Thinking about cancer or dealing with cancer risk can be scary or overwhelming, but we believe that receiving information and resources is comforting, empowering, and lifesaving.
There are many screening and preventive options for individuals with a genetic predisposition for breast and/or ovarian cancer. However, insurance coverage for these preventive services can vary greatly. Under the Patient Protection and Affordable Care Act (ACA), most private insurers must cover certain preventive services at no cost to the patient if the services are provided by an in-network provider. These services include BRCA genetic counseling and testing for women at high risk, mammography screenings every 1-2 years for women age 40 and over, and chemoprevention counseling for women at increased risk of cancer. A complete list of preventive services can be found at Preventive Services Covered under the Affordable Care Act.
Additionally, many states have statutes requiring insurance companies to cover specific cancer screening tests. For example, some states mandate coverage for mammograms, prostate-specific antigen (PSA) tests and digital rectal exams, colonoscopies, flexible sigmoidoscopy and fecal occult blood tests (FOBT), and pap smears. For state specific requirements contact your state’s insurance agency or the Cancer Legal Resource Center.