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Sep 23, 2022 05:54PM
Sep 23, 2022 06:11PM
I had genetic testing for 54 genes in 2020. Medicare would not pay for it, I think it was $100-$150 out of pocket for me. I dion't have any defective genes!
I highly recommend seeing a genetic counselor. Also. remember, whether you have defective genes or not, it doesn't mean you will or won't get breast cancer. I am proof of that! At the time of my testing I already had breast cancer twice in one breast, new cancers, not recurrences, and a strong family history, mother and two of three sisters. No defects, yet I was diagnosed again in August 2022 and I am having a mastectomy with reconstruction in October.
I doubt since you are old enough to be on Medicare, that there is value in getting tested. If you haven't seen a genetic counselor, that should be a first step. Make sure your insurance will cover that before scheduling. Medicare may not pay for prophylactic mastectomy, so if you are tested and find you have defective genes, it may just cause more anxiety. I know Medicare won't pay for reconstruction unless you have breast cancer.
Every woman is considered high risk as they age, the older one gets, the higher the risk. If I were you I would just be vigilant about getting yearly mammograms. Chances are at 65 or older and never having been diagnosed, you don't have a genetic defect. Again, your risk isn't an absolute prediction of whether or not you will be diagnose with breast cancer. BRCA positive women will normally get diagnosed before age 45-50.
The reason I had genetic testing wasn't for me, but to know if I could have passed it on to my children.
My cancer was caught very early all three times via mammograms so to me, having yearly mammograms with or withoutultrasound, is far more beneficial than genetic testing in older women.
6/6/2003, IDC, Left, 1cm, Stage IA, Grade 1, 0/24 nodes, ER+/PR+
12/4/2018, ILC, Left, 1cm, Grade 2, ER+/PR+, HER2-