![]() ![]() ![]() “For others, their self-pay prices could still present a barrier to equitable care between women with private insurance and women with public insurance.”ĭespite a 2016 statement by the American College of Obstetrics and Gynecology (AGOC) that NIPT can be offered to the general obstetric population because it has similar sensitivity and specificity to the high-risk population, many private insurance companies still use the 2012 ACOG guidelines for determining insurance coverage for NIPT. “Some laboratories offer financial assistance and lower patient self-pay prices compared to the list price, which may be affordable for some,” they wrote. Self-pay prices for NIPT can range from $299 to $349, according to the authors, with list prices between $1,100 and $1,590. Women with public insurance were 3.43 times more likely to have NIPT as an initial screen for aneuploidy than women with private insurance. Women selected either NIPT or first trimester screening (FTS). The study comprised the patient records of 1,006 women who received genetic counseling services during the 2018 calendar year at UnityPoint Health-Meriter, a University of Wisconsin-affiliated hospital in Madison, which is the largest delivering hospital in the state. The authors noted that low-risk women with public insurance in Wisconsin are covered for NIPT. Across the United States, including Wisconsin where the study was conducted, “many private insurances do not cover initial NIPT for low-risk women, creating a potential financial burden that may limit patient selection of NIPT,” wrote the authors, of whom four of the five are from the School of Medicine and Public Health at the University of Wisconsin in Madison. ![]()
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