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.
Hereditary cancer genetic counseling and testing is covered by Medicare under certain conditions for people already diagnosed with cancer.* In 2019, Medicare implemented a new national policy indicating that the following criteria must be met to qualify for coverage of genetic testing.
The patient has:
The laboratory/genetic test must have:
There may be some exceptions to the above policy to allow for genetic testing of people with earlier stage cancers. Your health care provider or genetic counselor should be able to guide you regarding the appropriate genetic test and insurance coverage. If you have trouble accessing or obtaining coverage of needed genetic testing, visit this page to learn about financial assistance or reduced-cost testing options.
*NOTE: Medicare does not cover genetic testing for individuals who do not have not been diagnosed with cancer.