Learn about Cost and Coverage

Learn about Cost and Coverage

At Progenity, we believe everyone should have access to genetic testing that helps families prepare for life. That’s why we offer the Peace of Mind program to ease the financial burden of testing.

How does the billing process work?

Insurance Claim.

We will file a claim with your health plan, and they will send you an Explanation of Benefits (EOB). The EOB is not a bill.

Patient Responsibility.

In most cases there is no additional patient responsibility. If there is, we’ll call you before sending a bill. The average patient responsibility is $185 after deductibles are met.1

Our Commitment.

During our call, we will evaluate your personal financial situation, answer any questions you may have about your bill, and discuss payment options.2

We’re here for you.

If you have questions about insurance coverage, the cost of testing, or want to learn more about the Peace of Mind program, call our friendly Financial Services team +1 855-209-1228.

Please do not call your healthcare provider’s office, as they cannot assist with questions regarding your Progenity patient responsibility.

Frequently Asked Questions

We are a participating provider with many major health plans, state Medicaid programs, and Medicare. However, we may not be an in-network provider for your health plan. To find out, call us at +1 855-209-1228.

After the tests selected by you and your healthcare provider have been completed, you may receive a document from your health plan called an Explanation of Benefits (EOB). The EOB is not a bill. It summarizes the status of our claim to your health plan and describes what the insurance company perceives your responsibility to be. This can change over weeks or months as we appeal for payment from the insurer. If you have questions regarding the amounts shown on your EOB, please call us at +1 855-209-1228.

At Progenity, we believe everyone should have access to genetic testing that helps families prepare for life. That’s why we offer the Peace of Mind program to ease the financial burden of testing. To discuss your options, please call us toll free at +1 855-209-1228.

In some cases, the health plan may send reimbursement directly to the patient, instead of to Progenity. If you do receive a check from your health plan for our laboratory services, please call us at +1 855-209-1228, for instructions on how to forward the payment.

If you need to mail a payment to Progenity, please send it to: Progenity, Inc. PO Box 674425 Detroit, MI 48267-4425

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  1. Data from Jan – Oct, 2017
  2. Except where prohibited by law or by health insurance plan. Program availability is not guaranteed and may be limited or unavailable in certain states or under certain health insurance plans. Progenity does not waive or cap patient co-pays or deductibles. Patients must meet eligibility requirements to qualify for financial assistance and must provide valid commercial insurance coverage information.