National Breast Cancer Foundation, Inc.

I need to vent today. I had the OncoDx test done as recommended by my oncologist so that I did not have to have chemotherapy if it was not necessary. My tumor size was right over the limit where without this test, I would have received chemotherapy. My score was low and I do not need chemotherapy.
Genomic Health, the company that performs the test is contracted with my insurance. I saw they were In network and went ahead with the test as I need
no pre-authorization for out patient testing. The testing is done on tumor tissue from your breast surgery. Evidently Genomic Health perform other tests too because my insurance, Medica, a company out of Minnesota denied payment (charge $3,650.00) stating the test is experimental and unproven and therefore no benefits are payable on this expense. I called Genomic Health and they are going to handle the Insurance appeal. They were super nice and will work out
payment plans if the appeals fail. I also called the Cancer Center where I get treatment. The Breast Cancer coordinator said I was the first woman there that she knows was denied payment by her insurance for this test. She said the test is FDA approved and included in recommendations of The National Cancer Institute guidelines of all the major Cancer Centers. Up to this point, my coverage has been good once I met my $ 3000.00 deductible which I did. If this is not covered, I am really upset!!!! My husband says the test was worth it
no matter and not to worry. I know he is right but I feel so many emotions right on edge that I never had before. Thanks For letting me vent!!!! I am still so fortunate, I AM A CANCER SURVIVOR!!!!