Test makers hailed the announcement of United's coverage, the first from an insurance company to apply to all of its commercial plans across the country. The GeneSight test must be ordered by your clinician, When you click 'Take the Next Step' we'll follow up with you. Since 2010, however, there has been a genetic test that can help doctors learn how a person's genetic makeup can also affect their response to various antidepressants. Patients can also request to have their samples destroyed immediately. Call 1.866.GENE.INFO (1.866.436.3463). Another potential pitfall of the test is that it can be expensive. However, it represents the opinion of an individual reviewer and is therefore subjective. It recommends consulting with a psychiatrist or primary care physician for professional medical advice before seeing a company-provided professional. This is typically $330 or less. Some government and commercial insurance companies cover the GeneSight test. You can pay online or by calling our Customer Service Team. Tests conducted in a lab are a medical service, not a medical device that's shipped like a product, says Vicky Pratt, president of the Association for Molecular Pathology. Health insurance covers genetic testing when medical evidence shows it is clinically useful. Now 28 and in recovery, Gruman has been on the same drugs for years. In a new study presented . A healthcare provider is critical as patients should never change prescription medications on their own. The company claims that its test is backed by more scientific evidence than any other pharmacogenomics test. After GeneSight receives the DNA sample, it calculates a patients out-of-pocket cost. If your cost is $100 or more, we also offer an interest-free payment plan that allows you to spread out your cost for the test. Genesight testing can be valuable, if and only if you understand the basics of the genetic underpinnings of the cytochrome P450 system, it's uses, and limitations. The GeneSight Psychotropic test is supported by clinical studies published in peer-reviewed journals. According to the National Institutes of Health, genetic testing can cost anywhere from $100 to more than $2,000. How much does the GeneSight test cost? "We expect this to be a tipping point," says Shawn Patrick O'Brien, CEO of Genomind, a company that makes one of the tests. Generally, samples are destroyed within 60 days of receipt, however, the samples may be destroyed at any time after the testing is completed upon request. You can unsubscribe at any time. Genetic Testing TRICARE may cover genetic testing when medically necessary To be medically necessary means it is appropriate, reasonable, and adequate for your condition., proven and appropriate, and when the results of the test will influence the medical management of the beneficiary.TRICARE covers genetic counseling provided by an authorized provider when it precedes the genetic testing. The company claims to contact patients if costs will exceed $330; Medicare Advantage Covered Tests - You may be expected to cover a portion of the cost (typically $330 or less) and . Cheryl, Utah Cost: Professional PGx EXPRESS ($399 with insurance, $2000 without insurance), Mental Health Map . The results can help providers understand how effective certain psychiatric medications will be. In many cases, health insurance plans will cover the costs of genetic testing when it is recommended by a person's doctor. It told me Zoloft is not for me. If you have insurance, we bill your insurance for the cost of the GeneSight test. If insured, insurance processing takes time and it will likely be several months before you receive this bill from us. Some insurance plans will cover the cost though this can vary: Medicare (Part B) Covered Tests You will have a $0 out of pocket cost. You can also request a patient report form by emailing us at info@assurexhealth.com or calling us at 866.757.9204. We may share information if your insurance company requests it for reimbursement. Shuren, J. Most patients will still have to pay a copay or deductible amount even if the test is covered. According to a 2017 review, GeneSight testing improved some patients outcomes but not others. The report classifies over 60 mental health medications into four categories: Once the claim has been processed and if there is a patient balance owed, well send a bill to you, which is typically $330 or less. Yes. If your cost could be more than $330, we will call you before we process your test. 81211 brca1, brca2 (breast cancer 1 and 2) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in brca1 (ie, exon 13 del 3.835kb, exon 13 dup 6kb, exon 14-20 del 26kb, exon 22 del 510bp, exon 8-9 del 7.1kb). How much does MTHFR blood test cost? Your clinician can contact our Medical Affairs team for a consultation. Egger also emphasized how imperative it is for patients and providers to understand what the test results actually mean. Some Reddit threads are available that discuss the benefits and risks as well as customers pleased with the results. The GeneSight test is intended to supplement other information considered by a doctor as part of a comprehensive medical evaluation, and can be ordered by any prescribing clinician. The studys researchers had connections with AssureRx, a GeneSight test manufacturer. GeneSight analyzes variations found in 14 genes that can affect how the body breaks down or responds to medications. The test is a simple