Deborah Lee, Medicare Insurance Broker
About Me
With two decades of dedicated experience in the insurance industry, Debbie Lee is a seasoned professional committed to serving the needs of her clients. As a Senior Insurance Advisor, she brings a wealth of knowledge and expertise to help individuals and families make informed decisions about their insurance coverage.
Debbie's passion for making a positive impact extends beyond her profession. She is an active member of the La Crosse community, where she has spent her entire life. Her deep roots in the community have fueled her commitment to giving back. Debbie is particularly dedicated to assisting low-income families and seniors, providing them with the support and guidance they need to secure the best insurance solutions for their unique circumstances.
In addition to her professional and community involvement, Debbie is an enthusiastic volunteer in the La Crosse area. She believes in the power of community engagement and strives to make a difference in the lives of those around her.
Debbie Lee's extensive experience, dedication to her community, and active volunteer work make her a trusted and respected figure in the La Crosse area. Whether you're seeking insurance advice or looking for someone who understands the local community inside and out, Debbie is here to help.
Contact Debbie today to explore your insurance options and experience the difference of working with a knowledgeable and caring advisor.
Directions to My Office
Q&A with Deborah Lee
Answer: Agents from your area have a better understanding of the plans in your county/zip code and will be able to find the plans that are the best fit for you.
Answer: Many times, the one that stands out for me are clients who have no idea what is available and how to get extra benefits... DSNP
Answer: They need to have an SEP Special enrollment after OEP such as moving out of the county their current plan is in.
Answer: If you have current, credible coverage through a group health plan, you will not incur a penalty. However, there are variables, so check with an advisor to establish your situation.
Answer: Every individual is different, and working with an Advisor who can then guide you through the Medicare Maze. Having someone who is familiar with your needs.
Answer:
Does Medicare cover gentic testing for cancer?
ChatGPT said:
Yes, Medicare may cover genetic testing for cancer, but only under certain conditions. Coverage typically depends on the specific test, the medical necessity, and whether the test is ordered by a qualified healthcare provider.
Medicare Coverage Criteria for Genetic Testing (Cancer)
Medicare may cover genetic testing for cancer if:
You have a personal history of cancer, such as breast, ovarian, colorectal, or prostate cancer.
The test is medically necessary—usually to guide treatment or assess hereditary cancer risk.
The test is ordered by your doctor and performed in a Medicare-approved laboratory.
You meet specific criteria for certain tests. For example:
BRCA1 and BRCA2 testing (for breast/ovarian cancer) may be covered if you have a personal history of cancer and meet other risk factors.
Lynch Syndrome testing (for colorectal cancer) may be covered if you meet clinical criteria.
Important Notes
Medicare does not cover genetic testing for screening or curiosity purposes.
Testing based on family history alone, without a personal cancer diagnosis, is typically not covered.
Medicare Advantage (Part C) plans may have additional coverage or requirements.
What You Should Do
Talk with your doctor or a genetic counselor about whether you qualify.
Make sure any testing is ordered by your physician and performed by a CLIA-certified lab that accepts Medicare.
Check with your plan or Medicare directly (1-800-MEDICARE) to confirm coverage for your specific situation.
Answer: Do you have your Medicare card? If so, we must explore the options that best fit your needs. You can find us at 7riverssenioradvisors.com to review the options available, and you can also go to https://7riverssenioradvisors.com/request-a-quote to provide us with information to help you. Debbie Lee
Answer: Palliative care provides care for symptoms, whereas Hospice is care when there are no longer care options available to you.
Answer: If you reach the maximum, your drug costs are covered 100% If you're on expensive drugs, this will help you get your RXS paid for when you meet the maximum.
Answer: This will depend on the plan you are enrolled in. Medicare Advantage Plans have coverage for this with a co-pay, and Medicare Supplements will only cover what Original Medicare will.
Answer: You should be automatically enrolled in Part A. Part B is your choice if you have Group Health Insurance that is your choice.
Answer: Contact the billing department of your Clinic or Hospital and talk to the billing representative, and ask them.
Answer: You should be enrolled in Part A, as far as Part B, that will depend on you, it may be more cost-effective to be enrolled in Part B and an additional Medd Supp or MAPD plan.