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  • Prior Authorization Facsimile Request Form Genetic Testing For Brca Mutations For

Get Prior Authorization Facsimile Request Form Genetic Testing For Brca Mutations For

Prior Authorization Facsimile Request Form: Genetic Testing for BRCA Mutations for UnitedHealthcare Commercial Health Plans Date: Ordering Physician/TIN number: Address: City, State, ZIP: Member name.

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People with or without a known familial BRCA mutation or family history of cancer can sign up online, be tested at no cost by Quest Diagnostics, and receive results from either their primary care physicians or BFOR genetic counselors.

Who should consider BRCA gene testing? A personal history of breast cancer diagnosed before age 45. A personal history of breast cancer diagnosed before age 50 and a second primary breast cancer, one or more relatives with breast cancer, or an unknown or limited family medical history.

A BRCA gene test uses a sample of your blood, saliva (spit), or cells from inside of your cheek to look for changes in your BRCA1 and BRCA2 genes that may increase your risk of cancer. Changes in your genes are called gene variants or mutations.

Genetic testing for BRCA1 or BRCA2 mutations is typically not recommended for children younger than 18, but can be considered when your children reach adulthood. Younger children might not be able to understand what your mutation means for you or for them.

Your doctor is responsible for submitting requests for prior authorization. To avoid being held financially responsible, make sure your doctor gets authorization from us before you get a genetic test.

In the United States, BRCA testing is usually covered by insurance if the patient meets certain criteria. Insurance coverage and criteria varies by insurance plan, and genetic counselors will review potential costs and insurance coverage with you during your appointment.

Most insurance plans cover the cost of BRCA1 and BRCA2 (BRCA1/2) testing if you meet the criteria for testing. Coverage of expanded panel testing varies from plan to plan. Genetic counseling is usually covered if you meet the criteria for testing or have a personal or family history of cancer.

Without insurance, BRCA testing can range from roughly $300 to $5,000 or more, depending on copayments, coinsurance, lab fees, and more.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232