I just received a medical bill for $4909 which medicare and my supplement denied coverage on. This was for a test I had requested for BRCA gene testing. This BRCA gene if you have it means that your risk of getting breast or prostate cancer is a lot higher than the normal population. My sister had breast cancer and has this gene, however it doesn't mean that I automatically have it. If I dont have it, it does mean that my daughters dont have it also. My daughters wanted to know if I have it, if I didn't then its no issue. However, if I do have it they would get testing to see if they have it. So I said I would get this blood test done. Called my Dr and had him write up an order for it. He said I had reason for him to order it due to my family history of the gene and cancer. Now I find out that medicare and my supplement both denied coverage of it. My quick search on internet says Medicare won't pay for it if you dont have cancer. So if medicare won't pay my supplement won't cover it.
I am surprised that the lab or my doctor wouldn't have known that insurance doesn't coverage and raise a flag and send it back to me with the costs before doing the test. I just sent a note over to my doctor to have him look and this. Any thoughts from tuggers on what options do I have regarding payment of this bill. I never would have ordered it had I known I was going to have to pay $4909 for it.
I am surprised that the lab or my doctor wouldn't have known that insurance doesn't coverage and raise a flag and send it back to me with the costs before doing the test. I just sent a note over to my doctor to have him look and this. Any thoughts from tuggers on what options do I have regarding payment of this bill. I never would have ordered it had I known I was going to have to pay $4909 for it.
Last edited: