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.
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
Myriad testing is in-network with most commercial insurance plans, meaning you can make the most of your insurance benefits.
Your cost for hereditary cancer testing depends on several factors, including your insurance plan, your remaining deductible and your eligibility for financial assistance. Most patients pay $0 out-of-pocket for MyRisk.1
95%
of private insurers have coverage for testing1
90%
of patients have no out-of-pocket costs1
$54
is the average out-of-pocket cost1
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 after Myriad receives your MyRisk sample from your healthcare provider, we’ll contact you via email and/or text to let you know your personalized cost estimate is ready.
Your estimate will consider
1
Your MyRisk sample is received by Myriad’s lab.
2
Your insurance benefits and eligibility for testing are confirmed. This helps us determine your insurance coverage and calculate whether you’ll have any out-of-pocket cost.
3
You’ll receive an email and/or text from Myriad notifying you that your estimate is ready to view.
It’s important to open your estimate when you receive it. Most patients will pay $0 for their MyRisk test, but if your estimate shows you’ll have an out-of-pocket cost, you have options.
Contact us right away to:
If we don’t hear from you before your test results are reported, which is usually 7-14 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?
Together, we can work to make these important genetic results available to you and your healthcare provider.
We can work together to make these important. Together, we can work to make these important genetic results available to you and your healthcare provider.
58%
of people are eligible2 for financial assistance