Oregon Survey Instrument
|
|
|
- Hector Dalton
- 8 years ago
- Views:
Transcription
1 Oregon Survey Instrument Cancer Genetic Insurance Questions for Insurers Q1a. Do you have written policies on your coverage of cancer genetic testing, counseling, and follow-up procedures for breast and ovarian cancer? [If yes, can we get a copy?] O Yes, can get a copy of written policies O Have written policies, but won t release copies O No, no written policies Q1b. Do you have written policies on your coverage of cancer genetic testing, counseling, and follow-up procedures for colorectal cancer? [If yes, can we get a copy?] O Yes, can get a copy of written policies O Have written policies, but won t release copies O No, no written policies IF Q1a and Q1b = YES Q16 [Other Questions] IF Q1a = NO or Won t Release Q2 [Breast and Ovarian Cancer Coverage Policies] IF Q1b = NO or Won t Release Q9 [Colorectal Cancer Coverage Policies] Breast and Ovarian Cancer Coverage Policies Q2. Do you ever cover BRCA testing for people without cancer? [Why not?] Q3. Do you ever cover BRCA testing for people with cancer? o Yes [What is your coverage policy]? [Why not?] IF Q2 or Q3 = PRIOR AUTHORIZATION Q4 IF Q2 and Q3 = YES and PRIOR AUTHORIZATION Q5 IF Q2 and Q3 = NO Q6 Q4. What is the process for prior authorization? a) What does the patient have to do to apply for prior authorization? b) Who makes the final determination? c) What standards or guidelines, if any, are used in making prior authorization decisions?
![] O Yes, can get a copy of written policies O Have written policies, but won t release copies O No, no written policies Q1b.](/docs-images/53/11879627/images/page_1.jpg "Do you have written policies on your coverage of cancer genetic testing, counseling, and follow-up procedures for colorectal cancer? [If yes, can we get a copy?")
2 Q5. Do you ever cover pre- or post- genetic counseling for BRCA testing? [IF NO Q6] Q5a. Is pre- and post-genetic counseling a requirement for getting BRCA testing? o Yes Q6. Do you ever cover genetic counseling for patients with increased familial risk of breast or ovarian cancer, without BRCA testing? IF Q5 or Q6 = YES Q7 IF Q5 and Q6 = NO Q8 Q7. Which types of professionals are covered for genetic counseling related to BRCA and breast and ovarian cancer? Q8. What screening and prophylactic procedures are covered for A. BRCA Positive patients? Mammography, Breast MRI, other screening technologies at younger ages and/or shorter intervals than recommended for women at average risk for breast cancer Bilateral mastectomy Relevant ovarian cancer screening, such as CA-125 and vaginal ultrasound Hysterectomy and bilateral salpingo-oophorectomy B. Patients with increased familial risk of breast or ovarian cancer, but had no BRCA test, a result of BRCA Negative, or a result of variants of uncertain significance? Mammography, Breast MRI, other screening technologies at younger ages and/or shorter intervals than recommended for women at average risk for breast cancer Bilateral mastectomy Relevant ovarian cancer screening, such as CA-125 and vaginal ultrasound Hysterectomy and bilateral salpingo-oophorectomy
3 Colorectal Cancer Coverage Policies Q9. Do you ever cover any genetic testing related to colorectal cancer for people without cancer? [Why not?] Q10. Do you ever cover any genetic testing related to colorectal cancer for people with cancer? [Why not?] IF Q9 or Q10 = PRIOR AUTHORIZATION Q11 IF Q9 and Q10 = YES and PRIOR AUTHORIZATION Q12 IF Q2 and Q3 = NO Q13 Q11. What is the process for prior authorization? a) What does the patient have to do to apply for prior authorization? b) Who makes the final determination? c) What standards or guidelines, if any, are used in making prior authorization decisions? Q12. Do you ever cover pre- or post- genetic counseling for MMR testing? o Yes [What is your coverage policy?] Q12a. Is pre- and post-genetic counseling a requirement for getting MMR testing? o Yes Q13. Do you ever cover genetic counseling for patients with increased familial risk of colorectal cancer, without MMR testing? IF Q12 or Q13 = YES Q14 IF Q12 and Q13 = NO Q15 Q14. Which types of professionals are covered for genetic counseling related to MMR and colorectal cancer? Q15. What screening and prophylactic procedures are covered for A. MMR Positive patients? Colonoscopy, FOBT, sygmoidoscopy, or other colorectal screening procedures at younger ages and/or shorter intervals than recommended for people at average risk for colorectal cancer
![] IF Q9 or Q10 = PRIOR AUTHORIZATION Q11 IF Q9 and Q10 = YES and PRIOR AUTHORIZATION Q12 IF Q2 and Q3 = NO Q13 Q11. What is the process for prior authorization?](/docs-images/53/11879627/images/page_3.jpg "a) What does the patient have to do to apply for prior authorization? b) Who makes the final determination? c) What standards or guidelines, if any, are used in making prior authorization decisions?")
