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. 2005 Mar-Apr;24(2):483-90.
doi: 10.1377/hlthaff.24.2.483.

Genetic testing for Alzheimer's disease and its impact on insurance purchasing behavior

Cathleen D Zick  1 , Charles J Mathews, J Scott Roberts, Robert Cook-Deegan, Robert J Pokorski, Robert C Green
Affiliations

Genetic testing for Alzheimer's disease and its impact on insurance purchasing behavior

Cathleen D Zick et al. Health Aff (Millwood). 2005 Mar-Apr.

Abstract

New genetic tests for adult-onset diseases raise concerns about possible adverse selection in insurance markets. To test for this behavior, we followed 148 cognitively normal people participating in a randomized clinical trial of genetic testing for Alzheimer's disease for one year after risk assessment and Apolipoprotein E (APOE) genotype disclosure. Although no significant differences were found in health, life, or disability insurance purchases, those who tested positive were 5.76 times more likely to have altered their long-term care insurance than those who did not receive APOE genotype disclosure. If genetic testing for Alzheimer's risk assessment becomes common, it could trigger adverse selection in long-term care insurance.

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References

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