Decipher Bladder Insurance
and Billing
Learn more about insurance coverage and billing
for the Decipher Bladder Genomic Classifier.
Scroll for more information
Is Decipher Bladder Covered by Medicare and Commercial Insurance?
Veracyte’s Decipher Bladder is covered by Medicare for patients with clinical stage T1-T4a bladder cancer. For more information, please contact the Decipher billing team at: 1.888.792.1601 and select option #3 or or email us at [email protected].
Medicare covers Decipher
Bladder for men and women
with clinical stage T1-T4a
bladder cancer
Financial support may be available to eligible patients via the Veracyte Access Program
*AJCC Stage I to IIIA Bladder Cancer
| AJCC Stage | Stage Grouping | Medicare Coverage |
|---|---|---|
| 0a | Ta, N0, M0 | |
| 0is | Tis (CIS), N0, M0 | |
| I | T1, N0, M0 |  |
| II | T2a/T2b, N0, M0 | |
| IIIA | T3a/T3b/T4a, N0, M0 OR T1-4a, N1, M0 | |
| IIIB | T1-T4a, N2/N3, M0 | |
| IVA | T4b, Any N, M0 | |
| IVB | Any T, Any N, M1b |
How the Decipher Team Handles the Insurance Process
We Are Committed to Ensuring Access for all Eligible Patients
In the event your test us not covered by your insurance; we offer two programs to ensure testing is affordable for patients:
1. Financial assistance for patients with demonstrated financial need through our Veracyte Access Program. The Veracyte Access program eligibility is based on total annual household income and insurance status. Some eligibility restrictions apply. Tailored payment plans to accommodate certain financial circumstances. Download the Veracyte Access Program here.
Maximum Household Income for Veracyte Access Eligibility
| Number of People in Home | $0 cost to patient if household income is less than: | $100 cost to patient if household income is less than: | $295 cost to patient if household income is less than: |
|---|---|---|---|
| 1 | $45,180 | $60,240 | $75,300 |
| 2 | $61,320 | $81,760 | $102,200 |
| 3 | $77,460 | $103,280 | $129,100 |
| 4 | $93,600 | $124,800 | $156,000 |
| 5 | $109,740 | $146,320 | $182,900 |
2. We offer tailored payment plans to accommodate certain financial circumstances. For more information, please contact the Decipher billing team at: 1.888.792.1601 (and select option #3) or email us at [email protected].
*Veracyte Access eligibility is based on total annual household income, insurance status, and household size. Some eligibility restrictions apply. Veracyte Access offers certain Decipher tests at a reduced cost to eligible applicants except where otherwise restricted. Residents of the United States, District of Columbia and Puerto Rico are eligible to apply. Veracyte Access does not constitute health insurance. You must meet certain income requirements set forth above. We may request documentation to verify your income, including recently filed tax returns and other supporting documentation. By requesting assistance, you certify, to the best of your knowledge, that you are eligible for assistance and that you have insufficient financial resources to pay for the ordered test. We may discontinue or change this program at any time for any reason without notice.