4 Other Questions Colectomy or other relevant intestinal surgeries B. Patients with increased familial risk of colorectal cancer, but had no MMR test, MMR Negative results, or variants of uncertain significance? Colonoscopy, FOBT, sygmoidoscopy, or other colorectal screening procedures at younger ages and/or shorter intervals than recommended for people at average risk for colorectal cancer Colectomy or other relevant intestinal surgeries Q16. Are your coverage policies for breast and ovarian cancer screening, genetic testing and counseling, and prophylactic procedures for high-risk patients based on any specific guidelines? o Breast and ovarian cancer screening o Genetic testing and counseling for BOC o Prophylactic procedures for high-risk patients Q17. Are your coverage policies for colorectal cancer screening, genetic testing and counseling, and prophylactic procedures for high-risk patients based on any specific guidelines? o Colorectal cancer screening o Genetic testing and counseling for CC o Prophylactic procedures for high-risk patients
5 IF R = INSURANCE COMPANY Q21 IF R = SELF-INSURER Q18, Q19, Q20 Q18. Are there any differences in coverage policies, costs, or reimbursements for people in rural areas? [Ie., coverage for different types of counseling professionals, additional cost reimbursements for travel, or subsidies for out-of-network providers, or an expanded set of procedures allowed to be performed by general practitioners] o Yes [What are the differences? What plans do we need to gather data for?] Q19. Is your insurance plan administered by a health care company, or is it a direct-pay system? o Administered by HCP [Which company?] o Direct-pay system Q20. Are the policies for your plan determined by corporate offices outside of Oregon? o Yes [Does the company have an umbrella policy that covers all US employees?] [Who determines the policies for your company insurance plan?] IF R = SELF-INSURER Q22 Q21. Do any of these coverage policies vary across different insurance plans offered by your company? [This is independent of varying co-pays or costs across plans] o Yes [Identify different plans to gather data for] Q22. Do you anticipate any changes being made to your current policies on preventative services related to genetic risk for cancer to comply with the Patient Protection and Affordable Care Act? o Yes [What changes do you anticipate?] END Comments: The Oregon Genetics Program, housed with in the Public Health Division of the Oregon Health Authority, developed this suvey in collaboration with the Portland State University Survey Resrch Lab. Project funding was provided by CDC Office of Public Health Genomics Cooperative Agreement (CA), entitled Oregon Cancer Genomics Surveillance Program: Translation of Genomics Applications into Healthcare Practice, and the CDC Division of Cancer Prevention and Control CA, titled Genomic Applications in Practice and Prevention: Translation Programs in Education, Surveillance, and Policy.
![performed by general practitioners] o Yes [What are the differences? What plans do we need to gather data for?] Q19.](/docs-images/53/11879627/images/page_5.jpg "Is your insurance plan administered by a health care company, or is it a direct-pay system? o Administered by HCP [Which company?] o Direct-pay system Q20.")
Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010
Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010 This guide has three parts: 1. Information for health professionals 2. Tables
Office of Population Health Genomics
Office of Population Health Genomics Policy: Protocol for the management of female BRCA mutation carriers in Western Australia Purpose: Best Practice guidelines for the management of female BRCA mutation
Summary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals
Summary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals Talk with patients about ü Potential benefits, harms, and unknowns of cancer ü
Ontario Health Insurance Plan (OHIP) Billing Codes Information and Procedures for Claiming the Cumulative Preventative Care Bonus
Ontario Health Insurance Plan (OHIP) Billing Codes Information and Procedures for Claiming the Cumulative Preventative Care Bonus Eligible Patient Enrolment Model (PEM) physicians may receive Cumulative
Screening for Cancer in Light of New Guidelines and Controversies. Christopher Celio, MD St. Jude Heritage Medical Group
Screening for Cancer in Light of New Guidelines and Controversies Christopher Celio, MD St. Jude Heritage Medical Group Screening Tests The 2 major objectives of a good screening program are: (1) detection
patient guide BRCA1 and BRCA2 Genetic Testing for Hereditary Breast and Ovarian Cancer
patient guide BRCA1 and BRCA2 Genetic Testing for Hereditary Breast and Ovarian Cancer What is hereditary cancer? Cancer affects many people in the U.S.: breast cancer affects 1 in 8 women and ovarian
BRCA Genes and Inherited Breast and Ovarian Cancer. Patient information leaflet
BRCA Genes and Inherited Breast and Ovarian Cancer Patient information leaflet This booklet has been written for people who have a personal or family history of breast and/or ovarian cancer that could
Illinois Insurance Facts Illinois Department of Insurance
Illinois Insurance Facts Illinois Department of Insurance Women s Health Care Issues Revised August 2012 Note: This information was developed to provide consumers with general information and guidance
Benefits Collaborative Policy Statement WOMEN S HEALTH SERVICES
Page 1 uf 5 The services listed below are not inclusive of all services available to women on Medicaid, but WOMEN S HEALTH SERVICES Benefits Collaborative Policy Statement Women s health services are preventative
if your family has a history
if your family has a history OF CANCER. put it to the test. Learn about your risk for hereditary and ovarian and how you can reduce it. do you have a family history of Breast or Ovarian Cancer? what does
ScreenWise. Breast, Cervical, and Hereditary Cancer Screenings OCTOBER 28, 2015
ScreenWise Breast, Cervical, and Hereditary Cancer Screenings OCTOBER 28, 2015 ScreenWise Three programs working together to bring quality screening services to Oregon residents Why we all do this work
The Genetics of Early- Onset Breast Cancer. Cecelia Bellcross, Ph.D., M.S.,C.G.C. Department of Human Genetics Emory University School of Medicine
The Genetics of Early- Onset Breast Cancer Cecelia Bellcross, Ph.D., M.S.,C.G.C. Department of Human Genetics Emory University School of Medicine All cancers are genetic BUT Not all cancers are hereditary
PEC 101. (c) PT&A HEALTH September, 2012 1
PEC 101 (c) PT&A HEALTH September, 2012 1 Why do we need to be concerned about PECs? The legislation (and contracts) concerned with general insurance requires people to disclose if there are any circumstances
Illinois Insurance Facts Illinois Department of Insurance Coverage for the Diagnosis and Treatment of Breast Conditions
Illinois Insurance Facts Illinois Department of Insurance Coverage for the Diagnosis and Treatment of Breast Conditions Revised May 2015 Note: This information was developed to provide consumers with general
BRCA1 & BRCA2: Genetic testing for hereditary breast and ovarian cancer patient guide
BRCA1 & BRCA2: Genetic testing for hereditary breast and ovarian cancer patient guide What is Hereditary? Breast cancer is the most common cancer in women in the U.S. (it affects about 1 in 8 women). Ovarian
patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015
patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015 BRCA1 and BRCA2 Mutations Cancer is a complex disease thought to be caused by several different factors. A few types of cancer
HEDIS Code Quick Reference Guide Preventive/Ambulatory Services
HEDIS Code Quick Reference Guide Preventive/Ambulatory Services Child/Adolescent Care Well-Child Visits in the First 15 Months of Life [Commercial, Medicaid] Well-Child Visits in the Third, Fourth, Fifth
Prevention GENEration. The Importance of Genetic Testing for Hereditary Breast and Ovarian Cancer Syndrome (HBOC)
הסיכוי שבסיכון PREVENTION GENERATION Prevention GENEration The Importance of Genetic Testing for Hereditary Breast and Ovarian Cancer Syndrome (HBOC) We thank Prof. Ephrat Levy-Lahad Director, Medical
Breast Cancer Screening
Breast Cancer Screening Summary of the Clinical Practice Guideline September 2013 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate
Expansion of the Ontario Breast Screening Program (OBSP) to Include Women Aged 30 to 69 at High Risk for Breast Cancer
To: Physicians, Nurse Practitioners, Genetics Clinics, Hospitals and LHINs Published By: Implementation Branch Date Issued: June 27, 2011 Bulletin #: 10016 Re: Expansion of the Ontario Breast Screening
NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES
NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES GP Referrals All GP referrals for asymptomatic women with a family history of breast and/or
Ovarian Cancer Genetic Testing: Why, When, How?
