Got my bill for the Materniti21 genetics test...

1220winterbride

my portion is $692.27!

I am not sure I would have elected to have this test since I have a donor egg. Although I am thrilled to know the gender early, DAMN...the bill was over $1600 for a blood draw. wow just wow. I am in shock. It is great to avoid amnio but whoa, I am floored. My friend in California got a bill for $150... I thought my insurance is pretty good but I guess this is normal??

any thought? any others receive a large co-pay for genetics screening? I'm high risk due to my age. I think it should be covered,

pblge

I didn't have any of those tests done, but HOLY SMOKES!!!!!!
:-O :-O :-O :-O :-O :-O :-O

Sorry you're dealing with that!

bears1011

I'm not having this test done but I did look into it. If it's a bill and not just an EOB, Check with your insurance and the lab to make sure everything was coded correctly. Sometimes an incorrect code will cost you lots of money. I would call the lab directly as well and see if they will write off some if it, as I've seen ladies on here say they had luck that way too! Def don't just pay it though without further research!

Our insurance is through my husbands work and they have a woman who you can email that works on your behalf to resolve issues with insurance. the woman has been super helpful for us as we went through ivf. Maybe also explore that!

1220winterbride

Thanks for the tips, ladies. I'll report my findings asap.

gsancho

I'd make sure it's not an EOB.  That sucks it was so much, especially if you'd be categorized as high risk.  I only had to pay $25, and my OB was good about letting me know the OOP cost for me before I had it done.  It seems like there should be a way for you to dispute and get the cost down.

iheartsippycups2

Dang, my DR said it would only be $25- I hope he is right! (just had it done)

nawlinsgrl

I had it done almost 2 years ago for my son and I was out of pocket $225-$250, which I knew in advance.  Due to AMA, DH really wanted to know about any potential chromosomal issues as early as possible.  

I contacted the insurance company and the testing company before getting the test, and back then the test was so new that they capped the OOP portion to that amount, because they needed to get their numbers up for research purposes to support their chances of becoming a more commonly done test, instead of an elective one in terms of insurance coverage, like the NT scan is.  Pretty sure my insurance covered the cost of the NT scan since I was over 35.

Hopefully it's still the case, or even less by now!

chucktgirl

I also received a larger-than-expected bill. I simply called the number on the invoice and the lady forthrightly offered to lower the cost. I don't remember exactly what it was, but it was around $200 - $250. I happily agreed and found that an acceptable charge. Good luck!

1220winterbride

Here's the deal---

okay, the $1,200 CF test is towards the deductible. $700 is my part.

FETAL ANEUPLOIDY Trisom Risk was $2,762 My part was $82.00

2,762.00

825.00

825.00

742.50 (90%)

82.50 (10%)

82.50

TRISOM RISK

I'm sort of confused. My bill has line items for several screenings, not just one line that says Materniti21...so every item is either toward my deductible or not based on if its considered preventative or Diagnostic. That one particular test is so expensive! ugh.

1220winterbride

t

1220winterbride

My EOB says the big one is the CF TR Screen and its considered diagnostic so its counts toward my deductible. yuck,. Quest offered me a payment plan LOL, she was like no we can't waive the fee. Aetna might, she says but we don't write off...I can't wait to tell my DH when I get home. (sarcasm)

Pintobean39

I actually decided against doing the materni21 test because it's so expensive. It's $2700 out of pocket but my insurance covers it 100% assuming if it's billed to the right code (quest has 3). If the dx code is incorrect it's covered at 70%. We did PGD and decided not to even chance that it will get billed correctly.

I never even looked at the cost of the CF test because they checked me before the IVF and I already paid $1,000 for that test at Labcorp.

I'd try to pay as little amount as possible. I'm on a payment plan with Labcorp for all the genetic testing we did through my RE. Can't beat interest free financing.

BalletAn

How strange! We did the harmony test and I got a statement from my insurance saying that the cost that they did not cover was like $5000+ I then called the company and they said the max out of pocket would be $25 for all the tests combined (my CF test, my husband's CF test & the Harmony test). Materi21 might be different, but I would call them just to verify.

I'm also surprised that they ran the CF test if you used donor eggs, why? there would be no reason to do so. 

Regan1976

This is why the OB office had me call my insurance first. I have someone's name and the date they told me that it was 100% covered due to my age. But I'm sure this means if the OB wants to still do the other tests they won't cover them. The lady on the phone seems confused I called but now I see why the OB nurse was like call anyways. Geez, dealing with insurance is so grand. It does wonders for your blood pressure!  :-L

erbear84

My insurance required pre-authorization, so I had to have my drs office call.  I still don't know if it was approved or not, so...not doing it until I know for 100% it's covered!