An Explanation of Benefits (EOB) is a notification sent by your insurance company that describes how they covered the cost of services you received from a healthcare provider, like Myriad. The EOB shows the amount paid by your insurance company and the amount that you may owe. An EOB is not a bill and doesn’t typically require you to take any action. A bill (or statement) is a request for payment from a healthcare provider and shows the amount of money you owe for a service you received.
Example of EOB
Example of bill
MyRisk results help you and your healthcare provider manage your individual risk of developing cancer – that’s why Myriad is committed to providing patients with access to accurate and affordable genetic results. We deliver on this commitment in multiple ways, recognizing that everyone’s financial situation is unique.
Most commercial and federally-funded insurance plans cover hereditary cancer testing, and the majority of patients face no out-of-pocket costs for MyRisk testing. For those that do, we provide clarity about any out-of-pocket cost, and we offer options to make testing accessible and affordable.
It’s important to understand your cost – if any – and your options prior to running your MyRisk test. This helps ensure you don’t receive an unexpected bill.
A few business days
1.
Your MyRisk sample is collected and sent to a Myriad lab
2.
Before the test is conducted, any costs are calculated based on insurance coverage, how much of your deductible you’ve paid to date, any copays or coinsurance and eligibility for financial assistance
3.
We’ll contact you via email and/or text to let you know once your personalized cost estimate is ready to view
4.
We have on-demand customer service representatives available to discuss costs and potential payment options
It’s important to open your estimate when you receive it. If your estimate shows you have an out-of-pocket cost, you have options.
Contact us right away to:
We will honor the stated cost shown in your estimate.
If we don’t hear from you before your test results are reported, which is usually 4-5 days after we receive your sample, we’ll file a claim with your health insurance company. Your insurer may send you an Explanation of Benefits (EOB), but this is not a bill. What’s the difference?
Myriad’s Customer Service
(800) 469-7423[email protected]
Many people are eligible for financial assistance
Due to regulatory limitations, people who carry federally funded health insurance such as Medicare, Medicaid, TRICARE, and Medicare Advantage are not eligible for financial assistance. People with some types of Medicaid plans, including those with limited state-funded plans such as emergency-only coverage, or Medicaid in states that do not have coverage for Myriad testing, are eligible for the Myriad Financial Assistance Program; contact Myriad for details about your specific plan type.