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Below are some examples of tests that may not be covered: Genetic testing without a clear medical necessity Micronutrient (vitamin and mineral) level testing (except in specific circumstances) Food sensitivity or intolerance panels Some functional medicine tests, such as saliva analysis, hair analysis, heavy metal panels, gastrointestinal health panels, and cortisol stress tests Tests for conditions if someone isn’t currently showing symptoms Multiple tests for the same condition in a timeframe shorter than medically warranted Hormone testing for things like fertility, infertility, and menopause Tests that aren’t FDA-cleared or approved, or aren’t performed in a credentialed and certified laboratory In some cases, if your healthcare provider can show that a test is medically necessary, they can request that your insurance cover it, but their request may be denied
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Fujimura N, Hata T, Soga J, Hidaka T, Idei N, Fujii Y, et al
