Genetic Testing Program
The Cancer Resource Foundation, Inc., (CRF) provides financial assistance for genetic testing. In 2010 the CRF implemented a genetic testing financial assistance program for Massachusetts residents. This program, called the GIFTSS (Genetic Information for Treatment, Surveillance and Support) Program provided free testing for those who were not eligible for any other kind of financial help and therefore were not able to get the recommended genetic testing. Since the inception of this program, we have been able to provide close to 300 free tests for Massachusetts residents.
In 2011, the Cancer Resource Foundation launched a copay assistance program in 5 pilot states. After successful implementation of this pilot program, the CRF expanded to a national program on August 1, 2012. We are now able to offer copay assistance to anyone who qualifies.
The CRF Genetic Testing Program is available for anyone who qualifies.
(You must meet ALL criteria below to qualify.)
- Your household income is below 400% of the federal poverty guidelines (link to table)
- You have health insurance
- Your doctor, healthcare provider or genetic counselor determines that you meet the medical criteria for the test(s) National Comprehensive Cancer Network (NCCN).
When medical criteria are not available through NCCN, your healthcare provider will need to provide medical justification for the test.
How to Apply
The Cancer Resource Foundation, Inc., administers the genetic testing program using an online application tool called 1SourceApp. This application tool requires you to REGISTER. You register ONLY ONCE. You will receive a Login and Password so that you can check the status of your application at any time. Save or print your summary with login information. Save your password in a safe place. You should never share your password with anyone.
You will need to enter your healthcare provider and your genetic counselor information (if you have one). It is important to have all your information available before starting your application. Information you will need to start your application.
- Your email or cell phone number
- You will let us know how you want to be notified about your application determination. We can send you an email or text message. If you do not have either it is not a problem. Your healthcare provider or genetic counselor can login to see about your application status.
- Your Health Insurance Information
- You will need your health insurance card with subscriber number and expiration date
- Your Income Information
- You will need your pay stub, the pay stubs of everyone in your household or your tax return
- If you do not have a pay stub you can fill in your income information and testify that it is correct
Note: We conduct periodic audits of application information. If your information has been entered incorrectly you may be required to pay back the funding amount in full. Please verify all information before submitting.
After you REGISTER, you will have a login and password check the status of your application at any time. Save you login and password in a safe place.
Once you have registered, you can begin your application for genetic testing. If you are interested in applying for any other programs you can select them at the same time.
The Cancer Resource Foundation, Inc., can provide support by phone Monday through Friday 9:00 AM to 5:00 PM Eastern Standard Time. Our Support team can help you apply online, answer questions about the program or make a referral for genetic counseling when appropriate. You can also send an email with your questions or comments about the program to Deb Lundquist, Director of Community Programs firstname.lastname@example.org
When you apply for genetic testing, you will not be able to select the exact test you want or need. Your genetic counselor or healthcare provider must do that. When you complete your application, be sure to enter the correct healthcare provider and genetic counselor information.
If your healthcare provider and or genetic counselor is already registered in the system you will only need to SELECT them from our list of registered providers.
Our online system follows all state and federal rules that protect your privacy and the privacy and security of your health information.
The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes.
The Security Rule specifies a series of administrative, physical, and technical safeguards for covered entities to use to assure the confidentiality, integrity, and availability of electronic protected health information.
Due to these requirements, we will only share your information with providers that you select. It is very important that you select a provider or genetic counselor so that your application approval process is not delayed.
Providers and genetic counselors can also complete applications on your behalf. They will need your consent to send your health insurance and income information to us, before the application can be reviewed for approval.The Application Process:
- The application is completed with patient information.
- If patient applies, the patient must select a genetic counselor or healthcare provider before the appropriate test(s) and lab can be selected by the provider.
- If the provider or genetic counselor completes the application, they can select the test(s) and lab during the application process.
- Once the application is complete, the Cancer Resource Foundation is notified. The notification will tell us that an application has been completed and ready for determination.
- Each application is reviewed by CRF patient support services
- Each application is given a determination of
- Approved – patient meets criteria
- Denied – patient does not meet criteria
- Waitlisted– patient meets criteria but funds for that month have been exhausted. Applications are funded on a first-come, first-serve basis. Applications waitlisted are funded FIRST in the following month.
Application Determination usually takes less than 48 hrs.
- After the application has been approved, the lab is notified that an application is waiting for processing
- The lab will contact your insurance company to find out what your out of pocket costs will be. The lab will enter information about your test costs and your out of pocket costs into our system.
- Once this information is entered the system will automatically show the estimated out of pocket for that specific test.
- CRF will pay up to $520 per test.
(Example: If a patient's out of pocket for a specific test is $600, then CRF will pay $520 to the lab and the patient will now only have an $80 out of pocket. The lab will bill the patient only $80)
- After the test is run, the final out of pocket may change, the lab will re-enter the patient out of pocket if it has changed.
(The final out of pocket is often less that the amount determined at the beginning of the process)
- CRF pays the lab directly once a month.
- The patient will be responsible for paying the lab directly for the final out of pocket amount.
- If your out of pocket is still more than you can afford, most labs are willing to set up payment plans for easier payment.
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