Good morning Kate. I had fibroscans prior to my transplant, and again at my 1 & 2 year check-ups. It’s a non-invasive procedure - somewhat similar to an ultrasound and only took - probably less than 10 minutes. It’s designed to determine the stiffness of the liver - often caused by fatty liver disease, which can be a precursor to cirrhosis. At my 1 year check-up, I was stunned when they told me the results showed that I had fatty liver disease. My diet had been quite healthy, so it came as a surprise. I was advised to exercise regularly, watch my diet and keep my weight down. At my 2 year check-up, the fibroscan was repeated, and surprisingly the results showed that the fatty liver disease was gone. My team was thrilled - as was I. I attribute this primarily to a daily exercise routine that I began, and have followed consistently since my 1 year checkup. Most everyday, I ride my peloton for 20 or 30 minutes each morning, which increases my heart rate and blood flow. I break a sweat, and describe it as “boiling my blood”. I truly believe that this routine has helped my liver function, as well as helped me recover some of my strength and stamina - so much of which was lost during the course of my 2 year wait time for transplant. Just FYI, I was originally treated at MGH but ultimately ended up having my transplant & continuing care at Mayo Jacksonville. My fibroscans were covered by insurance. As a liver TX patient, I would think that a test that your team thinks is necessary would be covered, but it’s probably a good idea to try to confirm that.