Is the test reimbursable?

Modified on Wed, 28 Jun 2023 at 11:30 AM

Pharmacogenetic testing is eligible as a deductible medical expense under the Income Tax Act and can be claimed under the health-care spending accounts of most private insurance plans. Some private insurance plans will also reimburse for pharmacogenetic testing through their extended health care benefits under “laboratory diagnostic testing”.

Most Insurers will require a prescription from a licensed prescriber/physician for "pharmacogenetics testing" for the specific condition the test is being ordered for (ex. fibromyalgia, depressions, chronic back pain, chronic migraines etc.) As pharmacogenetic testing is still very new and many physicians have limited experience using it, we recommend downloading this information sheet and test requisition to being to your doctor if you plan to submit the cost of the test to your private insurance plan for reimbursement. 

Although most provincial health insurance plans are not yet covering pharmacogenetics tests, each province/territory varies, so check with your provincial health insurance to see if you are eligible for coverage. 

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