While most major insurance plans cover genetic testing for hereditary cancer, every insurance company has their own policies. Usually insurance will cover genetic testing if hereditary cancer is suspected in your family.
When your doctor orders testing, the billing team at Sema4 will contact your insurance company to verify coverage. Sema4 will also determine if your insurance requires genetic counseling before the test is started. Genetic counselors are trained to assess your personal and familial risk of hereditary cancer and offer recommendations for screening and genetic testing.
After testing, Sema4 will submit a claim to your insurance. Your insurance will process that claim and determine the allowed amount based on the contract that Sema4 has in place with your insurance company. Based on the allowed amount and your specific plan benefits, your insurance will determine the amount you are responsible for paying.
If you have additional questions about insurance coverage for genetic testing, please call 800-298-6470 to speak with a Sema4 billing specialist.