GeneSight Form
Please read carefully!
Before completing this form, please contact Genesight billing/coverage on (866) 757-9204 to verify your insurance and billing information. Come back to complete this form ONLY after you have verified your coverage or payment plan with the GeneSight customer service, and you wish to continue with the testing.
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Medicare (Part B) Covered Tests: $0 out of pocket.
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Medicaid: Typically, $0 out of pocket cost
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Medicare Advantage Covered Tests, Commercial or Other: Patient may be expected to cover a portion of the cost (typically $330 or less)
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Uninsured: Call (866) 757-9204
Pharmacogenomics is the study of how an individual’s unique genetic makeup may affect their outcomes with medications. GeneSight pharmacogenomic laboratory tests examine certain genetic characteristics that you may have which may affect your outcomes with many prescribed medications. The results of the test, along with other important non-genetic factors and the clinical experience and knowledge of your healthcare provider, may help him/her select more appropriate medications for you.
