No one should face hereditary cancer alone.

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.

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Health Insurance Appeals

Locate medical experts and find information on insurance coverage and financial assistance for risk management, treatment and follow up care.

Insurance coverage of preventive services

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.

Updated 12/23/2016

FORCE:Facing Our Risk of Cancer Empowered