Financial assistance inquiry

We work hard to make our screens affordable. If you don't have insurance or are unable to pay your bill in full, please enter your information below and we will be in touch.

Eligibility

Eligibility for no-charge testing is determined by family size, income and medical expenses. The criteria is listed below.

Please note that, in addition to the eligibility guidelines below, financial assistance is only available to residents of the United States. You must also be under the care of a healthcare provider who is licensed in the United States.

Family size (excluding current pregnancy)Combined family income equal to or less than*
1$48,560
2$65,840
3$83,120
4$100,400
5$117,680
6$134,960
7$152,240
8+$169,520

* Combined household income must be less than or equal to four times the federal poverty guidelines. This is based on the HHS Poverty Guidelines for 2017. Restrictions may apply.

Step 1: Tell us about yourself

Counsyl patient: A Counsyl patient is someone for whom a healthcare provider has ordered a Counsyl screen. You may apply for financial assistance once Counsyl has received your healthcare provider's order. It is not necessary to have completed your sample collection.

Step 2: Personal information

Step 3: Counsyl information

Step 4: Income

Locate your invoice number or barcode number on any of the items shown below and enter above. If you do not have this information, please contact us.

Barcode on the kit
Barcode on kit
Barcode on the card
Barcode on card
Invoice number
Invoice number

Something went wrong. Please try again or contact us.

Total annual gross household income means the total income earned by all members of your household before taxes from any source (e.g., gross salary, unemployment compensation, disability, worker's compensation, Social Security benefits, public assistance, or other)