Individuals at High-Risk of Cancer Often Struggle to Get Insurance Coverage of Recommended Health Services
The Affordable Care Act (ACA) guarantees coverage of certain cancer screenings at no cost to the patient. This has allowed many Americans to access care that they might not otherwise have been able to afford. As many in the hereditary cancer community have learned, however, health insurers are not required to cover cancer screenings beyond those mandated in the ACA, which are focused on the “average risk” population. Members of our high-risk community often struggle to get coverage for earlier, more intensive cancer screenings and risk-reducing surgeries. This is why FORCE has developed sample appeal letters for a variety of screening and preventive services.