Myriad offers genetic testing at no charge to uninsured patients who meet specific financial and medical criteria. Insured patients that meet specific criteria are also eligible for a Myriad-sponsored plan that limits out of pocket costs to no more than $375 for insured patients. Your medical provider can help you determine whether you are eligible for these options.
If your insurance company denied coverage for genetic testing, you have the right to appeal this decision. Contact the Cancer Legal Resource Center for information about the appeal process.
The Cancer Resource Foundation, Inc. Genetic Testing Co-Pay Assistance Program assists individuals who have health insurance but cannot afford the co-pay or out of pocket costs related to their cancer genetic testing. This program currently serves residents of Massachusetts, Michigan, Illinois, Indiana, or Ohio. For more information, call 508-630-2242.
Bright Pink is a proud partner of the Right Action for Women MRI Financial Assistance Program, a national initiative helping high-risk women gain access to MRI screening.
The Affordable Care Act (ACA), colloquially called Obamacare, requires health plans to cover preventive services and can no longer charge a patient a copayment, coinsurance or deductible when delivered by a network provider.
The law states that women’s preventive health care – such as mammograms, screenings for cervical cancer, prenatal care, and other services – generally must be covered by health plans with no cost sharing. For general guidelines, please visit the following link: http://bit.ly/13jaQlp.
Among the services included in the new regulations are genetic counseling and testing for inherited breast and ovarian cancer risk in women with a family history of cancer. The preventive services covered under the ACA are based on recommendations from the United States Preventive Services Task Force* and include the following risk factors:
Additionally, women with breast cancer diagnosed at age 50 or younger or ovarian cancer at any age meet expert guidelines for genetic counseling but this service is not specifically covered under ACA.
If you are concerned that the cancer in your family could be hereditary, you should consult with a qualified genetics professional prior to proceeding with genetic testing for cancer risk. Genetic counseling helps you learn what testing, surveillance, prevention strategies, or research trials may be right for your situation, while also providing you support. In most cases, a genetic counselor will lead the session, but some nurses, doctors, and medical geneticists are also trained to do genetic counseling.
*These guidelines are based on USPSTF’s Genetic Risk Assessment and BRCA Mutation Testing for Breast and Ovarian Cancer Susceptibility recommendations released in 2005. The USPSTF is currently reviewing these guidelines. Revisions in the guidelines could impact preventive services covered by the Affordable Care Act and services available to Medicare beneficiaries.