Understanding your insurance coverage for Symphony^TM 

Agendia is billing insurance companies on behalf of insured patients in the USA. Some insurance companies will pay the entire charge and some will pay a portion of the charge based on patient benefit levels. Agendia will accept the insurance payment as payment in full with a signed Assignment of Benefits form (AOB). For questions regarding your specific level of coverage, please contact Agendia’s Customer Care team and one of our specialists will be happy to assist you further.

In the unusual event that your insurance company denies coverage we will gladly work with your health insurance provider to appeal the denial. In most cases the appeals process, which may include a letter from you and/or your physician, will overturn the denial and the insurance company will agree to pay for the testing services.

Agendia will do its best to minimize your financial burden. If your insurance company denies payment for your MammaPrint test, and the appeals process is unsuccessful, Agendia’s Customer Care team can assist you with eligibility for a discounted payment program tailored specifically for you. Please contact Agendia’s Customer Care team and one of our specialists will be happy to help you further.

An AOB form is a standard agreement that authorizes Agendia to provide the necessary billing information, on your behalf, to your health insurance plan for claims processing purposes and to appeal for payment when necessary. It authorizes your health insurance plan to pay Agendia for your the Symphony profile and allows Agendia to accept that payment as payment in full, thereby eliminating balance bills for the difference between the retail charges and the amount that your insurance company actually pays.

 

At the time you decide to have your MammaPrint test performed, you can ask your physician for the Agendia AOB form. If your physician does not have this form on hand, please contact Agendia Customer Care and we will provide you with an AOB by email, fax or mail. If your test arrives at Agendia without a signed AOB form and you have health insurance, we will make every effort to contact you, send you the form and allow you to fax or mail the signed form directly to us. We are here to assist you every step of the way.

Agendia will bill your health insurance plan directly on your behalf. Depending on your health insurance plan benefits, you may be responsible for any applicable co-payment, deductible or co-insurance as required by your insurance company. These costs vary by patient benefit level and insurance company. 

Agendia is a compassionate company offering a wide range of financial assistance programs based on individual financial status. If your insurance provider denies Agendia's appeals, please contact Agendia's Customer Care team and one of our specialists will gladly discuss these programs and determine your eligibility. 

Once your claim is processed; many insurance companies send patients a statement called an Explanation of Benefits (EOB). This statement informs patients of services billed, charges and the amount payable according to the plan and patient benefit levels. EOB's may include information pertaining to appeals or patient financial responsibility such as co-pays, co-insurance and/or deductibles. Please note that EOB's are not bills. They are a statement of information for patients. Actual information provided on an EOB may vary by insurance company.

If you have any questions regarding an EOB from your insurer pertaining to the Symphony profile, please contact Agendia Customer Care and one of our specialists will help explain your claim status.

Agendia offers a variety of financial assistance programs with options based on individual financial status. Some programs have certain eligibility requirements, so please contact Agendia's Customer Care team and a specialist will gladly assist you in determining the right program for you. 

Yes. You can pay over time and you can make payments using your credit card. Please contact Agendia Customer Care and a specialist will discuss the right payment plan for you.

Agendia's Customer Care team is available to assist you regarding any insurance and billing questions related to the Symphony profile tests.  Please contact Agendia Customer Care and a representative will gladly assist you with yor questions.