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New Illinois Laws Could Impact Your Health Care

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New Illinois Laws Could Impact Your Health Care

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It’s an enormous a part of Anastasia Kathrens-Gallardo’s job as a genetic counselor at Loyola Medicine.

“Making sure everybody is aware that this testing is available for people who have a strong family history of breast, ovarian, even pancreatic and prostate cancer, can be linked to the BRCA1 and BRCA2 genes,” Kathrens-Gallardo stated.

As of Jan. 1, 2023, HB 05334 requires medical health insurance plans to cowl prices for genetic testing for BRCA1 and BRCA2 genes to detect dangers for breast and ovarian most cancers, if really helpful by a doctor.

“The cost of genetic testing has gone down dramatically in the last few years, but insurance coverage and cost of testing, it can still be a barrier for patients,” Kathrens-Gallardo stated.

A second legislation, HB 05318, requires medical health insurance to cowl annual prostate most cancers screenings upon the advice of a health care provider.

“We always welcome a change in law that will make access to care easier, but you know, particularly in these cases, it is especially timely,” stated Dr. Alex Gorbonos, a urologic oncologist with Loyola Medicine.

Dr. Gorbonos says many males delayed screenings throughout the pandemic, however understanding they’re coated  could function motivation to get screened now.

“I think it’s important to screen it, especially in populations that are susceptible to it, a man with a positive family history and African American men,” Dr. Gorbonos stated.

“We know at the American Cancer Society through extensive research that people who don’t have adequate coverage for these vital screenings are not going to be able to access them,” stated Ally Lopshire, the federal government relations director for the Illinois chapter of the American Cancer Society.

That’s why the American Cancer Society helps these new legal guidelines.

“When we say coverage, we’re also trying to make sure that the cost share, what the patient actually pays when they go to get the service, is low or even negligible,” Lopshire stated.

It’s necessary to notice that these new state legal guidelines solely apply to state-regulated insurance policy.

“Any plan that is regulated by state law,  which would be your Medicaid plans, plans on the exchanges, certain employer plans, those are what’s going to be impacted,” Lopshire stated.

If you’re undecided if a take a look at or screening is roofed, it is best to ask questions first.

“It can be very confusing, so we encourage people to call their insurance company and ask them what type of plan they have or  you can call the Illinois Department of Insurance. They can help you navigate those things,” Lopshire stated.

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