contact our Billing Team if you have any questions or concerns at 855-212-4410

Footnotes

*If the claim is processed by insurance, most patient statements will be sent within 60 days from the date of service. If the claim has undergone the appeal process, it may take 3-6 months to receive a patient statement outlining the patient responsibility. This statement will be followed by a bill for any amounts owed to PreciseDx, which must be paid within 30 days.† An Explanation of Benefits (EOB) is provided as a summary of your medical expenses and how claims were processed by your insurance company. An EOB will outline any cost-sharing amounts (co-insurance, deductible, or patient balance) that are the patient’s responsibility. An EOB NOT A BILL.‡ Even after a coverage decision has been made by a patient’s insurance company, the patient may be eligible to pay a reduced cost if they qualify for our Patient Assistance Program (PAP).