Ovarian Cancer Genetic Testing: Why, When, How? Jeffrey Dungan, MD Associate Professor Division of Clinical Genetics Department of Obstetrics & Gynecology Northwestern University Feinberg School of Medicine
Lesson Plan: Genetic Testing and Hereditary Cancer
Lesson Plan: Genetic Testing and Hereditary Cancer OVERVIEW This lesson plan is designed to be used with the film In the Family, which explores issues related to genetic testing and the difficult decisions
PROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES BRCA GENETIC TESTING The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance Program (CMAP) on the requirements for
The Department of Vermont Health Access Medical Policy
State of Vermont Department of Vermont Health Access 312 Hurricane Lane, Suite 201 [Phone] 802-879-5903 Williston, VT 05495-2807 [Fax] 802-879-5963 www.dvha.vermont.gov Agency of Human Services The Department
ACA Mandates First Dollar Coverage for Preventive Services
I N F O R M A T I O N U P D A T E May 2013 ACA Mandates First Dollar Coverage for Preventive Services The Affordable Care Act (ACA) mandates that, effective for Plan Years beginning on or after Sept. 23,
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage
Hawaii Benchmarks Benefits under the Affordable Care Act (ACA)
Hawaii Benchmarks Benefits under the Affordable Care Act (ACA) 10/2012 Coverage for Newborn and Foster Children Coverage Outside the Provider Network Adult Routine Physical Exams Well-Baby and Well-Child
Familial Breast Cancer Referrals and Risk Management
Familial Breast Cancer Referrals and Risk Management Presented by: Helen Mountain Genetic Counsellor Genetic Services of WA Perth (KEMH and PMH) Joondalup Rockingham Bunbury Geraldton Kalgoorlie Albany
USPTO Roundtable Written Commentary
USPTO Roundtable Written Commentary In response to this committee s request for quantitative data, FORCE has gathered information from sources including healthcare providers, the hereditary breast and
Questions & Answers on ACA Section 4106 Improving Access to Preventive Services for Eligible Adults in Medicaid
Questions & Answers on ACA Section 4106 Improving Access to Preventive Services for Eligible Adults in Medicaid STATE PLAN AMENDMENT (SPA) Q1. Can a state submit a SPA to implement section 4106 at any
2015-16 TRS-ActiveCare Medical Plans
2015-16 TRS-ActiveCare Medical Plans PISD Contribution for full-time employees Full-Time Employee s Monthly Cost TRS-ActiveCare 1-HD PPO Total Monthly Cost Employee Only $341.00 $259.00 $82.00 Employee
Hereditary Ovarian cancer: BRCA1 and BRCA2. Karen H. Lu MD September 22, 2013
Hereditary Ovarian cancer: BRCA1 and BRCA2 Karen H. Lu MD September 22, 2013 Outline Hereditary Breast and Ovarian Cancer (HBOC) BRCA1/2 genes How to identify What it means to you What it means to your
Cost-effectiveness of predictive genetic tests for familial breast and ovarian cancer
Cost-effectiveness of predictive genetic tests for familial breast and ovarian cancer NIKKI BREHENY, ELIZABETH GEELHOED, JACK GOLDBLATT & PETER O LEARY Abstract Aim: To examine the relative cost-effectiveness
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral
Breast Cancer s Link to Ovarian Cancer: It s in Your Genes. foundationforwomenscancer.org
Breast Cancer s Link to Ovarian Cancer: It s in Your Genes foundationforwomenscancer.org There are now more than 2.6 million women in America who have been diagnosed with breast cancer. A very small fraction
Personalized Breast Screening Service
Frequently Asked Questions WHAT IS BREAST DENSITY? Breasts are made up of a mixture of fibrous, glandular and fatty tissue. Your breasts are considered if you have predominantly fibrous or glandular tissue
Breast cancer in families. This booklet explains what a family history of breast cancer is, and what this may mean for you or your family.
