We believe that cost should not be a barrier to genetic testing

As a lab founded by clinicians, accessibility is a cornerstone of Blueprint Genetics. Our goal is to provide the highest quality genetic testing to patients and families, but we understand the financial challenges individuals can face when trying to access this testing.

Our entire test menu is covered by our Financial Assistance Program! This includes all single gene, panels, whole exome sequencing, familial variant, and targeted variant tests. With this program we hope to ease the financial burden to many patients and families.

How does the program work?

At Blueprint Genetics, customer service is in our DNA.

Our billing specialists will work with patients and families to review the eligibility criteria related to the Financial Assistance Program and answer any questions. The program is based on income levels and household size, with financial assistance for families earning up to 600% of Federal Poverty Level.

• Blueprint Genetics will perform a benefit investigation once an order is placed in Nucleus or sample is received with insurance (copy both sides of the patient’s insurance card) and patient demographic information. Patients with any commercial insurance are eligible for this program, as are those covered by Medicaid, Medicare and Tricare. Patients without insurance are also eligible.
• One of our billing specialists will contact the patient (normally within 72 hours after an order is placed) and inform them of their out-of-pocket cost, taking into account any unmet deductible, co-pay, and co-insurance, as well as explain their payment options under our Financial Assistance Program.
• Blueprint Genetics’ billing specialists will process insurance prior authorizations (PA) on behalf of the patient whenever allowed by the insurance company, and will assist clinicians with submitting letters of medical necessity (LOMN) and supporting clinical documents.
• If the patient is not completely satisfied with our billing solution and options under the Financial Assistance Program, there is no obligation to move forward with testing. If the patient decides to cancel the test, we will contact the ordering healthcare provider before cancellation.
• We offer flexible payment plan options for patients and families who experience economic challenges

Qualifying for the Financial Assistance Program

Our Financial Assistance Program is based on income level and household size; we have a tiered pricing method for those who have incomes <200%, <400%, and <600% of the federally established income guidelines (shown in the table below).

The program provides tailored financial solutions based on federally published income guidelines to any insured or uninsured patient who qualifies financially.

Payment plan options are also available to those who exceed the 600% Federal Poverty Level. Our billing specialists are available at billing.us@blueprintgenetics.com or 1.650.452.9340 ext.1 for questions and support.

Example: If an individual’s total family size is 4 and the total household income is $100,000, then the individual would qualify for the discount amount for families making up to 400% (4 times) the Federal Poverty Guideline.

Please view the income eligibility chart for Alaska here and Hawaii here.

The 2023 poverty guidelines are in effect as of January 2023. These figures will be updated annually: https://aspe.hhs.gov/poverty-guidelines