1. Genetic Counseling: Making Sense of Your Genes Justine M. Cooper, MS, CGC Certified Genetic Counselor

2. What is a genetic counselor? Specialized graduate degree Experience in both medical genetics and counseling Work as member of a healthcare team to provide risk-assessment, education, and support to individuals and family members Interpret genetic testing results, provide supportive counseling, serve as advocate for patient

3. What happens in a genetic counseling visit? Review personal medical history Review family history Discuss likelihood of hereditary cancer syndrome Discuss genetic testing options Discuss pros/cons of tests Order genetic testing

4. Pre- and Post-Test Counseling Pre-Test Counseling Discuss benefits and limitations of genetic testing Explanation of possible results – How would these impact management? Discuss importance of testing affected individual Review cost, insurance preauthorization, turnaround time, etc. Discuss legal and social implications Post-Test Counseling Review and discuss test results Determine appropriate management for individual and family members Determine whether testing is appropriate for other family members Provide supportive counseling

5. Benefits of utilizing a genetic counselor Provide comprehensive education regarding genetics Increase patient satisfaction and understanding – More time to spend with patients Coordinate testing Interpret results Up-to-date on current management guidelines

6. Is genetic counseling covered by insurance? In most cases, YES! Certain insurance companies require pre-test counseling by an independent genetic counselor prior to covering testing Currently not covered by Medicare Some Medicaid providers do not cover counseling, others require it prior to testing

7. How do I find a genetic counselor? NSGC.org

8. Questions? Justine M. Cooper, MS, CGC Justine.Cooper@bhsi.com 859-260-4549