Breast cancer in families This booklet explains what a family history of breast cancer is, and what this may mean for you or your family. Worried Lorem about ipsum breast dolore cancer estes Contents
HEREDITARY BRCA1. Faulty gene INFORMATION LEAFLET. How Do I Reduce My Risk?
HEREDITARY BREAST CANCER BRCA1 Faulty gene INFORMATION LEAFLET How Do I Reduce My Risk? Page 1 CONTENTS Part A 1 What is BRCA1 2 How does BRCA1 affect a person s risk of cancer? 3Testing for BRCA1 4Benefits
Cancer Screening 22M 36% 56% Only 56% of uninsured women aged 50 74 are up-to-date with mammography screening. Colorectal Cancer Breast Cancer
July 2010 22M 22 million adults aged 50 75 need to be screened for colorectal cancer, and 7 million women aged 50 74 need to be screened for breast cancer. Cancer Screening Colorectal Cancer Breast Cancer
Understanding Hereditary Breast and Ovarian Cancer. Maritime Hereditary Cancer Service
Understanding Hereditary Breast and Ovarian Cancer Maritime Hereditary Cancer Service General Information Cancer is very common. About one in three (33%) people are diagnosed with some form of cancer during
Understanding Lynch Syndrome
ESSENTIALS Lynch Syndrome Understanding Lynch Syndrome Certain cancers can run in families. Sometimes this happens because of harmful changes (called mutations) in our genes that are passed from one generation
Health Care Reform: Using preventive care for a healthier life
HorizonBlue.com Health Care Reform: Using preventive care for a healthier life Horizon Blue Cross Blue Shield of New Jersey is committed to empowering our members with access to preventive services to
SUMMARY OF CONTRACT CHANGES
SUMMARY OF CONTRACT CHANGES Alaska Insured Non-Grandfathered Group Plans (51-99 employees) For renewals from January 1, 2014 to December 1, 2014 Premera Blue Cross Blue Shield of Alaska has made changes
Breast Health Program
Breast Health Program Working together, for your health. Breast Health Program The Breast Health Program at The University of Arizona Cancer Center offers patients a personalized approach to breast cancer,
BROKER GUIDE TO HEALTH CARE REFORM
for groups 2 50 for groups of 51+ individual & family plans BROKER GUIDE TO HEALTH CARE REFORM January 2011 Inside: Understanding grandfathered status Benefit rule changes Preventive services summary Key
Manitoba EMR Data Extract Specifications
MANITOBA HEALTH Manitoba Data Specifications Version 1 Updated: August 14, 2013 1 Introduction The purpose of this document 1 is to describe the data to be included in the Manitoba Data, including the
Human Resources. Benefits. at a Glance
Human Resources Benefits at a Glance 2015 2016 The information in this guide is only a summary of plan benefits and Haverford College s policies and is not intended to be a complete description. More details
SUMMARY OF BENEFITS. Out-of-Network Care: $10,000 per policy year
OUTPATIENT BENEFITS Most Primary Care office visits at SHC are provided at no charge. This is not an insured benefit but is provided by NYU to all matriculated students including students who waive the
Cancer Screening and Early Detection Guidelines
Cancer Screening and Early Detection Guidelines Guillermo Tortolero Luna, MD, PhD Director Cancer Control and Population Sciences Program University of Puerto Rico Comprehensive Cancer Center ASPPR Clinical
Leah Jutzi MD, on behalf of OvCaRe
British Columbia s Ovarian Cancer Prevention Initiative Leah Jutzi MD, on behalf of OvCaRe Ovarian Cancer Control Prevention Screening Treatment Treatment Remains a Challenge http://seer.cancer.gov/statfacts/html/ovary.html
If you are still in your fertility years If you are past your fertility years and need surgery for a mass or for pain and have normal ovaries
If you are still in your fertility years, an ovary should be removed only if there is a large, complex or persistent mass on it or if you have intolerable pain from endometriosis. There should be an attempt
Health Maintenance Guidelines for Women
Health Maintenance Guidelines for Women Customize your plan: These guidelines apply to healthy women in the general population. The right plan for your care may differ based on your medical history, family
Cancer Prevention and Screening Hong Kong Perspective Professor TH LAM
Cancer Prevention and Screening Hong Kong Perspective Professor TH LAM Chairman, Cancer Expert Working Group on Prevention and Screening Chair Professor of Community Medicine, School of Public Health,
Examples of good screening tests include: mammography for breast cancer screening and Pap smears for cervical cancer screening.
