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Genetic Testing Policies - Blue Advantage

Blue Cross and Blue Shield of Alabama partners with Carelon Medical Benefits Management, an independent company, to administer genetic testing solutions for our customers. 

Carelon is our business associate and has agreed to follow our privacy and security policies regarding the confidentiality and protection of personal health information.

For more information about the Genetic Testing program, click here

Current Genetic Testing Policies

To continue to the Carelon Medical Benefits Management website to view genetic testing policies, click "Accept” below.

For Medicare Local or National Coverage Determinations (LCD/NCD) click here.

Blue Advantage will follow Palmetto GBA MolDX* when there is no Local Coverage Determination or National Coverage Determination related to a Molecular Diagnostic Test.

Precertification of Genetic Testing Services

Some genetic testing services require precertification. Click the link below to view a list of applicable CPT/HCPCS codes.

Genetic Testing Codes Requiring Precertification