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Breast Cancer Gene (BRCA) Testing Prior Authorization

Completing the notification/prior authorization process for BRCA mutation genetic testing is required. Use this form for UnitedHealthcare Commercial members who aren’t included in the Genetic and Molecular Lab Testing Notification/Prior Authorization requirement.

Submit your request by completing the Genetic Testing for BRCA Mutations Notification/Prior Authorization Request Form or call the Provider Services phone number on the member’s health plan ID card.

Genetic Testing

UnitedHealthcare doesn’t require genetic counseling before approving coverage of genetic testing.

However, genetic counseling can give the member more information about the tests and help them understand the results. If a care provider determines that a member might benefit from genetic counseling, we recommend that the counseling be done by an independent genetic care provider who isn’t employed by a genetic testing lab. You can find a list of participating care providers at UHCprovider.com > Menu > Find a Provider.

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