Insurance Plans

Baylor Genetics partners with a broad range of commercial and government insurance providers. However, in-network status may vary by plan type, location, and insurance product. We recommend that patients and healthcare providers confirm network participation with the health plan before services are provided.

Please note that being in-network does not guarantee coverage — some plans may require prior authorization, a letter of medical necessity, and/or other documentation. For the most accurate coverage details, refer to your specific health plan’s medical policy.

The Medicaid policies listed below require prior authorization by an ordering provider. Texas Medicaid and Texas Managed Medicaid will no longer process prior authorizations or provide reimbursement for testing that is not covered by the Texas Medicaid fee schedule. This will primarily affect any testing coded with 81479.

We are a certified Medicare provider. The patient must meet Medicare’s specific testing criteria for genetic tests. A completed Advanced Beneficiary Notification (ABN) form is required if the patient does not meet the criteria.