OncoDefender

Insurance Coverage

The Everist Genomics Promise:

Regardless of insurance coverage or financial status, the Everist Genomics Customer Support team will assist you in obtaining the testing you need. The Everist Genomics Customer Support team will support you with insurance claims, appeals, and financial assistance programs.  You may be eligible to have up to 80% of the cost of the OncoDefender test covered on your behalf by one of the Everist Genomics Financial Assistance programs.

Within 3 to 4 working days of receiving your completed application for testing, Everist Genomics will provide you and your doctor with written confirmation of your financial benefits as well as how to proceed.

Patients with Insurance or Medicare Coverage:

Everist Genomics will bill insurance companies on behalf of insured patients. Some insurance companies will pay the entire charge and some will pay a portion of the charge based on individual patient benefit levels. With a signed Patient Information and Assignment of Benefits form (AOB), Everist Genomics will work directly with your insurance company or Medicare on your behalf.  Everist Genomics will accept the insurance payment (together with your co-pay, deductible or co-insurance) as payment in full.

Patients Denied Reimbursement by their Insurance Company:

If your insurance company denies payment for your OncoDefender test, the Everist Genomics Customer Support team can assist you with eligibility for a discounted payment program tailored specifically for you.

Patients with no Insurance or Requiring Financial Assistance:

If you do not have health care insurance or require financial assistance, Everist Genomics offers a variety of financial assistance programs with options based on individual financial status and eligibility which may cover up to 80% of the cost of the OncoDefender test.

We do the work for you

As soon as we receive your completed Assignment of Benefits form we will assist you every step along the way, from assisting with securing benefits coverage (either from your insurer, Medicare or financial assistance provided by Everist Genomics) to conducting and reporting the results of your OncoDefender test to your physician.

How to Get Started

We understand there are several factors affecting your decision to utilize the OncoDefender test. Everist Genomics is dedicated to assisting you, your family and your physician throughout the entire process.

For Patients with Insurance or Medicare Coverage:

• Step 1
  Complete the Patient Information Sheet and Assignment of Insurance Benefits (AOB) form. This short form allows us to verify your insurance coverage and to assist with determining your eligibility for financial assistance for you with no further obligation.
• Step 2
  Submit this information to Everist Genomics Customer Support by faxing it to (734) 929-9477 or by emailing it to CustomerService@EveristGenomics.com.  Everist Genomics will work directly with your insurance company or Medicare on your behalf.
• Step 3
  Within 3 working days of receiving your completed form, Everist Genomics will provide you and your doctor with written confirmation of your financial benefits and options as well as how to proceed.

For Patients Denied Reimbursement by their Insurance Company:

If your insurance company or Medicare denies payment for your OncoDefender test, the Everist Genomics Customer Support team will assist you with eligibility for a discounted payment program tailored specifically for you.

In this event a member of the Everist Genomics Customer Support team will contact you to describe the program you are eligible for.  Everist Genomics will provide you and your doctor with written confirmation of your discounted payment program proposal typically within 4 working days of receipt of your AOB.

For Patients with no Insurance or Requiring Financial Assistance:

If you do not have insurance or require financial assistance please obtain and complete the Everist Genomics Financial Assistance (EGFA) form.  To obtain an EGFA form please click here or call the Everist Genomics Customer Support team at 1-855-EVERIST or 855-383-7478 (toll-free).  Everist Genomics will provide you and your doctor with written confirmation of your Financial Assistance Benefits proposal typically within 4 working days of receipt of your EGFA form.

Ordering your OncoDefender Test:

Your physician will complete the OncoDefender test requisition form on your behalf and Everist Genomics will conduct your OncoDefender test.

Results of the OncoDefender assay are available within 7 to 10 days from the date the tumor sample is received by Everist Genomics.

If you have any questions about the Assignment of Insurance Benefits form, or any aspect of your insurance coverage or the Everist Genomics Financial Assistance program feel free to contact Everist Genomics Customer Support at 1-855-EVERIST or 855-383-7478 (toll-free).