Table 4.
Genetic counselor survey results
| Question | Response | n | %* |
|---|---|---|---|
| How often do you routinely offer FTS to “low risk” pregnant women? | All/most | 16 | 94% |
| Some/rarely/never | 1 | 6% | |
| How often do you routinely offer NIPT to “low risk” pregnant women? | All/most | 15 | 88% |
| Some/rarely/never | 2 | 12% | |
| How often do you routinely offer diagnostic testing (amniocentesis and CVS) to “low risk” pregnant women? | All/most | 13 | 77% |
| Some/rarely/never | 4 | 24% | |
| When considering the “low risk” pregnant patient that desires aneuploidy screening, would you recommend FTS if insurance coverage was not a barrier and there would be no financial risk to the patient? | All/most | 9 | 64% |
| Some/rarely/never | 5 | 36% | |
| When considering the “low risk” pregnant patient that desires aneuploidy screening, would you recommend NIPT if insurance coverage was not a barrier and there would be no financial risk to the patient? | All/most | 14 | 88% |
| Some/rarely/never | 2 | 13% | |
| When considering the “low risk” pregnant patient that desires aneuploidy screening, would you recommend diagnostic testing (amniocentesis and CVS) if insurance coverage was not a barrier and there would be no financial risk to the patient? | All/most | 7 | 54% |
| Some/rarely/never | 6 | 45% | |
| When thinking about a “low risk” pregnant patient, how often do you look at insurance coverage before the appointment? | Always/mostly | 12 | 71% |
| Half/sometimes/never | 5 | 30% | |
| When thinking about a “low risk” pregnant patient, how often do you look at insurance coverage during the appointment? | Always/mostly | 8 | 50% |
| Half/sometimes/never | 8 | 50% | |
| When thinking about a “low risk” pregnant patient, how often do you look at insurance coverage after the appointment? | Always/mostly | 3 | 19% |
| Half/sometimes/never | 13 | 81% | |
| When thinking about the “low risk” pregnant patient who is considering NIPT, how often do you discuss financial risks when the patient asks? | All/most | 17 | 100% |
| Some/rarely/never | 0 | 0% | |
| When thinking about the “low risk” pregnant patient who is considering NIPT, how often do you discuss financial risks when the patient seems concerned about the cost? | All/most | 17 | 100% |
| Some/rarely/never | 0 | 0% | |
| When thinking about the “low risk” pregnant patient who is considering NIPT, how often do you discuss financial risks when the patient has public insurance? | All/most | 9 | 53% |
| Some/rarely/never | 8 | 47% | |
| When thinking about the “low risk” pregnant patient who is considering NIPT, how often do you discuss financial risks when the patient has private insurance? | All/most | 14 | 82% |
| Some/rarely/never | 3 | 18% | |
| If a “low risk” pregnant patient has public insurance, when would you tell her what test her insurance will cover? | During appointment | 12 | 71% |
| If they ask | 5 | 29% | |
| If a “low risk” pregnant patient has private insurance, when would you tell her what test her insurance will cover? | During appointment | 15 | 88% |
| If they ask | 2 | 12% | |
| A patient’s insurance coverage changes my approach to counseling | Agree/mostly agree | 4 | 24% |
| Neither agree nor disagree | 3 | 18% | |
| Disagree/mostly disagree | 10 | 59% |
*Percentages may not add up to exactly 100% due to rounding at .5 to the next whole number