Learn about Cost and Coverage

Learn about Cost and Coverage

Our promise: peace of mind

9 out of 10 patients will not receive a bill. For those that do have patient responsibility after insurance, a simple billing process ensures there are no surprises—we call it Peace of Mind.

How does the billing process work?

Insurance Claim.

We accept all types of insurance. We will file a claim with your health plan, and they will send you an Explanation of Benefits (EOB). It is not a bill. Do not make any payments.

Patient Responsibility.

In 9 out of 10 cases there is no patient responsibility. If there is, the average is $185 after deductibles are met1, and we’ll call you before sending a bill.

Our Commitment.

We aim for 100% patient satisfaction by providing the benefits of testing along with flexible payment options2 that are based on a review of your family’s financial situation.

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 accept all types of insurance. 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 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.