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SUPPORTING PATIENTS

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

Patient Support

We will help patients understand and navigate the insurance and billing process for the Precision Oncology portfolio of tests. Our team can assist with prior authorizations, billing insurance, appealing denied claims, and providing flexible payment options when necessary.

 

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.

Exact Sciences Patient Assistance Program

Exact Sciences believes that everyone should have the opportunity to be as healthy as possible, no matter WHO they are, WHERE they live, or HOW much money they make. A patient may qualify if they

  • Are an Exact Sciences patient
  • Reside in the United States or its territories AND
  • Have a household income at or below 400% of the Federal Poverty Level (FPL)*

Use the estimator below to assess your eligibility.

*Exact Sciences uses the Federal Poverty Guidelines for the 48 contiguous states and the District of Columbia, which are subject to updates that may vary from those listed in this resource.

Patient Assistance Estimator

See if your patient could be eligible for testing at no or low cost with the Patient Assistance Estimator.

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

Patient State or U.S. Territory*
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 change or update its program criteria at anytime, without notice. Eligibility is not guaranteed. Exact Sciences may require that a patient provide proof of financial need if their information is not already available to Exact Sciences. If you have questions please contact Customer Service at 888-662-6897, option 2 to discuss available financial resources.

Patient Qualification:

 Qualify for patient 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 Patient 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

Please return the enclosed application with supporting documents to one of the following:
Patient Assistance Program
Mail: ES Labs, 145 E. Badger Road, Madison, WI 53713
Fax: 844-870-8875.
Email: help@exactsciences.com.
If you have any further questions, please contact us at 866-267-2322, Option 2.

Patient Qualification:

 Do not qualify for patient assistance

Based upon the information provided, the patient 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 888-662-6897, option 2 to discuss further.

Contact Customer Support

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RESOURCES
  

GAP Brochure

Download in other languages: Spanish | Traditional Chinese | Simplified Chinese

HAVE A SPECIFIC BILLING QUESTION?

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


888-662-6897, OPTION 2