Patient FAQ

pharmacogenomics
What is pharmacogenomic (PGx) testing?

Pharmacogenomic testing, also known as medication response testing, identifies how genes affect a person's response to drugs. It combines pharmacology (the science of drugs) with genomics (the study of genes and their functions) to determine effective, safe medications and doses tailored to a person's genetic makeup. Learn more about PHARMACOGENOMICS.

THE ONEOME RIGHTMED® COMPREHENSIVE TEST
Why would I need this test?

Medications affect everyone differently. Some people metabolize drugs more quickly and others much more slowly, resulting in different responses to medications. This creates a challenge for doctors when trying to choose the right medication and dose for each patient. In addition, some individuals may have mild to severe side effects from medications. The OneOme RightMed comprehensive test informs your doctor on how your body may respond to medications, which helps them to make more informed prescription decisions.

Will this test tell me all the information I need to know about which medications will work for me?

The RightMed test is not the "end all be all" answer. There are other factors that contribute to how you may respond to a medication aside from genetics (e.g., allergic reaction, immune response, intolerance to inactive ingredients, health factors, drug-drug interactions, environmental factors, other medical conditions, etc.). Administration of any medication requires careful therapeutic monitoring by a qualified healthcare professional. Your doctor remains ultimately responsible for all of your diagnosis and treatment decisions.

What is the difference between this test and other genetic tests (e.g., 23andme)?

The OneOme RightMed comprehensive test is a doctor-ordered pharmacogenomic test intended to help you and your healthcare provider understand how you may respond to certain medications based on your genetics. It does not cover ancestry, cosmetic features, or similar information that may be provided by certain direct-to-consumer tests. Although the RightMed test is not intended to diagnose any hereditary disease or disease risk, OneOme will report secondary findings for certain genetic results that you and your doctor may wish to discuss.

How will my doctor use the information provided by the OneOme RightMed test?

The actionable reports that OneOme provides to your doctor may help him/her to better select which medications to prescribe. Since your DNA does not change, the test results can be used by your doctors for medication decisions for years to come.

GETTING THE ONEOME RIGHTMED® COMPREHENSIVE TEST
How can I get the RightMed comprehensive test?

The RightMed test is ordered by your doctor using a test requisition form or via OneOme’s provider portal. For more information on how to talk to your doctor about the test, download our Patient toolkit. Once your doctor orders the test, you’ll provide your sample via a cheek swab, either at your doctor's office or at home using a test kit sent by OneOme (select doctors may also request you provide a blood sample). The kit includes simple, step-by-step instructions, and a DEMONSTRATION VIDEO is available for your reference. After the kit is activated and returned to OneOme in the prepaid packaging, your sample will be processed, and your test results will be sent to the doctor who ordered it.

What is included in the cost of the RightMed comprehensive test?

OneOme offers an end-to-end solution that includes sample collection (through either a cheek swab kit that can be mailed to your home or performed at your doctor's office, or a blood sample), pharmacogenomic testing services, data analysis, clinical interpretation, the RightMed comprehensive test report, and several reporting options for doctors. In addition, OneOme has clinical pharmacists and client service representatives available to answer your questions.

Where is the RightMed comprehensive test available?

OneOme offers its RightMed comprehensive test in all U.S. states, except New York, and in select international locations. In the near future, OneOme plans to expand availability to New York and other international areas. Please CONTACT US for more information on availability within your area.

Do I need to be retested if I change doctors or go to a different type of doctor?

No. Your genetic information does not change, so once you and your doctor(s) have the test results, the information can be used for years to come.

ONEOME RIGHTMED SAMPLE KIT
Can OneOme send a test kit to a P.O. box?

Yes, OneOme can ship test kits to P.O. boxes in most states and U.S. territories.

When will my OneOme kit arrive?

Once your kit has been shipped, you will receive an email with a tracking number so you can monitor the arrival date. If your kit does not arrive within 7 days, please CONTACT US, and we will address this right away.

What do I do if I never received my kit?

Contact us, and we will work with you to address this issue.

How do I provide my sample?

The kit you will receive to collect your sample includes simple, step-by-step instructions on how to complete the simple cheek swab. You can also watch a demonstration video showing you how to provide your sample.

What should I do if I make a mistake when providing my sample?

Contact us to let us know what happened when providing your sample. We can discuss options and next steps.

How quickly do I need to return my sample?

We encourage you to send in your sample as soon as you have activated your kit. This will ensure that your test results are returned as quickly as possible.

How do I activate my kit?

If collecting your sample at home, it is important to activate your kit either online or by calling (844)-663-6635 before mailing back your sample to OneOme. Activation is required before we can process your sample at the OneOme lab. You will need the barcode number located on the tube to activate your kit.

What should I do if I forgot to activate my kit before mailing it back to OneOme?

If you collected your sample at home, your kit must be activated before we can begin processing your sample in the OneOme lab. Please contact us to activate your kit. If we receive your sample and it has not been activated we will contact you to complete the activation step.

BILLING
How much does the RightMed comprehensive test cost?

OneOme offers a self-pay option for $249. Additionally, we offer insurance billing. In some cases the patient self-pay price will be less than the insurance billing price. If you choose to submit your insurance information, we will assess your insurance plan to determine what we believe will be the lowest payment option for you. LEARN MORE about the cost of the RightMed test.

Your doctor may also choose to bill you for the test directly. In this case, we recommend you check with your clinic to see if there will be any additional charges beyond the $249.

Is this test covered by insurance?

