Coverage, Billing, and Financial Assistance
Get clear answers about insurance coverage, billing, and financial help for CareDx testing. Learn what to expect and where to get support.
CareDx is committed to helping make testing available for as many patients as possible. We understand that coverage, costs, and billing can feel stressful during an already challenging time. That’s why we offer support to help patients at every step. We also work to make the billing process clear and simple for both patients and care teams.
Need help? Contact our support team
Email: customercare@caredx.com Phone: 888-255-6627 | Mon–Fri 8am–7pm ET / 5am–4pm PT
Insurance Coverage and Cost of Testing
CareDx tests are covered by Medicare and Medicare Advantage plans when coverage criteria are met. Coverage varies for commercial and Medicaid plans. CareDx also maintains a Financial Assistance Program for patients who qualify. 95% of CareDx patients have no out-of-pocket expenses.
CareDx Billing Process
1
Your doctor orders a CareDx test.
2
Once testing is complete, CareDx bills your insurance, and we confirm insurance coverage.
3
Your insurance will process a claim for your test. The notice you receive from your insurance is called an Explanation of Benefits, or EOB. This is a statement that explains what was submitted to them and what they covered.
This is not a bill, and you don’t have to make payment.
4
If your insurance denies the claim, they will notify you and CareDx. We will reach out for your permission to help appeal with your insurance provider on your behalf.
Appeals may take several months, and you may be notified of each appeal with another EOB or letter from your insurer. This is standard practice when appealing a claim.
5
In the event the appeals are unsuccessful and you have a financial responsibility, you may contact us to apply for our financial assistance program. If you still have a balance, CareDx will send you an invoice—like the one shown above—for your remaining responsibility. Do not make payment until you receive this invoice.
What’s the difference between an EOB and a bill?
The notice you receive from your insurance is called an Explanation of Benefits, or EOB. This is a statement that explains what was submitted to them and what they covered. This is not a bill, and you don’t have to make payment.
Financial Assistance Program
CareDx offers a Financial Assistance Program to help eligible patients reduce or eliminate out-of-pocket costs for CareDx testing.
For questions about eligibility or how to apply, you can reach the CareDx team at 1-866-383-1924 or mailto:financialassistance@caredx.com
Download the patient assistance program guide
Get helpful information about insurance coverage, testing costs, and the CareDx Financial Assistance Program
DownloadFor questions, reach out to our support team
Our support team can help answer any of your insurance, billing, or cost questions related to our tests. Financial assistance is available for patients who meet our program eligibility criteria.
For more information or to apply, contact us at the below email or phone number.
Contact information
Email: customercare@caredx.com Phone: 888-255-6627 | Mon–Fri 8am–7pm ET / 5am–4pm PT
Helpful tips for managing coverage & costs
Support is available
Most transplant centers have financial coordinators who can help you explore ways to pay for your care. You can also speak with your transplant social worker about extra help with medications, travel, or testing costs. In some cases, outside groups may offer patient assistance programs to help transplant patients with medical bills and daily living needs.
What to check during open enrollment
Open enrollment is the time each year when you can choose a new insurance plan or make changes to your current one. Check what tests, medications, and services are covered, compare co-pays and deductibles, and think about what works best for your budget. If you change plans, let your care team know, as new prior authorization (approval of coverage from your insurance company) may be needed.
Commonly asked questions
CareDx tests are covered by Medicare and Medicare Advantage when medical rules for coverage are met. Coverage for commercial insurance and Medicaid plans can vary. We are continually working with insurance partners to help more patients get access to testing.
CareDx is committed to providing scientifically supported educational content for transplant recipients and caregivers. All content is for educational purposes only and is not intended to serve as medical advice or replace guidance from your healthcare provider. Always seek the advice of your transplant team with any questions you may have regarding your specific medical condition.