CANCER SCREENING Dr. Tracy Sexton (updated July 2010) What is screening? Screening is the identification of asymptomatic disease or risk factors by history taking, physical examination, laboratory tests
Insurance Protections and Coverage
Insurance Protections and Coverage The First Line of Defense: Application of Breast Cancer Genomics Standards in Primary Care Friday, February 21, 2014 Presenter: Lisa K. Liang, Esq. Health Law Unit (Breast
GENETIC TESTING FOR INHERITED MUTATIONS OR SUSCEPTIBILITY TO CANCER OR OTHER CONDITIONS MED207.110
GENETIC TESTING FOR INHERITED MUTATIONS OR SUSCEPTIBILITY TO CANCER OR OTHER CONDITIONS MED207.110 COVERAGE: Pre- and post-genetic test counseling may be eligible for coverage in addition to the genetic
Understanding Your Risk of Ovarian Cancer
Understanding Your Risk of Ovarian Cancer A WOMAN S GUIDE This brochure is made possible through partnership support from Project Hope for Ovarian Cancer Research and Education. Project HOPE FOR OVARIAN
Genetic Testing for Hereditary Breast and Ovarian Cancer - BRCA1/2 ANALYSIS -
Genetic Testing for Hereditary Breast and Ovarian Cancer - BRCA1/2 ANALYSIS - January 2005 SCIENTIFIC BACKGROUND Breast cancer is considered to be one of the most prevalent cancer in women. The overall
Genetic Services Policy Project
Hereditary Breast and Ovarian Cancer: A Policy Brief What are Hereditary Breast and Ovarian Cancers (HBOC)? HBOCs are cancers associated with autosomal dominant genetic mutations with reduced penetrance.
IN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services)
HMO-OA-CNT-30-45-500-500D-13 HMO Open Access Contract Year Plan Benefit Summary This is a brief summary of benefits. Refer to your Membership Agreement for complete details on benefits, conditions, limitations
Hereditary Breast Cancer. Nicole Kounalakis, MD Assistant Professor of Surgery University of Colorado Medical Center
Hereditary Breast Cancer Nicole Kounalakis, MD Assistant Professor of Surgery University of Colorado Medical Center Outline Background Assessing risk of patient Syndromes BRCA 1,2 Li Fraumeni Cowden Hereditary
toolkit Getting the Coverage You Deserve: What to Do If You Are Charged a Co-Payment, Deductible, or Co-Insurance for a Preventive Service
toolkit Getting the Coverage You Deserve: What to Do If You Are Charged a Co-Payment, Deductible, or Co-Insurance for a Preventive Service 1 2 3 4 Flow Frequently Asked Questions Preventive Services pages
Genetics and Breast Cancer. Elly Lynch, Senior Genetic Counsellor Manager, Austin Health Clinical Genetics Service
Genetics and Breast Cancer Elly Lynch, Senior Genetic Counsellor Manager, Austin Health Clinical Genetics Service Overview Background/Our Team What is the difference between sporadic/familial cancer? How
Preventive Care Coverage Wondering what preventive care your plan covers?
STAYING WELL Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Preventive Care Coverage Wondering what preventive care your plan covers? Our
Procedure Code(s): n/a This counseling service is included in a preventive care wellness examination or focused E&M visit.
