Casper Policies: Retakes, Rescheduling, and Fees
Casper's rules on retakes, rescheduling deadlines, accommodations timelines, and fees, plus what to do if something goes wrong on test day.
Quick answer
You get one Casper attempt per admissions cycle, with a retake allowed only if Acuity verifies a technical failure on their end. You can reschedule for free up to 10 days before your test, accommodation requests need 3 to 4 weeks of lead time, and US Medicine costs $85 plus roughly $18-20 per additional school distribution.
Policy questions spike right after test dates are released and right before secondary deadlines hit. This guide consolidates Acuity Insights' current rules on retakes, rescheduling, accommodations, and fees, so you don't risk a voided score or a missed accommodation window over something avoidable.
Always confirm the specifics inside your own Acuity Insights account before making changes, since deadlines and fees can shift between cycles. When in doubt, keep a written record of every interaction with support in case you need to reference it later.
Can You Retake Casper in the Same Cycle?
You get a single attempt per admissions cycle for each Casper test type, whether you're applying to medicine, PA, nursing, or another program. Acuity only authorizes a second sitting when a verified technical error on their end invalidates the original session, so treat every booking as final. Applicants who reapply in a later cycle must retest, because Casper scores don't roll forward, even if your previous quartile was strong.
If your test is flagged for an integrity concern, such as suspected content sharing or the appearance of outside assistance, your score release may pause while the review team investigates. Respond promptly to any documentation request so the review closes before your program deadlines arrive.
Rescheduling, Lateness, and Cancellations
Casper allows you to move your booking up to ten calendar days before your session, provided an alternative date still has open seats. Once you cross that ten-day threshold, the base fee becomes nonrefundable unless Acuity verifies a documented medical or technical emergency.
Treat your login window as a hard deadline. Arriving more than fifteen minutes late typically converts your registration into a no-show, and you lose both the fee and the chance to retest that cycle. If your plans change entirely, cancel at least ten days ahead for a full refund; within that window, refunds are reviewed case by case and generally require documentation. Run your system check the week before your test using the Casper test day guide, so preventable technical issues never force you into a forfeited seat.
Accommodations: Eligibility, Documents, and Timelines
Submit accommodation requests at least three to four weeks before your preferred test date. Processing can take one to two weeks, and earlier submissions give you more flexibility once approval arrives. Provide clinical documentation outlining the diagnosis, functional limitations, and specific supports needed; Acuity generally prefers evaluations from a licensed professional dated within the last few years. Typical accommodations include extended time, additional breaks, alternative format instructions, or approved assistive technology, and each approval applies only to the current cycle and the specific test type requested.
Decisions arrive by email. Once granted, your Acuity account unlocks a separate bank of sessions configured with your approved supports; these seats can fill quickly, so book promptly. If a request is denied, you can respond with additional documentation or clarification. Appeals can take another week or more to resolve, so build that buffer into your testing timeline.
Fees, Distributions, and Payment
For US Medicine, the base registration fee is $85 USD, with roughly $18-20 USD per additional program distribution. Fees vary by country and test type, and Acuity adjusts pricing periodically, so treat their registration page as the source of truth for exact current numbers. You generally cannot remove programs once you've paid for a distribution, and partial refunds aren't issued for unused ones, so add schools to your list deliberately.
Applicants who qualify for the AAMC Fee Assistance Program or an Acuity partner waiver should upload proof directly in the testing portal; once verified, reduced pricing applies at checkout. Approved refunds typically post within about ten business days. If a credit hasn't arrived by then, contact support with your booking ID and a clear explanation of the pending transaction.
Tech and Environment Checklist
Build your rehearsal timeline around your test date, not just your content prep. About two weeks out, run a full practice session covering both video and typed responses, following the preparation guide. Confirm your computer meets Acuity's published requirements: an updated Chrome or Firefox browser, a webcam capable of clear video, a working microphone, and stable upload speed. Test your connection at different times of day, and line up a backup (a hotspot or a neighbor's Wi-Fi) in case your primary connection has issues.
About a week out, complete Acuity's official system check and pay attention to lighting, camera height, and background noise. Keep your government-issued ID, login credentials, and any backup equipment somewhere obvious. Let anyone else in your home know your testing window so they can avoid interruptions.
The night before, restart your computer, close unnecessary applications, clear your browser cache, and lay out anything you're permitted to have during the test (water, blank paper, a pen). Double-check the time zone on your confirmation email. On test day, log in at least fifteen to thirty minutes early to complete identity verification without rushing.
What to Do If Something Goes Wrong
If the platform freezes or disconnects mid-scenario, use the built-in help option immediately so Acuity can log the disruption in real time; incidents reported as they happen are far more likely to receive a retake authorization when the outage is on their end. If your own power or internet fails, capture evidence (screenshots of error messages, an ISP outage notification, a photo of the router) and email support within 24 hours. Documentation is the difference between an approved reschedule and a denied appeal.
Medical emergencies get the same treatment. Prioritize your health first, then submit a concise summary with dates and any relevant documentation when you request a new test date or refund. Throughout any dispute, keep your communication professional, timestamped, and factual; that tone speeds up review and improves your odds of a favorable outcome.
Frequently Asked Questions
Can I retake Casper if I do poorly?
Not within the same admissions cycle, except in the rare case of a verified technical failure on Acuity's end. If you reapply next cycle, you'll test fresh with a clean slate.
How late can I reschedule my Casper test?
Up to ten calendar days before your session, subject to seat availability. After that, the fee is generally nonrefundable unless you have a documented medical or technical emergency.
How far in advance should I request accommodations?
At least three to four weeks before your preferred test date, since processing typically takes one to two weeks and approved sessions can fill up quickly.
How much does Casper cost?
US Medicine runs $85 USD plus roughly $18-20 per additional school distribution. Fees vary by country and test type, so check Acuity's registration page for current numbers.
What happens if my internet fails during the test?
Use the in-test help option immediately so the disruption is logged in real time, then document the issue (screenshots, an outage notification) and contact support within 24 hours.
The Bottom Line
Most avoidable Casper problems come down to timing: rescheduling too late, requesting accommodations too close to your test date, or skipping the tech check that would have caught a webcam issue. Build in buffer at every step, keep documentation for anything unusual, and treat your one sitting per cycle with the seriousness it deserves.
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