Insurance

Often the most challenging part of genetic testing is the process of letters and appeals necessary to obtain insurance reimbursement. Lineagen takes the insurance burden off of doctors.

Lineagen provides comprehensive support for the insurance process.

Personalized insurance assistance includes:

  • Lineagen handles all insurance correspondence, from pre-authorizations to appeals
  • Expert team of insurance specialists with years of experience and success at dealing with thousands of claims
  • Various financial assistance such as Lineagen Care Program, payment plans and other assistance options
 

We handle everything from the letter of necessity to appeals, so doctors can focus on helping patients.
 

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Rena Vanzo MS, LCGC Licensed & Certified Genetic Counselor,
Vice President, Clinical Services, Lineagen, Inc.

Read More: Genetic Testing and Insurance Coverage

Lineagen's goal is to make genetic testing services accessible to each of your patients. Many insurers have favorable coverage policies for genetic testing, but as you know, there are many barriers and roadblocks to getting reimbursed. In most cases this burden falls to you or your staff to perform pre-authorization, appeals and other insurance-driven requests.

As you know this process takes a lot of time and effort on the part of you and your staff and it is also very frustrating and confusing to families. Ultimately, it is increasing the time that it takes to reach an underlying genetic diagnosis that you can use to help customize and personalize your patient's medical care.

Lineagen takes the insurance burden off of healthcare providers

At Lineagen we've solved this problem by building an insurance reimbursement specialist team whose sole job is to help families through this process. Through the initial pre-authorization request form through appeals or any other requests from the insurer, our team is working to expedite those requests to get you and your patients answers sooner so the testing can be administered in a timely fashion.

Lineagen Commitment

Lineagen is committed to making this testing process as seamless as possible for your patients, their families and your office staff. While there are many laboratories that provide this testing, Lineagen is the only lab that provides this additional level of insurance assistance on your behalf.

Lineagen’s promise to you is if your test cost is going to be >$100, you will be contacted to approve your estimated out of pocket costs before the testing is performed. Lineagen understands the financial burden for patients and families associated with health care expenses. In order to better serve our patients, the best thing we can do is provide transparency into our billing practices and your expected out of pocket costs prior to performing the ordered testing. There are no surprise bills and no unforeseen or unplanned for expenses when choosing Lineagen as your testing partner. 
 
As part of most benefit plans with health insurers, patients agree to pay shared medical costs.  These costs are referred to as “deductible” and “co-insurance”.  To assist with these out-of-pocket costs, Lineagen is able to offer the following:
 
  • Transparency: Prior to running the test, Lineagen will contact patients whose expected out of pocket expense is estimated to be >$100 for their laboratory testing.
  • Prompt Pay Discount: Lineagen offers a prompt pay discount to patients who pay (in-full) within 30 days of receiving their invoice.
  • Interest Free Payment Plans: Lineagen offers up to 72-month interest free payment plans (duration is determined by amount owed) to patients.
  • Lineagen Care Program: Lineagen provides a financial assistance program to families who qualify. Through this program, out of pocket costs may be reduced to $300 or less for most test offerings. 

What if a patient is unable to proceed with testing due to high out-of-pocket costs as required by their insurance company, or if the insurance company denies covering the test?   

Lineagen’s mission is to help as many patients as possible gain access to the advanced genetic diagnostic testing that has been proven to have a significant impact on quality of life and medical management.  To achieve this mission, Lineagen also provides alternative testing options for patients and families who are not able to gain access through their insurance company (insurance denies the claim) or who have high out-of-pocket costs.  These options are self-pay only and utilize a whole genome testing methodology that, while different than our insurance-billed testing products, still produce clinically actionable answers to families and patients.
 
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Through the initial pre-authorization, appeals, or any other requests from the insurer, our team is working to expedite the case to get you and your patients answers sooner so the testing can be administered in a timely fashion.
Rena Vanzo
MS, LCGC Licensed & Certified Genetic Counselor,
Vice President, Clinical Services, Lineagen, Inc.