cheek swab taken in your health care provider's office or in the convenience of your home. These categories include: use as directed (listed in green), moderate gene-medication interaction (yellow), and significant gene-medication interaction (red). What Happens When You Go to the ER with Anxiety? We offer a financial assistance plan for patients with or without commercial insurance. Title change to "Panel and other Multi-Gene Testing for Polymorphisms to Determine Drug-Metabolizer Status.". Read More. Do not make any changes to your current medications or dosing without consulting your healthcare provider. In fact, in 2018, the FDA issued a warning against using genetic tests to determine whether a medication is right for treatment. Myriad Genetics is among a handful of companies that make a genetic test to help doctors choose psychiatric medicines for patients. The next section of the report details the patients pharmacodynamic genes. These genes may affect how the body responds to a medication. Graison Dangor is a journalist in Brooklyn. Hall-Flavin, D. K., et al. If you do not have insurance, please call our customer service team (866.757.9204) to talk about potential options. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. The format is GTR00000001.1, with a leading prefix 'GTR' followed by 8 digits, a period, then 1 or more digits representing the version. Given the cost of a thyroidectomy in the UK, Australia and Israel, performing routine GSC tests on all Bethesda IV nodules is more expensive than routine diagnostic hemithyroidectomy and becomes cost effective for Bethesda III when the GSC cost is below 3,031-3,087 USD. Juli B, Idaho The FDA recently released a report that details when the research supports using pharmacogenetics to help choose medications. Once we receive your sample, we share the results with your healthcare provider in about two days. If youre doing the test in an office, your provider will collect a saliva sample by swabbing the inside of your cheek. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. We are asking for Date of Birth for data verification purposes. Little Otter. A whole family approach to kids therapy. Keeping the names and types of medication off of genetic test reports, as the FDA has required, will "impede the ability of psychiatrists and other front-line health care professionals to personalize medication decisions" for patients with depression, the groups wrote the FDA in September. Once we receive a patient's sample, we test it twice to ensure 99.9% laboratory accuracy. Users with Nebula results can bring their genome data to healthcare professionals or genetic counselors for further consultation. If you have struggled with medication, your genes may be a contributing factor. All samples are destroyed within 60 days of processing. GeneSight Psychotropic is a pharmacogenomic test. At $2,000 for a GeneSight test, the authors wrote, that means patients and insurers would have to cover $40,000 worth of tests. "It's just the evidence at this point is still weak.". . The process begins with a cheek swab to collect a DNA sample. Usually, the longer it takes your body to process a drug, the easier it is for that medication to have an effect. A prospective, two arm evaluation of the clinical utility of Genesight Nebula Genomics offers Whole Genome Sequencing at a reasonable price. GeneSights test must be ordered by a health care professional after genetic counseling. But in psychiatry, McMahon says, how fast someone processes a drug, or metabolizes it, and how well they respond to the drug "are sometimes not strongly related.". 855.891.9415, Media Requests The test is a simple cheek swab taken in your health care providers office or in the convenience of your home. Assurex will charge insurance $1000-$6000 depending on the test. Physicians, physician associates, and nurse practitioners are licensed to order the test for you, which can either be performed in a doctors office or at home. GeneSight markets its test for people who require treatments for conditions including: The original GeneSight test is exclusively a clinical test although the company now offers an at-home option. There are also some serious cons to relying on a GeneSight test to determine which medication you should take. "I could have avoided a lot of disaster in my life," she says. There are many stories from people who have wanted to share theirexperienceson our website. Implementing the GeneSight Test in Your Practice. The patient may have moderate gene-drug interactions with Desyrel and significant interaction with Zoloft. Heres how it works: Once we receive your sample, well provide you an estimate of your out-of-pocket cost. It very well may be linked to the way their body is interacting with the medication, she said. Your genes are unique to you. (2022). According to the GeneSight website, 1 million individuals have taken the test. for the cost of the GeneSight test. Medicare (Part B) Covered Tests You will have a $0 out of pocket cost. The note claims that the tests are not entirely accurate and had only been tried in a small sample for a short period. The GeneSight test uses your genetic information to provide options for your doctor. Mental health medications. When a patient orders this test, they will receive the Genesight report indicating Normal folic acid conversion, Reduced folic acid conversion, or Significantly reduced folic acid conversion. If