Financial Assistance Program
Your Liaison for SignatureChip® Microarray Analysis.
Purpose
The purpose of the Patient Advocacy Program is to provide discounts to uninsured and insured patients for SignatureChip Microrarray Analysis.
Self Pay Discount Program
This program is designed to allow our uninsured patients the opportunity to have microarray-based cytogenetic testing done at a discounted rate. We offer a 40% discount to uninsured patients that pay the testing fees at the time of service.
Benefit Investigations
Through our Patient Advocacy Program, the patient's authorized healthcare provider can request a benefit investigation prior to or at the time of sample receipt. Signature Genomics' requisition form requests information from the healthcare provider and from the patient, in order to begin the benefit investigation process. In some cases, the insurance carrier requests clinic notes and a letter of medical necessity to determine coverage. We suggest that the healthcare provider submit these documents along with the requisition form to expedite the benefit investigation process. The Patient Advocacy Team will work with the patient's insurance carrier to determine the benefits available for clinical laboratory testing. We will communicate results to the healthcare provider and patient if desired.
- Physician / Genetic Counselor and patient discuss the need for SignatureChip® testing.
- A patient must complete and sign a requisition form and fax to Patient Advocacy Team.
- The patient's benefit information is obtained. When required, a prior authorization is requested.
- The Patient Advocacy Team contacts the patient and physician with the results of the benefit investigation.
Prior Authorizations
During the benefit investigation, it may be determined that pre-authorization for testing may be required. We will submit all necessary documentation to the patient's insurance company on their behalf. This documentation typically includes clinic notes and a letter of medical necessity. The Patient Advocacy Team will communicate the outcome to the healthcare provider and patient if desired.
Financial Assistance
Financial Assistance Program is available to patients who face economic challenges of meeting the costs for microarray-based cytogenetic testing. Assistance is secondary to all other resources available to the patient, including medical coverage, either through individual or through group medical plans. Eligibility criteria are based on the federal poverty guidelines, family size, and income. Discounts are applied to any amount due from patients after insurance has satisfied their responsibility.
Hardship
If the healthcare provider and the patient determine that the costs of Signature Genomic Microarray testing are a financial barrier that prevents them from necessary testing, funding through Signature Genomics' Financial Hardship Program is available. Application must be approved prior to proceeding with testing. More details about the program are available on our billing page.
Appeals and Payment Plans
If the patient's insurance carrier declines to pay for some or all of the cost of the test, the Patient Advocacy Team will work with the patient to submit an appeal. The Patient Advocacy Team will exhaust all appeal options, including external review.
If a balance remains after we have completed the billing and appeals processes, we will work with the patient to determine a payment plan.