Beginning January 1, 2019, Blue Cross Blue Shield of Massachusetts will require prior authorization before covering certain genetic tests. Prior authorization helps us manage costs by ensuring your employees receive services that are clinically appropriate and medically necessary. The following genetic tests will require prior authorization:
Doctors who request prior authorization for these services may also suggest genetic counseling to help employees better understand the procedure and its results.
This change will only apply to members on our Commercial HMO/POS and Commercial PPO plans.