Genetic Testing and Insurance

Will Insurance Cover My Genetic Testing and Genetic Counseling?

New Affordable Care Act guidance says women with ovarian cancer can receive free genetic counseling, testing.

“…The U.S. Department of Health and Human Services, Labor and Treasury issued new guidance to clarify services and coverage available under the Affordable Care Act. Before today, only women with a family history of ovarian and breast cancer were eligible for genetic testing and counseling free from additional out-of-pocket expense. Today’s guidance will now allow women diagnosed with ovarian cancer to also access this counseling and testing as part of their [insurance] coverage.”

Different policies have different guidelines for coverage of genetic testing for inherited risk. Check with your insurance carrier to determine specific coverage.

Generally, recommendations (evidence level A and B) by the US Preventive Services Task Force (USPSTF) that are considered covered under the accountability care act as preventive service. The recommendation regarding genetic testing for BRCA1 and BRCA2 was updated in 2019 but is CURRENTLY UNDER REVIEW.

Free Genetic Testing for Ovarian Cancer Risk | OCRA