SUPPORTING PATIENTS

Exact Sciences believes that everyone should have access to the
information they need to make confident, informed decisions
about their cancer treatment.

Genomic Access Program

To advance this mission, we created the Genomic Access Program (GAP) to help patients navigate and understand the insurance and billing process for Riskguard™ Hereditary Cancer Test. GAP assists with obtaining prior authorizations, billing insurance, appealing denied claims and providing flexible payment options when necessary.

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Insurance Coverage

Riskguard is covered by Medicare and many commercial insurance plans and available to patients who are enrolled in a Medicaid program. Exact Sciences* is an in-network provider with many health plans, including, Anthem, Cigna, Humana and UnitedHealthcare. Exact Sciences performs the services ordered and deemed medically necessary, regardless of network-provider status.

In network means that Exact Sciences has contracted with the insurer to be part of their preferred lab network.

*Genomic Health, Inc., a wholly-owned subsidiary of Exact Sciences Corporation, is the billing entity for the Riskguard test.

Financial Assistance Estimator

Check eligibility for testing at no cost with the Financial Assistance Estimator.

Complete the following fields and hit submit. *Indicate required fields.

Patient State*
Patient State must be filled in
Household Size*
Household Size must be filled in
Annual Income*
Annual Income must be filled in
Submit

Exact Sciences may modify or terminate its Genomic Access Program (GAP) and/or financial assistance options at any time. If your patient lives in American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, or the US Virgin Islands, please contact Customer Services at 866-662-6897 to discuss available financial resources.

Patient Qualification:

 Qualify for financial assistance

Based upon the information provided you could have no out-of-pocket costs for this test.

Please note that additional information is required to apply:

 

1

Download the Financial Assistance Disclosure and Application Form
Download application in Spanish

2

Complete and submit the form along with required supporting documentation

3

Exact Sciences will review your completed application and confirm eligibility

Download the Application

Patient Qualification:

 Do not qualify for financial assistance

Based upon the information provided, the financial assistance criteria have not been met.

However, Exact Sciences offers flexible payment options and can discuss any extenuating circumstances the patient may have.

Contact Customer Service at 888-ONCOTYPE (888-662-6897), option 2 to discuss further.

Contact Customer Support

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RESOURCES
  

HAVE A SPECIFIC BILLING QUESTION?

Contact us to learn more about billing and coverage for our tests.

855.669.4579, OPTION 1, OPTION 2