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The Maze of ACA Preventive Care For Patients With BRCA Mutation (Updated)

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I support the ACA. It's a law that has done far more good than bad. It's saving lives and one of the best things about the ACA is that preventive care is performed with no cost sharing from the patient.

Over the last two years I helped a few people on the front lines of dealing with breast cancer, ovarian cancer and BRCA testing/screening and discovered that the ACA "preventive care" standards are quite challenging to comprehend. The preventive services list supplied by Healthcare.gov looks complete, pretty much what you'd want to see on the list, but it isn't. There are more included services that are listed on supplemental pages further explaining more covered preventive care services for unusual cases that require more than one line explanations.

It sure does look good. Then several people asked me for help in figuring out what was and wasn't preventive care as they went about getting care. Most of the time it's pretty straight forward, but it's not when it comes to something like navigating BRCA genetic mutation.

When you get down to using preventive services, the "free" stops when you get a positive result. There's more to it than this intro. I've tried to set it up for skim reading, but a complicated subject like ACA preventive care for patients with the BRCA mutation gets a complicated, long diary.

If you are interested in the thought process taken over the course of years for a patient with the BRCA mutation, jump over to the other side of the fleur de Kos.


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