Working Toward Coverage for all Eligible Patients
At Veracyte, we ensure eligible patients receiving Decipher Prostate testing have access to insurance coverage options and billing support, so you can focus on your treatment with peace of mind. For families that need additional financial assistance, we offer services such as the Veracyte Access Program.
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Is Decipher Prostate Covered by Medicare and Commercial Insurance?
Medicare covers Decipher Prostate for all beneficiaries with localized prostate cancer
Decipher Prostate is included in national guidelines and covered by major commercial insurance plans throughout the US
Financial support may be available to eligible patients via the Veracyte Access Program
Medicare Coverage Across the Spectrum of Localized Disease
*National Comprehensive Cancer Network (NCCN®)
Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Prostate Cancer V.3.2024. © National Comprehensive Cancer Network, Inc. 2024. All rights reserved. Accessed [March 31, 2024]. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way. NCCN = National Comprehensive Cancer Network® (NCCN®)
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 | $52,710 | $60,240 |
| 2 | $61,320 | $71,540 | $81,760 |
| 3 | $77,460 | $90,370 | $103,280 |
| 4 | $93,600 | $109,200 | $124,800 |
| 5 | $109,740 | $128,030 | $146,320 |
| 6 | $125,880 | $146,860 | $167,840 |
| 7 | $142,020 | $165,690 | $189,360 |
| 8 | $158,160 | $184,520 | $210,880 |
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 (formerly known as Decipher Assist) 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.