The short answer
- We do not bill insurance. Direct pay at checkout, no claims submitted, not in network with any carrier.
- Reimbursement is possible but not predictable. Budget as if the answer is no; treat approval as upside.
- HSA/FSA may be an option. Pre-tax dollars, accepted at checkout — see HSA/FSA.
- You always get an itemized receipt with provider name, service description, date and amount.
This question gets a lot of vague answers online, so here is a direct one. We are a direct-pay service. You pay for the GI-MAP™ at checkout. We do not submit a claim to your insurer, we are not in network with any carrier, and we do not offer insurance billing as an option at any price.
Could your plan still reimburse you?
Possibly. That is a separate process you run yourself: you pay us, then ask your plan to reimburse you as an out-of-network or member-submitted expense. We will give you the itemized receipt you need. What happens next is entirely your plan’s call.
We are not going to dress this up. Comprehensive stool panels of this type are frequently declined by commercial plans, often on the grounds that the panel was not medically necessary or is considered investigational for the indication.
Some members do get reimbursed. Plans differ enormously and we have no way to predict yours, so the honest advice is to budget as though you will not be reimbursed and treat it as a bonus if you are. Anyone who tells you this test is "usually covered" is guessing at your plan.
If you want to try anyway
- Before ordering, call the member number on your card and ask how to submit an out-of-network claim for outpatient laboratory testing, and what documentation they require.
- Place the order and keep the itemized receipt.
- Ask us for a detailed service description if your plan wants more than the receipt shows — contact us and we will provide it.
- Submit through your plan’s member reimbursement process, not through us.
One caution: do not assume a specific procedure code will be on your receipt or that a code you find online applies to your order. Ask your plan what they need and ask us whether we can supply it, rather than filling in the gap with a guess — a claim submitted with the wrong code gets denied at best.
Using HSA/FSA funds
HSA/FSA funds may be an option if your purchase meets the applicable medical-expense and account rules. Card acceptance does not establish eligibility. Confirm the exact panel and any separately purchased interpretation service with your administrator. See HSA/FSA payment and documentation.
HSA/FSA eligibility and LMN by product
| Product | Price | HSA/FSA | LMN needed? |
|---|---|---|---|
| GI-MAP™ Standard | $497 | Eligible | Generally not — plan rules vary |
| GI-MAP™ + Zonulin | $600 | Eligible | Generally not — plan rules vary |
| H. Pylori Profile | $237 | Eligible | Generally not — plan rules vary |
| Optional practitioner review | $245 | Eligible | Generally not — plan rules vary |
Eligibility is not guaranteed for every purchase. Ask your administrator whether the expense qualifies and what documentation it needs. See IRS Publication 502 and Publication 969 for the general rules.
Before you call your plan
What to ask — and what to have ready
Work through these on the phone with your plan. Your progress saves in this browser, so you can come back to it.
Do not assume a procedure code you found online applies to your order — ask your plan what they need and ask us whether we can supply it. A claim filed with the wrong code gets denied.
Outside the United States
US HSA and FSA rules do not determine reimbursement in other countries. Ask your own insurer or plan administrator before purchasing.
GI-MAP™ insurance FAQ
Will you bill my insurance company directly?
No. We do not submit claims to any carrier and we are not in network with any plan. Every order is paid at checkout.
Can I submit a claim myself for reimbursement?
You can try. Ask your plan how to submit an out-of-network or member reimbursement claim, then send them the itemized receipt from your order. Approval is entirely your plan’s decision. Some members are reimbursed, many are not, and we cannot predict which you will be.
Transparent pricing and direct payment. Check your plan before relying on HSA/FSA reimbursement.
See full pricing → Order now