NB: Patients who have an uncertain diagnosis or a significant family history of a genetic condition will need a referral to see Dr Michael Gattas for a medical assessment at Brisbane Genetics. For all other patients, please read below.
This appointment is for couples and single patients interested in
gene testing to decrease their chance of having a child with a
serious health problem.
Approximately 1 in 300 couples will have a child with cystic
fibrosis, spinal muscular atrophy, fragile X syndrome or an
autosomal recessive disorder that could have been detected in
advance.
80% of these couples have NO family history of the condition. If
none of these problems have happened before in your family, this
does NOT mean that it could not happen to you.
Knowing you are a carrier allows you to have other options that
include testing in a pregnancy (called pre-natal diagnosis), or
using IVF and pre-implantation genetic diagnosis (PGD) to avoid
having a child with a serious medical problem.
Pre-pregnancy carrier testing is only needed once, and the
information will benefit this couple for every subsequent
pregnancy with the same partner.
This appointment is for healthy adults interested in a gene test
that may predict a future health problem.
The cost of gene testing some important genes such as BRCA1 and
BRCA2 is now a few hundred dollars. Even with no Medicare or
private insurance rebate, gene testing has become very affordable.
People who like to be pro-active with their health should see
their General Practitioner for advice, but GPs and other doctors
find it hard to keep up with the rapid progress in molecular
genetic testing. This is the service provided by a Genetic
Counsellor who can inform you and your doctor about these tests.
When you meet the Genetic Counsellor, she will ask you about your
family history, draw a family tree, and ask about any current
medical problems. For a couple's appointment, the same history
will be collected from your partner.
In preparation for the appointment, write down the medical history
for your parents, siblings, grandparents (on maternal and paternal
sides), uncles, aunts and all your cousins as best you can.
Next will be an explanation about the test options for
pre-pregnancy or well adult testing.
• What genes will be tested?
• How are the tests performed?
• How long do results take?
• What do the tests cost?
• How will I get these results?
• What do I do if I have an adverse result?
A blood sample or saliva sample can be collected the same day.
An email will be sent to you with a summary letter and your
results. This letter and results will also be sent to your
preferred doctor.
Wellspring Genetics is independent of any pathology company. It
therefore can offer tests from a wide range of Australian and
overseas medical laboratories.
These laboratories include (in alphabetical order):
Blueprint Genetics
Genomics for Life
QML via Genomic Diagnostics
Sullivan Nicolaides via Sonic Genetics
VCGS Pathology
These laboratories are all certified by the relevant quality
assurance authorities for medical testing. This means the results
are highly reliable. Surprisingly this quality assurance safeguard
is not mandatory for all DNA tests that are sold direct to the
public in Australia.
Many of these tests are not available in the public health system,
and prenatal carrier screening is not offered at all in the public
system.
The cost of gene testing varies from about $350 to $995 depending
on the test requested. The most common test costs about $400.
This test cost is paid to the pathology laboratory, not to
Wellspring Genetics.
What is the cost of an appointment?
A 30 minute appointment costs $220. The price
for any couple for pre-pregnancy screening is $300.
What is the waiting time for an appointment?
Usually within 2-3 weeks.
Does Medicare or private insurance pay for the
appointment?
There is no Medicare rebate for the appointment. Private health
insurers in Australia usually do not pay for the appointment, but
you should check with your insurer as health insurance policies
are changing.
Visitors from overseas may have medical insurance policies that
will cover the cost of the appointment. They will need to check
this with their insurance provider.
Does Medicare or private insurance pay for pre-pregnancy or
well adult gene testing?
No. The cost of gene testing varies from about $350 to $995
depending on the test requested. The most common tests cost about
$400
Can I bring another family member?
Yes for couples testing or a pre-pregnancy appointment. This will
cost $300.
Yes for a well adult appointment, but the second family member
needs to book a consecutive time slot if they are planning to have
testing for themselves. This consecutive slot will cost the same
price of $220.
Three or more family members cannot be seen at the same time.
Do I need a referral?
No referral is needed for appointments at Wellspring Genetics,
though patients who have an uncertain diagnosis, or a significant
family history of a genetic condition, will need a referral to see
Dr Michael Gattas for a medical assessment at Brisbane Genetics.