The Affordable Care Act of 2010 includes a provision that provides insurance coverage with no out-of-pocket costs to patients for certain preventative healthcare services that are approved by the United States Preventative Services Task Force (USPSTF). In 2013, the USPSTF came out with updated guidelines on genetic counseling and testing of the BRCA1 and BRCA2 genes that recommends genetic counseling and testing for unaffected women with a family history suggestive of a possible pathogenic (harmful) variant in these genes. If you meet the criteria stated in the USPSTF guidelines, your insurance is likely to cover your genetic counseling and testing with no out-of-pocket cost to you.
The USPSTF guidelines do not address a few important areas:
Click below for more resources related to the Affordable Care Act:
FORCE (Facing Our Risk of Cancer Empowered) is a nonprofit organization who put out a response to the USPSTF recommendations and some of the limitations.
Click here to learn more about scheduling a genetic counseling appointment for questions about hereditary cancer predisposition.