• Should everyone get a BRCA test done? I have 8 women on my mom side of family with breast or uterine cancer. Will insurance cover it?

    Asked by Suehendo on Saturday, January 19, 2013

    Should everyone get a BRCA test done? I have 8 women on my mom side of family with breast or uterine cancer. Will insurance cover it?

    8 Answers from the Community

    8 answers
    • SueRae1's Avatar

      yes, insurance should cover the BRCA testing. They can do sub testing, if the initial test comes back negative, but not all insurance companies will pay for the extra tests. Aetna covered all my tests - and they all came back negative. If you are on Traditional Medicare they will cover the tests. They covered my BreastNext gene panel as well, here's a link for more info http://ambrygen.com/tests/breastnext Speak with a geneticists and find out what testing is right for you

      over 7 years ago
    • leepenn's Avatar
      leepenn (Best Answer!)

      WHOA - 8 women on your mom's side! Wow - that's a lot of people...

      Have you talked to your health care team about this? Sounds like you are probably a good candidate for the test. Also, there are a few other genetic markers that are associated with higher risk... If your health care team thinks it is a good idea, then they should be able to put in the orders. Then, you can call the health insurance company in order to find out whether it is covered. It is an expensive test. But depending on the results, you might make treatment decisions differently, and you would be able to share that information with other members of your birth family.

      Good luck!

      over 7 years ago
    • nancyjac's Avatar

      No to your first question and sometimes to you second one. In many cases it doesn't really provide any useful information. Most insurance carriers have a long list of criteria that needs to be met before they will approve paying for it.

      over 7 years ago
    • gwendolyn's Avatar

      Have any of the women with BC been tested? If a woman gets BC before the age of 46 insurance will cover the test. That's what was explained to me. You should call you insurance company and ask about your coverage, given your family history.

      over 7 years ago
    • karen1956's Avatar

      It depends on your insurance if they pay for the BRCA test...I was the first person in immediate family to have BC....I had the testing done because of my heritage, age and having 3 children...my insurance company at first denied paying for the testing, so I did the multi-site 3 testing.....It came back negative so I didn't do any other testing as not reason to.....Have any of the other survivors in your family had the testing and if so what were the results....Sometimes age is a factor in doing the testing...or should I say age at Dx.....check with your insurance company and talk to your oncologist...

      over 7 years ago
    • MorganD@StF's Avatar

      Typically BRCA testing is appropriate for women who have a significant personal and/or family history of breast and ovarian cancer, as changes in the BRCA1 or BRCA2 genes are associated with hereditary breast and ovarian cancer. Insurance coverage of BRCA testing depends on the type of insurance you have and your personal and family history. I would encourage you to talk to a genetic counselor who can help determine whether BRCA testing is the most appropriate genetic test for you and can also explain the financial aspects of the test, including insurance coverage.

      You may go to NSGC.org to locate a genetic counselor near you. If there are no genetic counselors located in your area, you may be interested in a company called Informed DNA which can provide telephone genetic counseling and work to facilitate testing for you – you may call[phone number redacted] to set up an appointment or visit InformedDNA.com and click “patient login” in the upper right corner to register online.

      over 7 years ago
    • Nomadicme's Avatar

      Yes you should

      over 7 years ago
    • Blepta's Avatar

      I have the BRCA mutation, and I found FORCE http://www.facingourrisk.org/ to be an extremely helpful resource for information about genetic cancer risk. My insurance paid for the test, which was narrowed down to a specific one based on my aunt's test done before mine.

      over 7 years ago

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