Insurance Coverage & Financial Assistance

Exact Sciences believes that everyone should have access to the information they need to make confident, informed decisions about their cancer treatments. That’s why Exact Sciences created the Genomic Access Program (GAP), which helps eligible patients navigate insurance and other payment options for Oncotype DX GPS tests. Contact Customer Service by phone 866-ONCOTYPE (662-6897) or by email.

Insurance coverage

Medicare covers the Oncotype DX Genomic Prostate Score (GPS) test for eligible patients (NCCN very low, low, and favorable intermediate risk disease), and private insurance coverage varies. We assist you through the claims process with your insurance company, including with your permission, help with appeals for any denial of coverage.

If your insurance covers the test, our patient assistance program will:

  • Work with your physician to get prior authorization from your insurance company (if required).
  • Bill insurance companies directly when possible.
  • Process the claim once the test is complete.
  • Assist in the appeal process if a claim is denied.

To get started with GAP, contact Customer Service at 866-ONCOTYPE (662-6897)).


Financial assistance

Exact Sciences offers financial assistance programs for eligible patients with financial hardship. These programs are based on financial eligibility. Contact Customer Service for more information.

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