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CIGNA MEDICAL COVERAGE POLICY The following Coverage Policy applies to all health benefit plans administered by CIGNA Companies including plans formerly administered by Great-West Healthcare, which is now a part of CIGNA. Effective Date 9/15/2010 Next Review Date9/15/2012 Subject Genetic Testing for Coverage Policy Number 0192 Hemoglobinopathies Table of Contents Hyperlink to Related Coverage Policies Coverage Policy 1 Genetic Counseling General Background 2 Genetic Disease Screening Panels Coding/Billing Information 5 Genetic Testing of Heritable Disorders References 6 Preimplantation Genetic Diagnosis Policy History8 Stem-Cell Transplantation for Sickle Cell Disease and Thalassemia Major INSTRUCTIONS FOR USE Coverage Policies are intended to provide guidance in interpreting certain standard CIGNA HealthCare benefit plans. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement (GSA), Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a customer’s benefit plan document always supercedes the information in the Coverage Policies. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Cov
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