- Interpace Diagnostics

Transcription

- Interpace Diagnostics
What do you need to do?
After your physician has received the test
results, Interpace Diagnostics will handle
the insurance claim submission. Many
commercial insurance carriers cover our
tests, as they are deemed reasonable and
necessary.
You will receive a letter from Interpace
Diagnostics accompanied by an application
to participate in the COMPASS* Program. All
patients are encouraged to apply so that our
experienced staff can provide information
tailored to your unique situation.
If you have any questions about
COMPASS* or your eligibility,
please contact us at
866.445.6719
You will receive a statement, or Explanation
of Benefits (EOB), from your insurance
carrier. This EOB is not a bill; do not pay the
amount on this statement.
After Interpace Diagnostics receives a
response from your insurance plan, you will
receive a letter detailing next steps from us.
COMPASS Program
Compassionate Assistance Program:
Financial Options for Patients
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DI AGNO STI C S
Interpace Diagnostics, LLC, 75 Remittance Drive, Suite 6650,
Chicago, IL 60675
www.interpacediagnostics.com | TEL: 866.445.6719
FAX: 440.528.6014 | IDX-0012-00 (02/15)
About the COMPASS Program
Case 1
Case 3
At Interpace Diagnostics, we are committed
to providing patients with access to
personalized medicine, regardless of their
personal financial situation.
Since coverage differs by insurance plan,
Interpace Diagnostics has implemented the
COMPASS* Program, which offers needsbased financial and cost-sharing assistance.
All tests provided by Interpace Diagnostics
are covered in the COMPASS Program.
Financial Assistance
85% of eligible patients will pay no more
than $300 based on current Federal Income
Guidelines.
Married man, 2 children (family of 4)
Family income (yearly)
Maximum out-of-pocket
responsibility
$22,000
$0
Case 2
62-year-old male, single
Income (yearly)
Maximum out-of-pocket
responsibility
$40,000
$300
Case 4 (Cost-sharing Assistance option)
Cost-sharing Assistance
If you do not qualify for financial assistance,
you may be eligible for the cost-sharing
option. Under this option, the maximum outof-pocket cost is $500.
Single mom, 2 children (family of 3)
*COMPASS is not available to patients covered by Medicare,
Medicaid, or any other government program, or where the program
is restricted or prohibited by federal or state law. If the Interpace
Diagnostics test is considered in-network by your insurance plan,
the patient will be responsible for any applicable deductibles,
copayments, and coinsurance liabilities.
Family income (yearly)
Maximum out-of-pocket
responsibility
If you have any questions about COMPASS* or your eligibility,
please contact us at 866.445.6719
$55,000
$300
Single, middle-aged female
Income (yearly)
Maximum out-of-pocket
responsibility
$250,000
$500
TM
DIAG NOSTICS