Is Invitae’s genetic testing covered by insurance in the US?

Invitae’s genetic testing may be covered by your health insurance. You won’t need to contact your insurance company to find out if testing is covered or to obtain reimbursement. Invitae will contact your insurance company directly to coordinate coverage and payment. You may receive an explanation of benefits (EOB) from your insurance company in the mail. This is not a bill. Invitae will also receive this EOB and will handle any appeals processes for you.

Medicare insurance may cover the cost of an Invitae test when specific criteria are met. Medicare only covers diagnostic testing, not testing based on family history alone or cancer screening. If you are ordering a test that includes BRCA1 or BRCA2 breast cancer screening, you must meet BRCA testing criteria and have not previously had BRCA testing to qualify for coverage.

Even if your insurance plan doesn’t cover testing, Invitae may be able to offer testing at limited or no expense to those who qualify for need-based financial assistance. Please contact our Client Services team for more information.

What should I expect during my genetic counseling appointment?

During your counseling session, your genetic counselor will briefly review your medical history and ask you questions about your family medical history. Using this information, your genetic counselor will explain the genetic testing that your doctor has ordered and discuss possible test results, including what those results may mean both for you and for your family members. Your genetic counselor will also explain how genetic testing is performed, assist you with submitting your DNA specimen (should you choose to proceed with testing), and review your genetic test results with you when they are complete.