Understanding health insurance coverage for MammaPrint® in the USA


Making personalized medicine available for your breast cancer patients

Agendia has established excellent coverage for MammaPrint through Medicare (CMS) and private health insurance companies and is billing 3rd party payors (PPO, HMO and IPA's) on behalf of insured patients throughout the USA.  While most insurance companies will pay the entire charge others may only pay a portion of the charge based on patient-specific benefit levels.  Agendia will accept the insurance payment as payment in full with a signed Assignment of Benefits form (AOB).


Depending on your patient's health insurance plan benefits, she may be responsible for any applicable co-payment, deductible or co-insurance as required by her insurance company or in accordance with state laws. These costs vary by patient benefit level and insurance company.  Agendia will support your patients with insurance claims, appeals, financial assistance, and payment programs. For more information about medical insurance coverage questions, please review our Frequently Asked Questions (FAQ's) page.


If you have specific patient-related questions, please contact Agendia’s Customer Care Team where specialists are available to provide assistance with any health insurance reimbursement and billing questions pertaining to the MammaPrint breast cancer test and Agendia's other lab tests at: Agendia Customer Care.