Health insurance coverage and payment FAQ
Will my insurance cover the test?
In general, most all of the testing provided by Singulex is considered to be routine clinical diagnostic laboratory testing and as such, medical insurance providers have traditionally covered these services.
Many factors may affect the coverage decision to reimburse for the testing services provided by Singulex, such as the patient’s diagnosis or a specific coverage determination by an insurance provider, and in these instances the testing may not be reimbursed by the insurance provider.
We believe that every eligible patient should have access to Singulex testing, regardless of coverage determination by your insurance provider or your financial situation. Singulex will assist patients with the following:
- Help determine whether your insurance plan covers the test
- For eligible, insured patients, bill insurance plans directly
- Process the claim once the test is complete, as required
- Direct the patient to the Singulex Financial Assistance Program for qualified applicants (including uninsured and underinsured patients
Is Singulex a laboratory provider for Medicare?
Yes, Singulex is a provider for Medicare and will adhere to all Medicare policies for laboratory testing for eligible Medicare beneficiaries.
Will Singulex bill my insurance?
When you receive services from Singulex, we submit a benefit claim to your insurance provider for reimbursement consideration.
How do I know if my Insurance Provider processed my claim?
After the claim is processed, your insurance provider will send you an Explanation of Benefits (EOB) statement.
The EOB is a statement from your health insurance provider that details your recent healthcare charges and payments based on your benefit plan.
This is NOT a Bill and you are not expected to make any payment based on its receipt, however, we suggest you save the EOB for your records.
Will my Insurance Provider pay Singulex directly?
We request that your insurance provider pay Singulex directly, however, in some instances they may issue payment directly to you.
What if my Insurance Provider pays me directly?
If your insurance provider pays you directly, please sign the back of the check and write “Payable to Singulex, Inc.” and forward the check to the address listed below and include a copy of the Explanation of Benefits (EOB) that you received along with the payment.
Singulex Inc.
Dept CH 19669
Palatine, IL 60055-9669
What if I cannot afford to pay for the testing that my doctor ordered?
Singulex offers a Financial Assistance Program for qualified applicants (including uninsured and underinsured patients) that is designed to help those patients obtain Singulex testing regardless of their financial situation.
Who can I contact if I have questions about insurance coverage, billing or financial assistance?
You may contact us by calling 800.400.4344 or via Email at: .
Information herein pertains to testing performed by or for the Singulex Clinical Laboratory. Singulex proprietary lab developed tests (SMCTM tests, sd-LDL, HDL2b, Adiponectin, and Leptin) were developed and performance characteristics were determined by Singulex. These tests have not been cleared or approved by the U.S. Food and Drug Administration.