Quantcast

Industry news that matters to you.  Learn more

200 Million Americans Now Have Insurance Coverage for Biodesix’s VeriStrat Test; BCBS of FLorida and Health Services Corporation Issue Positive Coverage Decisions

Reading time: 2 minutes

VeriStrat®, Biodesix’ proteomic blood test for patients with advanced NSCLC, has received multiple positive coverage decisions in 2016. As a result, 200 million Americans now have insurance coverage for VeriStrat. The most recent positive coverage decisions include BlueCross BlueShield (BCBS) of Florida and Health Care Services Corporation (HCSC).

VeriStrat provides physicians with prognostic and predictive information to guide treatment of advanced NSCLC. VeriStrat results inform likely patient benefit from certain treatments, and can facilitate patient-physician conversations about prognosis, life expectancy, and treatment recommendations. The test is clinically proven for use in patients with advanced NSCLC and has been recommended as such in the standard of care guidelines since late 2014.

Based on published clinical data, both BCBS of Florida and HCSC independently determined and published policy stating that VeriStrat can be considered medically necessary for patients with advanced NSCLC.

BCBS of Florida serves four million members in the state of Florida, and is one of the state’s largest commercial health plans. BCBS’s coverage position is available online and is effective March 15, 2016. The company’s policy can be accessed at: http://mcgs.bcbsfl.com/ (Policy 05-86000-22 “Tumor/Genetic Markers”.)

Health Care Services Corporation (HCSC) is the largest customer-owned health insurance company in the US, with over 15 million members. Its operating divisions include Blue Cross Blue Shield (BCBS) of Illinois, Montana, New Mexico, Oklahoma, and Texas. HCSC’s policy will be effective as of June 1, 2016 and can be accessed at: http://www.medicalpolicy.hcsc.net/medicalpolicy/pendingPolicyPage?lid=ikyaeubs&corpEntCd=TX1

Source: Biodesix