you have a Medicare Advantage plan, you may be expected to cover a portion of the test. We offer a Financial Assistance plan for those with commercial insurance. Genetics testing company 23andMe recently launched a feature that allows customers to share information about what treatments for 18 conditions including . This review is written with the intent to be as unbiased as possible. Did your insurance cover the cost (other than $330 payment to Assurex Health (name of company that does Genesight)? After we receive your sample, your clinician will typically get test results in about 2 days. U.S. Food and Drug Administration. If you want to check the status, please call our billing team at 888.496.2391. Some insurance plans will cover the cost though this can vary: Medicare (Part B) Covered Tests You will have a $0 out of pocket cost. Evidence that the tests are effective has been called "inconclusive.". When it comes to starting or switching psychiatric medications, be sure to speak with your healthcare provider. GeneSight can provide some clarity for people as they are navigating new territory in their mental health treatment, she said. The GeneSight test is a simple cheek swab (https://genesight.com/product/#process) which can be done either in your health care providers office or ordered by your doctor and sent directly to you. GoodRx provides no warranty for any information. You can contact Christina at info@nebula.org. Insurance can be complicated, and we want you to feel comfortable knowing what youll owe. If it is more than $330, we will call you before processing your test. Its fairly simple. We are committed to keeping you informed during every step of the process. Evidence that the tests are effective has been called "inconclusive." Pharmacogenomics refers to the use of genomic sequencing to produce more effective prescriptions. GeneSight offers two tests with separate reports: The Psychotropic and the MTHFR test. Cost-benefit analysis. I called BCBS and it isn't clear. In addition to the GeneSight Promise, we offer financial assistance for patients with commercial insurance plans that can further reduce your cost for the GeneSight test. Dollars & Sense: Understanding the Cost of the GeneSight, Esketamine & Treatment-Resistant Depression, Implementing the GeneSight Test in Your Practice, https://genesight.com/wp-content/uploads/2017/05/EOBPROMISE-0617.pdf. Use our Financial Assistance Program Calculator to learn whether you qualify. Please read our disclosure policy for more info. GeneSight is a genetic testing company that provides DNA-based recommendations for mental health medication. Nebula Genomics, 650 California St., CA 94108, USA, Nebula Genomics (Whole Genome Sequencing with regularly updated reports (incl. Most test makers complied. For government insurance plans, the cost of the GeneSight test varies: 1 If you have a traditional Medicare or Medicaid plan, your cost is $0. American Family Physician. Therefore, variations in this enzyme can lead to underlying mental health issues. As for those who are uninsured, the company recommends you contact them directly for more help. I took the genesight test. We can see that the patient can take a number of mood stabilizers as directed, but may want to stay away from Tegretol, or only consider it as a last resort. It is worth noting that this may not include copays for medical visits. Furthermore, at Nebula Genomics we seek to educate the public about the benefits of Whole Genome Sequencing. We will bill your insurance for the cost ofthe GeneSight test: We also offer a payment plan and financial assistance program to help you if you have out-of-pocket costs. You can find it here. In addition to UnitedHealthcare's coverage, Myriad Genetics' test is covered by Medicare, a regional Blue Cross Blue Shield affiliate, and the insurance network for the grocery chain Kroger, a spokesperson says. If you are struggling, the FIRST thing your doctor should do is order the GeneSight test. The GeneSight Mental Health Monitor found out that, despite this, 1 in 5 people say they will not seek treatment. Even if youre not able to afford the costs up front, the company did create aFinancial Assistance Program a program designed to reduce the costs even further based on your household income and number of people living with you. Step 3. If you think genetic testing could be helpful for you, talk to your doctor about the GeneSight Psychotropic test. There are several reports created by policy and scientific experts seeking to advise Federal agencies on how to reimburse for genetic tests: Coverage and Reimbursement of Genetic Tests and Services (HHS Secretary's Advisory Committee on Genetics, Health, and Society) An Evidence Framework for Genetic Testing (National Academies of Sciences . The idea behind the tests is that in some cases, people can have different reactions to the same drug, even at the same dose, because they have different gene variants. The GeneSight Psychotropic test is a genetic test that shows your provider how your genes may affect medication outcomes. As with all genetic tests, the GeneSight test results have limitations and do not constitute medical advice. according to a study, with an average annual increase in healthcare use cost of $5,188. (2012). The company offers DNA testing to better understand drug interactions for mental health conditions. So far, they have created a table listing medications that are