Insurance and Financial Assistance | mySupport360

Insurance and Financial Assistance

The Myriad Promise

Because patients and their families use test results to make life saving medical decisions, Myriad promises to provide affordable access to testing, a lifetime commitment to accurate results, and comprehensive support for ALL appropriate patients and their families.

If a patient encounters ANY financial hardship associated with their test, Myriad will work directly with the patient toward their complete satisfaction.

Patients with questions regarding their Myriad bill or insurance Explanation of Benefits should contact Myriad rather than their health care provider. Myriad is here to help: 844-MYRIAD9 (844-697-4239) or billing@myriad.com.

Myriad’s Financial Assistance Program (MFAP) – Genetic Testing Affordability for All Patients

Myriad has a lifetime commitment to removing cost as a potential barrier to patients receiving valuable, accurate test results.

Questions you may have…
Will genetic testing be covered by my insurance?
• 97% of private insurance companies have coverage for hereditary cancer testing
• 3 out of 4 patients pay $0
• Average patient out-of-pocket cost is $54
• Under the Affordable Care Act, BRCA testing is considered a preventive service with $0 patient out-of-pocket costs for women not currently being treated for breast or ovarian cancer^
• If your insurance does not cover this genetic test, Myriad will contact you before proceeding

What if I have a high deductible plan or co-insurance?

If you have a high deductible or co-insurance, you may qualify for the Myriad Financial Assistance Program (MFAP) for a reduced out-of-pocket cost of no more than $100.†

  • This is a Myriad-sponsored plan that limits out-of-pocket costs to no more than $375 for insured patients who meet the following criteria:
  • Financial Criteria
  • Medical Criteria − Your healthcare provider will help you determine whether you are eligible
  • An application must be filled out by your provider and sent to Myriad to start the qualification process

What is Myriad’s Financial Assistance Program?
You may qualify if you meet insurance criteria‡ and your household income is less than the income guidelines below:

Persons in Family or Household      48 Contiguous States & D.C.
1 $36,180
2 $48,720
3 $61,260
4 $73,800
5 $86,340
6 $98,880
For each additional person, add $12,540

 

Note: Financial Criteria above are based on the January 2017 U.S. Dept. of Health & Human Services Poverty Guidelines multiplied by three, which are subject to change and can be found at www.MyriadPro.com/mfap (including Alaska and Hawaii). Myriad reserves the right to terminate or modify its Financial Assistance Program at any time.

How do I apply for Myriad’s Financial Assistance Program?*
1. Include your income and number of family members in your household on the Test Request Form (TRF) your healthcare provider asks you to sign.
2. Provide your correct email address and phone number on the TRF so Myriad can contact you with further details.
3. Provide income verification (from your most recent tax return) and complete a 1-page application.

What is the difference between an Explanation of Benefits (EOB) and a bill?
Your insurance carrier will process our claim and then send you an Explanation of Benefits (EOB)—THIS IS NOT A BILL. Most patients do not receive a bill, and you will NOT be responsible for any balance unless you receive a bill directly from Myriad, even if you receive a denial letter from your insurance company. If you have concerns about your EOB please contact Myriad.

What if I need help with my bill?
If you encounter ANY financial hardship associated with your genetic test, Myriad will work with you toward your complete satisfaction. Myriad provides payment plans without interest, where you can pay as little as $15/month if you have a bill.

Myriad promises to partner with you toward your complete satisfaction.

For more information: email billinghelp@myriad.com or call (844) 697-4239

* For uninsured patients please go to www.MyriadPro.com/mfap for application information

^ For patients with a qualifying family history under all non-grandfathered insurance plans
† Patients who are recipients of U.S. government-funded programs such as Medicaid, Medicare, Medicare-Advantage and Tricare may not be eligible.
‡ Uninsured patients meeting specific financial and medical criteria may qualify to receive testing at no charge.

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