The RightMed test is reimbursed by some private insurance plans. Our goal is to allow you to access the lowest estimated payment option available. We review your insurance information and assess your payment options prior to testing, using your deductible, co-insurance, and health plan details. If your out-of-pocket cost is estimated to be less than or equal to OneOme's self-pay price ($249), OneOme will submit the claim to your insurance plan.

Can you bill my insurance?

Yes, your doctor can choose to have OneOme bill your insurance, (excluding Medicare and Medicaid) for the RightMed test at the time of the order.

I’m on Medicaid or Medicare; what are my options?

OneOme does not currently bill Medicare or Medicaid. However, we offer a self-pay price of $249 and interest-free payment plans.

What information do I need to provide for you to bill insurance?

You will need to provide your doctor with both sides of your insurance card(s), your member ID number, your group number, and your relationship to the primary policyholder. Some insurance companies may also require additional authorization forms or other documentation.

Can the payment option be changed once the order is placed?

In most cases OneOme can change the payment option for an order up until the report has been sent to the ordering healthcare provider.

Can I use my health savings account (HSA) to pay for a RightMed test?

Yes, HSAs can be used to pay for the RightMed test via the patient self-pay option or when paying a balance from insurance billing.

Why did I receive an invoice for charges (partial or total) after my insurance was verified and preauthorization was obtained?

Preauthorization does not guarantee payment. Insurance companies determine how much they will pay and what charges will be billed to the patient after a medical claim is filed. The patient is responsible for any portion of the test fee not covered by the insurance company for any reason including, but not limited to, copayments, co-insurance, unmet deductibles, or non-covered services.

Note: The patient is responsible for remitting any funds received directly from the insurance company to OneOme.

What is OneOme's refund policy?

If OneOme has not yet received your sample and you decide that you no longer want the RightMed test, you can receive a refund on the purchasing card. Your refund will be less a $25 cancellation fee to cover the cost of shipping if the kit has already been shipped to you. We are unable to process a refund once our lab has received your sample and the processing has begun.

SECURITY AND PRIVACY
What risks to my privacy does getting a genetic test pose?

Your genetic information contains sensitive information about you. For example, from a test that analyzes your genome, you can learn information about your likelihood of developing certain diseases, your ethnicity, your relatives, your carrier status, and your response to drugs. (Note: OneOme’s test predicts your response to drugs. Although our test is not intended to diagnose any hereditary disease or risk, we will report secondary findings for certain genetic results, so that you have an opportunity to discuss these findings with your doctor.)

In addition, the genome itself is a unique identifier for you — no one else has the same one as you. While there are clear clinical benefits to genetic testing, it also introduces new risks to patient privacy, and patients are potentially vulnerable to the misuse of their genetic information. While there are laws that protect patients from health insurance companies and employers using genetic information to discriminate against them, there are still concerns about the use of genetic information to discriminate against applicants for life and disability insurance. For this reason, it’s important that you only work with companies that are committed to safeguarding your genetic information.

How does OneOme protect my information?

At OneOme, we recognize that you have entrusted us to keep your data safe and secure. To accomplish this we have implemented strict policies, processes, and technologies along with identifying a data security and privacy officer who ensures we maintain a high level of data security. We take great strides to have rigorous security standards in order to handle your genomic information with great care. To learn more, please consult our PRIVACY POLICY.

What laws exist that protect my information?

Laws and policies have been developed and passed to protect the privacy and security of your genomic information. In 2008, Congress passed the Genetic Information Nondiscrimination Act (GINA) to restrict health insurance companies and employers from accessing an individual’s genetic information, as well as to prohibit genetic discrimination. The passage of GINA makes it illegal for health insurers or employers to request or require genetic information of an individual or of any family members. Additionally, some states have even more comprehensive laws than GINA. Learn more about GINA.

In addition to GINA, there is the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA protects patient privacy by restricting the sharing of your medical information. The HIPAA Privacy Rule establishes protections to maintain the confidentiality of patients' individually identifiable health information. This information is called Protected Health Information (PHI) and includes things like your name, address, and social security number. There are limits on when and with whom OneOme may share PHI. To learn more go to YOUR HEALTH INFORMATION PRIVACY RIGHTS.

What information does OneOme report to my doctor?

The primary focus of the OneOme RightMed test is to provide your doctor with information on how your DNA may affect your response to drugs. The OneOme RightMed comprehensive test is not intended to provide information about disease predisposition, paternal status, ethnicity, hereditary, or ancestry information. However, OneOme will report secondary findings for certain genetic results so that you have an opportunity to discuss these additional findings with your doctor. To learn more about this, please consult our TERMS OF SERVICE.

What does OneOme do with my DNA sample once the report is sent to my doctor?

OneOme keeps your DNA sample for up to 60 days from the date your report is released to your doctor. This is for the purpose of quality assurance and in case your doctor orders follow up testing.

What is OneOme's privacy policy?

View OneOme’s PRIVACY POLICY. In general, except as described in our privacy policy, we do not disclose HIPAA protected patient information to third parties without the patient’s consent.

What is GINA?

GINA, the Genetic Information Nondiscrimination Act (passed in 2008), prohibits medical insurance companies and employers from discriminating against individuals on the basis of genetic information, including the OneOme RightMed PGx test results.

What is HIPAA?

HIPAA, the Health Insurance Portability and Accountability Act of 1996, governs how protected health information (PHI) is used, processed, transmitted and/or maintained. OneOme’s website, portal, and systems are compliant with HIPAA requirements, which means that all patient-specific information is encrypted and safe. Patient information is only made available to individuals who require access to perform the OneOme test, provide services, and generate the results.