Will my insurance pay for genetic counseling?

Most insurance companies cover part, if not all, of the office visit charges (total range is $300-$500 after both appointments). We strongly recommend that you check with your insurance policy to see if you require a referral from your primary care physician.  Referrals should be made out to Robert M. Greenstein, M.D.. 

It is important to note that genetic testing is a separate charge from genetic counseling.  At the end of the first appointment we will determine if you are an appropriate candidate for genetic testing, which test would be most appropriate, and which family member (ideally) should be tested first. We will discuss the cost of that testing with you (ranging from $325-$2900) and, at your request, will help you see if your insurance company will pay for testing.  The insurance company often asks for a letter of medical necessity, which we can submit using the risk assessment from the first visit.

Many patients express concerns about discrimination by health and life insurance companies.  Please see the enclosed insurance information sheet.

What information should I bring to my first counseling session?

When we take a family history, we will ask about your brothers, sisters, parents, aunts, uncles, cousins, and grandparents.  We will ask for their ages (whether or not they have had cancer).  If a relative has had cancer, we will ask about their age at diagnosis and how it was treated.  If possible, medical records or death certificates are very helpful.  If a relative has had genetic testing, it is important to bring a copy of the laboratory result.
                    

No. The genetic counseling and risk assessment is an important part of the testing process.  The entire process is necessary for correct interpretation of test results and subsequent management options.

People with a family history of cancer often worry about themselves or their children’s risk for developing cancer.  Our goal is to provide individual risk assessment that can be incorporated into your ongoing medical care.

Some patients are reassured to learn that their own cancer risk is lower than expected.  For individuals who are found to be at high risk, their physician may suggest careful observation and screening.  Early detection is extremely important.