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Molecular Genetics Testing

Genetic testing is often helpful in determining whether a patient is predisposed to a medical condition.

However, as with any test, either the patient or his/her insurance company must pay for the test. The cost of the test varies depending on the amount of work involved and on the fee schedule of the laboratory.

Do not take it for granted that because a physician ordered the test and it is a blood test that the insurance company will pay for it.

Many insurance companies consider certain genetic tests as “experimental” and therefore do not pay for the test.

Even if they do, some laboratories refuse to accept the fee schedule of the insurance company, and will ask the patient to first pay up front, then submit their claim to his/her insurance company for personal reimbursement.

Therefore, before having a test done, we strongly suggest you check with both the insurance company and the laboratory as to:

  • the complete charge for the test and
  • whether the insurance company will reimburse you, pay the lab directly, or neither.

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