Medicare Advantage Anthem – Genetic Tests: Once per Lifetime
October 10, 2023Policy G-23002, effective 01/01/2024.
Beginning with dates of service on or after January 1, 2024, Anthem Blue Cross and Blue Shield (Anthem) will implement a new reimbursement policy titled Genetic Tests: Once per Lifetime. This policy identifies specific genetic tests allowed once in a member’s lifetime. During the member’s lifetime, the germline genotype will not change. However, the interpretation of the gene sequence may change due to recategorization of variants, or other factors. Repeat sequencing is not required for future interpretation of germline genotype, or re-analysis of previously sequenced data.
Source: https://providernews.anthem.com/colorado/articles/genetic-tests-once-per-lifetimenbsp-10