Learn about Cost and Coverage

At Progenity, we believe all patients should have access to quality tests that enable informed medical decisions. Regardless of your financial situation, we'll work with you to ensure that our testing is affordable for your family.

Our promise: peace of mind

To support patient access to testing, we provide the Peace of Mind program, which is designed to ease the financial burden of testing. The program includes flexible payment options, and, for those who qualify, financial assistance that may reduce patient responsibility.*

How does the billing process work?

Insurance Claim.

After your testing is complete, we will file a claim with your health insurance plan and will work directly with your insurer to make sure you get the appropriate coverage.

Explanation of Benefits.

Your health insurance plan will then send you an Explanation of Benefits (EOB). The EOB is not a bill—do not make any payments at this time.

Invoice.

After our claim is complete, which can take weeks to months, you will receive an invoice from Progenity for any remaining patient responsibility. We’ll also call you to review the invoice and discuss your financial options.

Our Promise.

We promise to provide an option that works for your family. We offer the Peace of Mind program to ease any financial burden.

We’re here for you.

If you have questions about insurance coverage, the cost of testing, or want to learn more about the Peace of Mind program, call our friendly Financial Services team. +1 855-293-2639, option 4.

Please do not call your healthcare provider’s office, as they cannot assist with questions regarding your Progenity patient responsibility.

Frequently Asked Questions

We are a participating provider with many major health plans, state Medicaid programs, and Medicare. However, we may not be an in-network provider for your health plan. To find out, call us at +1 855-293-2639, Option 4.

After the tests selected by you and your healthcare provider have been completed, you may receive a document from your health plan called an Explanation of Benefits (EOB). The EOB is not a bill. It summarizes the status of our claim to your health plan and describes what the insurance company perceives your responsibility to be. This can change over weeks or months as we appeal for payment from the insurer. If you have questions regarding the amounts shown on your EOB, please call us at +1 855-293-2639, Option 4.

At Progenity, we believe all patients should have access to the highest quality genetic tests without the burden of exorbitant medical costs. That’s why we offer the Peace of Mind program, which provides payment assistance for patients who are facing financial difficulties. To discuss your options, please call us toll free at 1-855-293-2639, option 4.

In some cases, the health plan may send reimbursement directly to the patient, instead of to Progenity. If you do receive a check from your health plan for our laboratory services, please call us at +1 855-293-2639, Option 4, for instructions on how to forward the payment.

If you need to mail a payment to Progenity, please send it to: Progenity, Inc. PO Box 674425 Detroit, MI 48267-4425

Pay Online

*Except where prohibited by law or by health insurance plan. Program availability is not guaranteed and may be limited or unavailable in certain states or under certain health insurance plans. Progenity does not waive or cap patient co-pays or deductibles. Patients must meet eligibility requirements to qualify for financial assistance and must provide valid commercial insurance coverage information.