Clover Genetics is dedicated to providing accessible services to all individuals regardless of their financial status. In addition to our standard payment structure, We offer discounted services for those who meet our Sliding-Scale criteria.

 

 

When you schedule your service with Clover Genetics, we will ask you how you plan to pay. Before your visit, it is important for you to understand your options. If you are not using a Specialty Program Code, Clover Genetics will request to put a credit or debit card on file in our secure billing system to reserve your appointment.

Paying Out-of-Pocket (OOP):

Any clinical genetic counseling appointment to evaluate an individuals risk for genetic condition, discuss an already diagnosed condition, to review results or to determine if genetic testing is the right option.

All appointments are scheduled for 1 hour and billed at $150 per 30 minutes, utilizing CPT code 96040, totaling $300 for a 45-60 minute visit. Appointments may be shorter than the allotted time, but charges will not be prorated and is based on the amount of 30 minute increments used. Time used in the visit is at the discretion of the genetic counselor. Any additional time will be billed at the same rate of $150 per 30 minutes.


The Sliding Scale Program may adjust fees to as low as $60.00 per 30 minutes for qualifying patients (see below).

Accepted Payment Methods:

  • Credit or Debit card

  • HSA or FSA card

  • Pre-established payment plans

  • Specialty Program codes

Paying for Genetic Testing:

Clover Genetics will work with your physician and the lab to find the most affordable option if genetic testing is indicated. Most insurance plans offer coverage for genetic testing. Before any testing begins, our team will partner with the lab to provide a clear estimate of the cost. We will also explore no-cost and self-pay options to ensure access to testing. Many genetic testing laboratories offer Out-of-Pocket payment discounts for patients seeking testing without insurance. Patient Assistance Programs are often available for those who qualify.

If you do not have a physician working with you on your diagnosis, our practice collaborates with a geneticist, a physician specializing in genetics, who is available to review and possible sign-off on genetic testing requests. There is a nominal $25 fee for this service.

 

 

Out-of-Network
Insurance Reimbursement:

Clover Genetics is not in-network with any insurance. We offer a sliding pay scale in order to keep appointments affordable for everyone. Any balance after your appointment will be billed directly to you.

We can provide an itemized receipt to independently submit to your insurance for reimbursement, but cannot guarantee you will be reimbursed. We can offer information on the basic process for submitting an out-of-network claim to your insurance, but cannot do so on your behalf. To set up a payment plan or any other financial needs, please contact Info@CloverGenetics.com for assistance.

 

 

Payment Plan Options:

Clover Genetics offers a payment plan option for any patient who prefers not to pay their full balance upon receiving their bill. Three standard options for our payment plans are available.


Please request more information from Clover Genetics staff for further detail or assistance surrounding billing. We are willing to work with patients to set up a plan that is mutually satisfactory!


Sliding-Scale Options:

 

Clover Genetics offers a Sliding-Scale discount for patients in need of care who require financial assistance to fund their appointment. Please reference our Sliding-Scale qualification table to determine your default eligibility. Those in need of assistance that do not meet eligibility requirements may have options for other financial assistance and should still complete the application linked below.

*To learn about the Federal Poverty Level (FPL) visit:

www.healthcare.gov/glossary/federal-poverty-level-fpl/

*Note that your FPL bracket is determined based on your Gross Family Income and Family Size; remember to consult the link above if you're struggling to identify your bracket.*

To apply for our Sliding-Scale Program and learn more, please fill out the form linked here.


Donated Appointments: We are currently seeking funding for our donated appointment program. If you are interested in donating funds or services to our program please contact us at: Info@CloverGenetics.com