for healthcare professionals
Who pays for the ChemoFx test?
The test is covered by Medicare and has been reimbursed by more than 450 commercial insurance companies. Precision Therapeutics submits claims on behalf of the patient to the patient’s health plan. Patients with commercial insurance will be responsible for applicable co-payments, deductibles, and co-insurance as required by their policy.

If the insurance company does not pay for the ChemoFx test, will Precision Therapeutics
bill the patient?
Precision Therapeutics bills Medicare directly and does not bill Medicare beneficiaries or Medicare HMO/PPO plan members. If Medicare does not reimburse the cost, Precision Therapeutics will appeal the denial.

Precision Therapeutics will act on behalf of the patient by pursuing the claim through all levels of appeal. In certain cases, the insurance company may require the patient to sign a Release Form stating that the patient allows Patient Advocates from Precision to appeal any denial on their behalf. If a signed form is necessary, Precision will contact the patient to obtain the form so that we may continue to work towards resolving the claim with their insurance company. Patients will be responsible for co-payments, co-insurance, and deductibles as required by their policy. However, patients may be eligible for Precision’s Compassionate Care Program depending on their individual situation (please refer your patient to a Precision Therapeutics Patient Advocate for further details).

If the patient’s insurance company calls me, do I need to get involved?
Because ChemoFx is a highly specialized test, insurance companies may call you to confirm the medical necessity of the test. Precision Therapeutics may ask you to provide a letter of medical necessity on occasion.

If questions regarding billing issues arise, please direct these callers to the Reimbursement Help Line at 1-888-522-7087. Our Patient Advocacy staff is highly qualified and prepared to assist you. It is Precision Therapeutics’ desire to minimize any burden that arises regarding reimbursement issues.

If the patient calls me directly, should I get involved?
If a patient has any billing issues whatsoever, the patient should contact Precision Therapeutics’ patient advocacy department at 1-888-522-7087.
Multiple chemotherapies can wear down the patient. So why not try them on the cancer first?