Is the 40-GEP test covered by Medicare?
Clinical Professor of Dermatology
Director, Melanoma Surveillance Clinic
Mount Sinai Icahn School of Medicine, New York, NY
Adjunct Professor, UT Southwestern Medical School
Consultant Dermatologist, Cooper Clinic, Dallas, TX
At this point there is insurance coverage in some of the cases, the different Medicare coverage carriers have different rules at this point. At some point that will be solidified. The company, however, does accept insurance, whatever the insurance payment is, and there's no additional payment for the patient. And that makes it much easier in terms of working with the patients to try to get the results of this test.
Summary
In the video, Dr. Darrell Rigel addresses the question of whether the 40-GEP test is covered by Medicare. He explains that currently, there is insurance coverage available for some cases, but the specific coverage rules may vary depending on the Medicare coverage carrier. He mentions that over time, the coverage for the 40-GEP test is expected to become more clear and standardized. Dr. Rigel also mentions that the company offering the 40-GEP test accepts insurance as a form of payment. This approach is designed to make it easier for patients to access the test results without facing financial burdens.
Key Points
- The 40-GEP test may be covered by Medicare, but the coverage is not consistent across all cases.
- Different Medicare coverage carriers have varying rules regarding the 40-GEP test's insurance coverage.
- The insurance coverage situation is expected to become more clear and standardized at some point in the future.
- The company conducting the 40-GEP test accepts insurance as a form of payment from patients.