Medical coverage for breast cancer genetic markers test

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Find information and resources for current and returning patients. Learn about clinical trials at MD Anderson and search our database for open studies. The Lyda Hill Cancer Prevention Center provides cancer risk assessment, screening and diagnostic services.

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Having an inherited genetic mutation does not mean you will get cancer. It means you are at a higher risk for developing a certain type or types of cancer. Medical tests can look for many inherited gene mutations.

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Most people have it done by a commercial lab. During testing, the genes are separated from the rest of the DNA, and then they are scanned for abnormalities. Often, the type of genetic testing that's done and the specific genes being tested dictate whether testing in a research setting is possible.

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Chat with us in Facebook Messenger. Find out what's happening in the world as it unfolds. More Videos Explaining Jolie's cancer gene

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Genetic testing for breast cancer will be covered under the Affordable Care Act, potentially saving women who need the test thousands of dollars. This means that private insurance plans are required to cover the cost of the tests, including co-pays, deductibles and coinsurance, provided that the plans do not have a "grandfathered" status. Women with mutations in the BRCA1 and BRCA2 genes are at higher risk for breast cancer and ovarian cancer compared with women who don't have the mutated genes.

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Skip to Content. Genetic testing helps estimate your chance of developing cancer in your lifetime. It does this by searching for specific changes in your genes, chromosomes, or proteins.

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Women who are at high risk for breast cancer can take blood tests to screen for mutations in the BRCA genes. However, genetic testing is done only when definitely indicated by a personal or a strong family history. Genetic testing might also be used to determine if a woman who has already been diagnosed with breast cancer is at an increased risk for a second breast cancer or ovarian cancer.

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Most health insurance plans will cover the cost of genetic testing when recommended by a physician. However, all coverage and reimbursement is subject to Medicare, Medicaid, and third-party payer benefit plans. All rights Reserved.

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The choice to have genetic counseling and proceed with genetic testing is one to be taken seriously and with some caution. Though it can sound simple to be tested, there are many things to consider before making this decision. Our physicians and nurses will help guide you through the entire process so you understand the pros and cons of genetic testing.

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When either of these genes is mutated, or altered, such that its protein product is not made or does not function correctly, DNA damage may not be repaired properly. As a result, cells are more likely to develop additional genetic alterations that can lead to cancer. People who have inherited mutations in BRCA1 and BRCA2 tend to develop breast and ovarian cancers at younger ages than people who do not have these mutations.

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