What do you need to do? After your physician has received the test results, Interpace Diagnostics will handle the insurance claim submission. Many commercial insurance carriers cover our tests, as they are deemed reasonable and necessary. You will receive a letter from Interpace Diagnostics accompanied by an application to participate in the COMPASS* Program. All patients are encouraged to apply so that our experienced staff can provide information tailored to your unique situation. If you have any questions about COMPASS* or your eligibility, please contact us at 866.445.6719 You will receive a statement, or Explanation of Benefits (EOB), from your insurance carrier. This EOB is not a bill; do not pay the amount on this statement. After Interpace Diagnostics receives a response from your insurance plan, you will receive a letter detailing next steps from us. COMPASS Program Compassionate Assistance Program: Financial Options for Patients TM DI AGNO STI C S Interpace Diagnostics, LLC, 75 Remittance Drive, Suite 6650, Chicago, IL 60675 www.interpacediagnostics.com | TEL: 866.445.6719 FAX: 440.528.6014 | IDX-0012-00 (02/15) About the COMPASS Program Case 1 Case 3 At Interpace Diagnostics, we are committed to providing patients with access to personalized medicine, regardless of their personal financial situation. Since coverage differs by insurance plan, Interpace Diagnostics has implemented the COMPASS* Program, which offers needsbased financial and cost-sharing assistance. All tests provided by Interpace Diagnostics are covered in the COMPASS Program. Financial Assistance 85% of eligible patients will pay no more than $300 based on current Federal Income Guidelines. Married man, 2 children (family of 4) Family income (yearly) Maximum out-of-pocket responsibility $22,000 $0 Case 2 62-year-old male, single Income (yearly) Maximum out-of-pocket responsibility $40,000 $300 Case 4 (Cost-sharing Assistance option) Cost-sharing Assistance If you do not qualify for financial assistance, you may be eligible for the cost-sharing option. Under this option, the maximum outof-pocket cost is $500. Single mom, 2 children (family of 3) *COMPASS is not available to patients covered by Medicare, Medicaid, or any other government program, or where the program is restricted or prohibited by federal or state law. If the Interpace Diagnostics test is considered in-network by your insurance plan, the patient will be responsible for any applicable deductibles, copayments, and coinsurance liabilities. Family income (yearly) Maximum out-of-pocket responsibility If you have any questions about COMPASS* or your eligibility, please contact us at 866.445.6719 $55,000 $300 Single, middle-aged female Income (yearly) Maximum out-of-pocket responsibility $250,000 $500 TM DIAG NOSTICS
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