Hoag provides an expert team of multidisciplinary physicians who specialize
in complete surgical procedures as a risk-reduction measure.
Ongoing research, including a recent study in the Journal of the American
Medical Association, has shown that women at increased risk of breast
and ovarian cancer because of inherited mutations of the BRCA1 or BRCA2
genes who had prophylactic mastectomy or salpingo-oophorectomy (removal
of the fallopian tubes and ovaries) have an associated decreased risk
of breast cancer and ovarian cancer. These findings are why many women
at high risk for hereditary breast and ovarian cancer consider the option
of prophylactic removal of breasts or ovaries as a risk-reduction measure.
Prophylactic surgery, when appropriately used, can be beneficial in significantly
lowering the risk of cancer in a specified subset of women. However, prophylactic
surgery may have significant implications for those who opt for it. Hoag
provides an expert team of multidisciplinary physicians who specialize
in these complex surgical procedures, including prophylactic mastectomy
Schedule an Appointment
Hoag's expert team of physicians are available for consultations and
For a comprehensive evaluation, please call 949-764-1834 to schedule an
Will this affect my ability to get health insurance in the future?
Results of genetic testing should not affect anyone’s ability to
get health insurance. A federal bill called GINA, which stands for Genetic
Information Non-discrimination Act, was passed in 2008. This new law prohibits
health insurers from dropping or denying insurance coverage or charging
higher premiums based solely on genetic test results.
Employers are also not legally allowed to fire someone or deny someone
employment because of their genetic status.
And remember, although most insurance companies will cover the cost of
testing, the results are confidential and are not released (not even to
the insurance company) without a signature from the patient. For more
information about GINA,
Will my insurance cover this?
Most insurance companies will cover all or part of the cost of these services.
If you have an HMO, your doctor’s office can request prior authorization
for an appointment.
Because each plan is different, we recommend that you check with your insurance
company for specifics. Our insurance reimbursement specialist may also
be able to assist you. When you are checking about coverage, your insurance
company may ask you for the CPT code.
The CPT code for the consultation is 96040. Codes used for testing will
vary according to your personal and family history, and usually it is
difficult to provide these prior to your consultation. Most laboratories
are able to give you an estimated out of pocket quote prior to starting
Why do I need genetic counseling?
“My sister was just found to have a BRCA mutation. I don’t
need genetic counseling, but can you tell me what test I should have?
Is it covered by insurance? Is it important for my brother to test, too?
If I have it, does that mean my kids have it too?”
These and many more, equally important questions are exactly what genetic
counseling is all about. Of course we provide support when it’s
needed, but our goal is to make sure that we assess your personal and
family history for all known hereditary cancer susceptibility conditions,
and for those who would like to pursue genetic testing, to make sure the
right test is ordered on the appropriate person and most important, that
the results are interpreted correctly.
Misinterpretation of genetic test results poses a great risk and can have
a significant impact on a family and their ability to get appropriate
information and follow-up care, when testing is ordered by those who are
not board certified in genetics.
Genetic testing for hereditary cancer can sometimes arouse certain emotions
or painful memories. We are able to inform patients of helpful resources
as needed and make connections with those who can provide appropriate support.
After your appointment, you will receive a complete written report which
you can share with your family. In this report, we will outline your risk
for cancer, what your results mean (if applicable) and possible recommendations
for screening for you and your family members.
Going forward, we invite you to stay in contact with us for information
about new discoveries in genetics which may result in additional testing
that would be appropriate for you, changes in medical management guidelines,
or research opportunities. We are also available to assess any new developments
in your family history.
As a patient, you deserve the best opportunity to get the right answers
about hereditary cancer – from an expert. It’s too important
not to see a specialist.
What if I’ve already had cancer?
If you have been diagnosed with cancer, you have probably wondered why
this happened. Hereditary cancer assessment may help you to finally get
the answer to this question, and the answer may provide both you and your
family with important information.
A person who has cancer or who has had cancer does not want it to happen
again. People with an inherited predisposition to cancer are often at
risk of getting cancer a second time. If this is the case for you, then
this knowledge can help you take steps to dramatically lower the chance
of getting cancer again.
Also, if you’ve been diagnosed with cancer, your family is likely
not only concerned about you … they’re probably also worried
about their own chance of getting cancer. Hereditary cancer assessment
can help to clarify their cancer risks and what steps they should be taking.
Risk Assessment Counseling
In addition, individuals who wish to fully understand their risk for cancer,
as well as other genetically-related medical conditions, may wish to seek
risk assessment counseling and genetic testing through Hoag’s Hereditary
For details, please
click here or call 949-764-5764.