Pricing and payment options

Natera being designated as in-network for your insurance plan may help reduce your Natera genetic testing bill.

 

However, Natera being in-network does not guarantee that 100% of the cost of testing will be covered. The total amount billed to you depends on your specific insurance plan. We recommend contacting your plan’s Member Services department for coverage questions (the number for Member Services is usually found on the back of your insurance card).

Prior to submitting your sample, you can receive a personalized cost estimate for Panorama™, Vistara™, Empower™, or Horizon™ by texting us at 1-650-210-7046 or emailing estimate@natera.com.

 

When requesting an estimate, please provide your doctor’s name, clinic, and state, your full name and date of birth, and your insurance information, including the plan name, policyholder name, member ID, group number, and the full name and date of birth of the primary insurance policyholder, if different than the person receiving the test.

 

If your expected out-of-pocket cost with insurance exceeds the self-pay cost, Natera’s Price Transparency Program will attempt to send you a cost estimate. This estimate is typically sent within 48 hours of Natera receiving your sample.

 

If you have an option between self-pay and insurance, you may receive a communication that requests a decision within 3-5 business days. If you do not respond, we will default to billing your insurance. Once a claim has been submitted to your insurance, you can no longer choose the self-pay option.

If you provide insurance information, Natera reviews it and provides a cost estimate to indicate how much you may expect to pay out of pocket. If you do not have health insurance, the estimate will reflect your self-pay cost.

 

When requesting an estimate, please provide your doctor’s name, clinic, and state, your full name and date of birth, and your insurance information, including the plan name, policyholder name, member ID, group number, and the full name and date of birth of the primary insurance policyholder, if different than the patient.

Many health plans require the doctor or laboratory that orders the test to submit a prior authorization, sometimes called precertification or preauthorization, in order to receive coverage for certain tests. We recommend contacting your plan’s Member Services department for coverage questions (the number for Member Services is usually found on the back of your insurance card).

 

If prior authorization is denied, Natera may offer you the self-pay price for your specific genetic test.

Natera is committed to making the benefits of genetic testing widely accessible. Natera therefore offers an affordable self-pay price for people without health insurance or with high out-of-pocket costs, such as those on a high-deductible plan.

If your estimated out-of-pocket costs exceed the self-pay price, Natera will attempt to contact you via our Price Transparency Program to discuss payment options.

 

If you have the option of either self-pay or using insurance, you may receive a communication requesting a decision within 3-5 business days.

 

Natera promises to process genetic, carrier, and prenatal screening tests in a timely manner, so if you do not respond to the request, Natera will default to billing your insurance. Once a claim has been submitted to your insurance, you can no longer choose the self-pay option.

After your Natera test has been completed, a claim has been submitted, and your insurance company has processed it, your insurer will send you an Explanation of Benefits (EOB) document.

 

An EOB is not a bill, even though it may look like one. It provides an outline of the claim amount and the amount that your plan covers. Even though it contains an amount that you may be expected to pay, this amount is not final and may not include additional discounts from Natera. Your genetic testing bill from Natera will provide the final amount due.

Once your insurance has reviewed the claim, Natera billing issues you a bill for any out-of-pocket costs. Payment is due 30 days following the invoice date.

 

For additional questions, Natera’s billing phone number is 1-844-384-2996. Support is available between 8 am – 7 pm Central Time, Monday-Friday.

Payment is due 30 days after Natera billing issues you a bill for any out-of-pocket costs. The issue date is listed on your genetic testing bill.

If you need help covering your expected Natera genetic and carrier testing bill, we offer financial assistance programs for individuals and families who qualify. You can apply for financial assistance using this webform. 

 

For additional questions regarding cost, Natera’s billing phone number is 1-844-384-2996. Support is available between 8 am – 7 pm Central Time, Monday-Friday, for questions about your Natera genetic and carrier testing bill.