Genetic testing now more affordable for some South Carolina residents

YORK COUNTY, S.C. — Genetic testing can be pricey depending on insurance, but South Carolina leaders just made it more affordable for people on Medicaid.

[Warning: At-home genetic testing could influence some insurance rates]

One local woman told Channel 9 that genetic testing confirmed she had breast cancer, and she paid $3,500 out-of-pocket for the test five years ago.

"I fully contribute finding out I had cancer through genetic testing," said breast cancer survivor Kelly Kashmer.

In the video at the top of this webpage, Channel 9's Gina Esposito tells the story of a woman who believes genetic testing helped save her life and the new change in South Carolina that could help save others. 

Click here to learn more about the qualifications.

Effective July 1, 2019, the South Carolina Department of Health and Human Services adopted the National Conference of Cancer Networks' national standard for BRCA coverage for eligible men and women who meet medical necessity criteria.

The NCCN guidelines are available here. Additional information on SCDHHS' policy is available in our Physician Services Provider Guide. BRCA is specifically addressed on the pages below.

  • BRCA Coverage Guidelines: Pages 114-116
  • BRCA Prior Authorization Requirements: Page 171
  • BRCA Documentation Requirements: Page 201
  • BRCA Billing Guidance: Pages 242-243