Coding Summary for Providers NOTE THE FOLLOWING: The purpose of this document is to provide a quick reference of the applicable codes for UnitedHealthcare plans that cover preventive care services in accordance
2016 Summary of Benefits
2016 Summary of Benefits Health Net Violet Option 3 (PPO) Douglas and Josephine counties, OR Benefits effective January 1, 2016 H5520 Health Net Life Insurance Company H5520_2016_0202 CMS Accepted 09162015
Cancer screening: indications, benefits and myths
Cancer screening: indications, benefits and myths Silvia Deandrea Institute for Health and Consumer Protection Public Health Policy Support Unit Healthcare Quality Team Joint Research Centre The European
Preventive Health Services
understanding Preventive Health Services For the most current version of this document, visit www.wellwithbluemt.com or www.bcbsmt.com. Preventive health services include evidence-based screenings, immunizations,
Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Frequency of visit as recommended by PCP
SCREENING EXAMINATION & COUNSELING UPMC Health Plan Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Annually Physical Exam and Counseling 1 Blood Pressure 2 At each visit. At least
PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION
PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION Health Plan of Nevada and Sierra Health and Life suggest that health plan members get certain screening tests, exams and shots to stay healthy. This document
Hereditary Breast and Ovarian Cancer (HBOC)
Oxford University Hospitals NHS Trust Oxford Regional Genetic Department Hereditary Breast and Ovarian Cancer (HBOC) Information for women with an increased lifetime risk of breast and ovarian cancer What
Patient Support Guide
Patient Support Guide to genetic testing for hereditary breast and ovarian cancer syndrome Testing for BRCA1 and BRCA2 is available from Quest Diagnostics. Quest Diagnostics Patient Support Guide to Genetic
Important health care reform notice Women s preventive services covered with no member cost share
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Important health care reform notice Women s preventive services covered with no member cost share www.aetna.com
DATE NAME: DOB: / / AGE: EMAIL ADDRESS: CELL PHONE NUMBER/BEST CONTACT NUMBER: REFERRING PHYSICIAN: EMERGENCY CONTACT NAME, PHONE NUMBER
Mammosafe 5300 North Braeswood Boulevard Suite 4-400 Houston, Texas 77096 832.975.7824 BREAST HISTORY FORM DATE NAME: DOB: / / AGE: EMAIL ADDRESS: CELL PHONE NUMBER/BEST CONTACT NUMBER: REFERRING PHYSICIAN:
Medicare Coverage of Genomic Testing
Medicare Coverage of Genomic Testing Louis B. Jacques, MD Director, DID/CAG/OCSQ With acknowledgements to Jeff Roche, MD Social Security Act 1862(a)(1)(A) Notwithstanding any other provision of this title,
SUMMARY!OF!BENEFITS!
SUMMARY!OF!BENEFITS!! BASIC!PLAN! COMPREHENSIVE! Policy Year Maximum Unlimited Unlimited Out-of-Pocket Limit OUTPATIENT!BENEFITS! Doctor s Visits Most Primary Care office visits at SHC are provided at
Gynecologic Cancer in Women with Lynch Syndrome
Gynecologic Cancer in Women with Lynch Syndrome Sarah E. Ferguson, MD FRCSC Division of Gynecologic Oncology, Princess Margaret Hospital, University of Toronto June 11, 2013 Objective 1. To review the
Breast cancer and genetics
Breast cancer and genetics Cancer and genes Our bodies are made up of millions of cells. Each cell contains a complete set of genes. We have thousands of genes. We each inherit two copies of most genes,
INTERVENTIONS BREAST CANCER GENETICS YOUNG BREAST CANCER SURVIVORS
INTERVENTIONS BREAST CANCER GENETICS YOUNG BREAST CANCER SURVIVORS AND THEIR AT-RISK RELATIVES Maria C. Katapodi, PhD, RN, FAAN Professor of Nursing Faculty of Medicine, University of Basel, Switzerland
Preventive Services at 100%
September 1, 2014 Update Preventive Care Services Covered Without Cost-sharing Without Copay, Coinsurance or Deductible The Affordable Care Act (ACA) requires non-grandfathered health plans and policies
Medical Coverage - SummaCare Medicare Supplement Plan (dependents 65 +)
Medical Coverage - SummaCare Medicare Supplement Plan (dependents 65 +) The University is continuing medical coverage with SummaCare Medicare Supplement for retiree dependents over age 65. This plan will
NIH Public Access Author Manuscript Genet Med. Author manuscript; available in PMC 2009 August 13.
