Has anyone had Medicare cover their genetic testing?
My husband's genetic testing ( for the aortic root aneurysm) was denied by Medicare.
For those who had genetic testing, was it covered by Medicare? If not were you able to get it appealed?
Thanks
Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.
Update: Just had a call with a Medicare representative. Unfortunately, I was told that Medicare only covers genetic testing in two cases: (1) To determine if one’s genetics allow for the use of warfarin, or, (2) In the case of advanced cancer, to determine which drug therapy would be compatible.
So this differs wildly from any previous assurances I had been given.
Maybe the Medicare approval does mean you have to go through the whole appeal process, but that was not what I was told. The genetics company implied it depended on whether or not my Medicare premium had been met, and the hospital implied it was most likely covered.
Waiting with bated breath for the bill…..
Thanks.., that’s interesting… and explains why my husband’s previous genetic testing for prostate cancer was approved with no problem.
We should have called I guess , but my husband needed the test whether insurance covered it or not.
Two cardiologists thought he had some characteristics of Marfan Syndrome..
Thanks for your feedback!
Yes, it’s difficult to turn down the test since the info it may yield coukd be so valuable. I just wish the providers had been more forthcoming avout the true bureaucratic bunny hole and ultimate cost!
Yes! That would have been helpful!