Patient Billing

Accessible. Affordable. Actionable.

No qualified patient should go without necessary testing due to cost.

HISTORICALLY, 4 OUT OF 5 PATIENTS PAY

$0

AVERAGE COST FOR PATIENTS WHO DO PAY

(individual patient responsibility amounts may vary)

LESS THAN

$100

At Ambry, we understand that there is no "one-size-fits-all" in healthcare. We will work with your insurance coverage and provide options for accessing our high-quality genetic testing based on your individualized needs.

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Our Commitment to Access

We offer several options for accessing genetic testing, including:

Billing through your insurance provider

Many insurance plans cover genetic testing and Ambry is contracted (in-network) with the majority of U.S. health plans. Your insurance benefits will be verified and a cost estimation will be provided after receiving your sample.

Your costs can vary depending on the type of insurance, whether you meet insurance coverage criteria for genetic testing as identified by your plan, and your co-pays, deductibles, and co-insurance requirement specific to your plan.
If your testing requires prior authorization or medical necessity review, we will work with your healthcare provider and insurance to complete the process.

Self-pay pricing

If you are uninsured, your insurance does not cover genetic testing, or you do not want to use your insurance benefits, we may offer cash pricing for your genetic testing. If you are interested in this self-pay option, you must notify us before any billing is processed through your insurance. Contact our Billing Support team directly at +1 949-900-5795 or billing@ambrygen.com for more information.

Patient Assistance Program

At your request, we will conduct a personalized assessment of your financial need, which takes into account your location, household size, and income. Apply for the program, and our Billing Support team will review the information and provide options unique to you based on your needs.

To apply for the program:

Provide the requested financial information at the bottom of the Test Requisition Form
Complete and return the Patient Signature Card included in each test kit
Download and complete the Patient Assistance Program application below

Patients with health insurance through a government program (e.g. Medicare Advantage, Medicaid, Tricare, Veterans Affairs) are excluded from the Patient Assistance Program. Certain tests (ExomeNext-Rapid®, ExomeNext-Select™) are excluded from the Patient Assistance Program. Ambry reserves the right to modify or cancel its Patient Assistance Program at any time.

Patient Forms

Patient Assistance Program Application
English | Spanish

Insurance Lists by Region

Ambry Genetics is contracted with numerous health plans and institutions. Select the links below to access lists of our contracted health plans by region:

Frequently Asked Questions

Will my test be covered?

Coverage will depend upon various factors, such as your health plan’s testing criteria and benefit design, and the medical necessity of the test being ordered. Ambry has a dedicated Billing Support team that will discuss these issues with you.

How much will this cost me?

Your out-of-pocket cost can vary depending upon a number of factors. Depending on your insurance, you may be responsible for co-payment, deductible, or co-insurance costs. If needed, you may request and apply for financial assistance through Ambry’s Patient Assistance Program, and we may adjust your costs based on individualized assessment of financial need.

When can I expect a bill?

If you are responsible for any costs, the billing process may take up to 90 days, but in rare instances may take longer.

What is Ambry’s billing policy?

For the most up-to-date information regarding our billing policy, all questions should be directed to our Billing Support team at +1 949-900-5795 or billing@ambrygen.com.

Is financial assistance right for me?

If you have any concerns about the cost of testing, you may apply for the Patient Assistance Program. The application allows us to evaluate your individual financial circumstances and provide options to meet your needs.

If I cannot afford the test, do I have the option to cancel the test?

Under certain circumstances, test cancellations may be available. To inquire, please get in touch with our Billing Support team at +1 949-900-5795 or billing@ambrygen.com.

How is my out-of-pocket (OOP) amount determined?

If you are seeking insurance coverage for your testing, an estimate that includes deductible, copay, and coinsurance amounts as indicated by your health plan may be provided. Many insurance plans cover genetic testing.

Ambry will provide you with this initial estimate of patient responsibility based on the test ordered, your unique plan benefits, and your specific insurer’s contracted rates.

Your insurance company determines the final OOP cost during the evaluation and processing of your claim.

You may also request to be considered for our Patient Assistance Program.

What happens if I do not agree with the out-of-pocket amount?

If you encounter any issues with your patient statement, please contact our Billing Support team at +1 949-900-5795. We will review your situation to promote information accuracy and make updates as necessary.

What forms of payment are accepted?

Checks & Money Orders

Please make checks and money orders payable to Ambry Genetics. There is a $25.00 processing fee for returned check payments.
Credit Card Payments

Approved credit card (AMEX, Discover, MasterCard, or Visa) payments are accepted. CareCredit is also accepted.
Wire Transfers

Payments can be made via wire transfer from your bank. Please contact us for more information.