NIH Public Access Author Manuscript Published in final edited form as: Genet Med. 2006 September ; 8(9): 571 575. doi:10.1097/01.gim.0000237867.34011.12. Population-based study of the prevalence of family
The Greater Atlanta Affiliate 2004-2005 Grant Recipients
The Greater Atlanta Affiliate 2004-2005 Grant Recipients Atlanta Lesbian Cancer Initiative Treatment, Education, Support & Screening: This award supports psychosocial, informational, and physical support
Are You at Risk for Ovarian Cancer?
Are You at Risk for Ovarian Cancer? A Woman s Guide Read this brochure to learn more about ovarian cancer symptoms, risk factors and what you can do to reduce your risk. ALL WOMEN HAVE SOME RISK OF OVARIAN
Impact of Breast Cancer Genetic Testing on Insurance Issues
Impact of Breast Cancer Genetic Testing on Insurance Issues Prepared by the Health Research Unit September 1999 Introduction The discoveries of BRCA1 and BRCA2, two cancer-susceptibility genes, raise serious
January 2014. Background. EAPs
Yes, Employers, There Is an Escape Clause! Christmas Eve Guidance Exempts Some EAPs and Limited Scope Dental and Vision Plans From HIPAA and Affordable Care Act January 2014 On December 24, 2013, the Departments
Performance Measures for the Nebraska State Health Improvement Plan
Nebraska State Improvement Plan 2013-2016 Vision: Working together to improve the health and quality of life for all individuals, families, and communities across Nebraska. Performance Measures for the
Screening guidelines tool
Screening guidelines tool Disclaimer: This material is intended as a general summary of screening and management recommendations; it is not intended to be comprehensive. Colorectal cancer (CRC) screening
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 608-282-8900 (1-800-545-5015).
Genomics and Family History Survey Questions Updated March 2007 Compiled by the University of Washington Center for Genomics & Public Health
Genomics and Survey Questions Updated March 2007 Compiled by the University of Washington Center for Genomics & Public Health This publication is distributed free of charge and supported by CDC Grant #U10/CCU025038-2.
What s In Your Genes: How changes in the BRCA1/BRCA2 genes
ESSENTIALS BRCA1/BRCA2 Mutations What s In Your Genes: How changes in the BRCA1/BRCA2 genes might affect you and your family Our genes contain the codes for producing the proteins that are the building
Hereditary Breast Cancer Testing. Diagnostic
Hereditary Cancer Testing Diagnostic New solutions for hereditary breast cancer. Identifying and understanding the genetic contribution to breast cancer allows for individualized disease management and
Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women
Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Annual screening for pregnant women Bacteriuria For pregnant women at 12-16 weeks gestation or first prenatal visit
Cancer Screening. Robert L. Robinson, MD, MS. Ambulatory Conference SIU School of Medicine Department of Internal Medicine.
Cancer Screening Robert L. Robinson, MD, MS Ambulatory Conference SIU School of Medicine Department of Internal Medicine March 13, 2003 Why screen for cancer? Early diagnosis often has a favorable prognosis
FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits. FirstMedicare Direct PPO Plus (PPO)
FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits FirstMedicare Direct PPO Plus (PPO) Chatham, Hoke, Lee, Montgomery, Moore, Richmond, Scotland Counties 1 P age SECTION I - INTRODUCTION TO SUMMARY
DRAFT. To Whom It May Concern:
DRAFT Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1345-P, P.O. Box 8013, Baltimore, MD 21244-8013 To Whom It May Concern: As a nonprofit, nonpartisan
Your Out-of-Pocket Type of Service
Calendar Year Deductible (CYD) 1 $5,000 single/ 2x family Out-of-Pocket Maximum - Deductibles and copays all accrue towards the out-of-pocket $6,000 single/ 2x family maximum. With respect to family plans,
UnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Health Savings Account (HSA) Plan 4X8 of Southern State Community College Enrolling Group Number: 755032
January 1, 2015 December 31, 2015. Employee Benefits Enrollment Guide. Design 2008-2010 Zywave, Inc. All rights reserved.
January 1, 2015 December 31, 2015 Employee Benefits Enrollment Guide Design 2008-2010 Zywave, Inc. All rights reserved. December 1, 2013 November 30, 2014 Benefits Contact Sheet Moody Insurance Agency