I have an individual insurance plan and they said they can decide whether a BC patient is sufficiently at risk to deny coverage of genetic screening, or to provide only partial coverage. Is there something I can do to get them to follow a different guideline? Is this a guideline that is different depending on which state you live in?

Mine was not either but my breast surgeon did something and it went away!

My BRCA testing was not covered under my health insurance, however my HR Department found where our Wellness Program covered it at 100%..

what about other genetic testing? my insurance paid but,my employee insurance refused to pay but, I since was disabled and Medicaid paid. I had BRCA 1&2 in 2007 and neg. 5/13 I had ovanext

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in Women

This topic page summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women.

Current Recommendation

Release Date: December 2013

•The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.

Grade: B Recommendation.

•The USPSTF recommends against routine genetic counseling or BRCA testing for women whose family history is not associated with an increased risk for potentially harmful mutations in the BRCA1 or BRCA2 genes.

Grade: D Recommendation.

http://www.uspreventiveservicestaskforce.org/us...