Myriad’s testing services are reimbursed by hundreds of insurance plans. Although each situation is unique, the average patient pays a coinsurance of less than $100.
Below, we have highlighted a few payors with unique requirements. If you have questions about your specific insurance plan benefits, please call Myriad’s customer service at 800-469-7423.
Medicare pays for genetic testing when the test is considered medically necessary and the criteria in applicable Local Coverage Determination policies are met.
Medicare claims for services performed at Myriad Genetic Laboratories, Inc. are processed by the Medicare Administrative Contractor (MAC) for the state of Utah, Noridian Healthcare Solutions, LLC. Noridian has implemented the coverage policies and procedures of the MolDX program. More Information.
Providers should consult Local Coverage Determination MolDX: BRCA1 and BRCA2 Genetic Testing to determine if their patient meets criteria for genetic testing.
Providers should consult Local Coverage Determination MolDX: Lynch Syndrome Genetic Testing to determine if their patient meets criteria for genetic testing. Download the Supplementary Information Form to order COLARIS for your Medicare patients.