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View Diary: I was just diagnosed with breast cancer (146 comments)

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  •  I think it's the BRCA test that insurance won't (1+ / 0-)
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    remembrance

    cover -- that's the genetic test for Ashkenazi Jews for the genes that make you extremely susceptible to breast and ovarian cancer. I've never heard of them not covering the pathology test that includes ER/PR, Her-2, and the other tumor characteristics that are essential to developing a treatment plan.

    •  My insurance finally paid for the BRCA test (0+ / 0-)

      On my first appointment with my surgeon, she had me do the "swirl and spit" for the test, and they sent it off to a lab. The lab denied coverage under my insurance, but contacted me separately to offer payment plans (it's about a $4400 test).

      Then about a month later, with no change in my insurance carrier or plan the lab called my surgeon and said that insurance would cover the costs of the test. I think my portion of the test was $371.

      I don't know why the changes were there. I have no family history or ethnic/genetic pre-disposition for breast cancer (the BRCA was negative for me), but I don't have many female relatives, no sisters or aunts, so maybe that was part of what the surgeon's office said to convince them that the test was appropriate for me. At any rate, my surgeon's office really advocated for me, maybe that helped a lot.

      United Healthcare PPO.

      The arc of the universe is long, but it bends toward justice - MLK

      by Ripeness Is All on Mon Feb 10, 2014 at 12:52:06 PM PST

      [ Parent ]

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