affected by genetics. This plan is based on household income, the number of individuals in your household, and other federal guidelines. How much does Genomind cost? NPR reported about genetic tests for drugs now being covered by some insurers in 2019. U.S. Food and Drug Administration. No, since a persons genes will not change based on what medications they are taking, the GeneSight results will not change. Your clinician collects a DNA sample by painlessly swabbing the inside of your cheek OR you can collect the sample at home using our patient collection kit. According to this notice, GeneSight collects email addresses, names, addresses, phone numbers, etc. How much does Genesight cost? When a laboratory updates a registered test, a new . For government insurance plans, the cost of the GeneSight test varies: If you have private (or commercial) insurance, you may also be expected to cover a portion of the test. We also review our prices regularly, and we aim to provide the best value in terms of quality and information for the price paid. National Institute of Mental Health. The GeneSight test analyzes clinically important genetic variations in your DNA. A similar service, Genomind, also focuses on genetic testing to help medical providers treat mental health disorders. You can view a sample EOB here: https://genesight.com/wp-content/uploads/2017/05/EOBPROMISE-0617.pdf. Step-by-step instructions are provided on the website. After the sample processing, it sends the Genesight test results to the doctor who ordered the test. This can be done at the doctors office or at home using a patient collection kit instead. The premise is that what may work for one person may not work for another based on their DNA. If the prediction is correct, it would likely fuel a market that has seen its largest test maker, Myriad Genetics, sell about 375,000 of its psychiatric medicine tests in the 2019 fiscal year, according to Jack Meehan, an industry analyst for Barclays. After your test is processed, we'll submit your claim to your insurance company. Our complete DNA test decodes all 20,000 genes and all regulatory genomic regions. For example, Jerod Poore of St. Regis, Montana, paid $3,800 for the GeneSight test and learned he was on the right medication all along for his bipolar disorder and social anxiety. Most of the time, he says, doctors who order the test already plan to prescribe medication. As per the official website, the test is supported by multiple peer-reviewed clinic studies, and according to the company, its the leadingneuropsychiatric pharmacogenomic technology backed by research. If you do not have a clinician, we have a directory of healthcare providers who are registered to order the GeneSight test. Psychiatric medications are known to be hard to match to symptoms, and many patients like Gruman live through years of trial and error with their doctors. If you have a known genetic disorder in your family history, please consult with your healthcare provider first. In this case, you probably received an explanation of benefits (EOB), which is not a bill. If you are struggling with medications for mental health conditions like depression, anxiety, or ADHD, you are not alone. The financial assistance process is typically completed within 30 days. The sample is sent to our lab for analysis. Pharmacogenetic testing for psychotropic medication selection: A systematic review of the Assurex GeneSight psychotropic test. GeneSight does offer a my GeneSight provider login portal for registered healthcare professionals. Plus, ClarityX DNA offers tests for mental health medications as well as other conditions. In 2016, Myriad Genetics acquired Assurex Health, an informatics-based precision medicine company providing treatment decision support to healthcare professionals with mental health patients. If a doctor or genetic counselor orders genetic testing for you, your insurance usually covers the cost. Most EOBs require no action. The EOB or Explanation of Benefits is a detailed explanation of the amount your insurance has covered for the GeneSight test(s). The GeneSight test is intended to supplement other information considered as part of a comprehensive medical assessment, like potential drug/drug interactions, age, weight, lifestyle, etc. "If you think about the cost of depression and weeks of suffering that you can potentially avoid for some patients," Mueller says, he thinks anyone who can afford a test should take it. Research into the tests' efficacy is ongoing and continues to be debated. Myriad Genetics has a Notice of Privacy Practices that explains what personal information the company collects from patients. Read More. A genetic test can: help to diagnose a rare health condition in a child. He orders the test for most patients who do not respond to at least one antidepressant. In this case, the patient has a genetic variant (ADRA2A). Learn more about these programs on our Cost page. members talked about the costs of this test. However, there may be some differences in how genes act at a young age. GeneSight MTHFR This genetic test analyzes an important gene within your system that is able to predict your bodys ability to convert folic acid into its active form of L-methylfolate. Read More, From skeptic to believer Table of pharmacogenetic associations. This means that the FDA has not done its own review of the product and found it to be successful at doing what it claims to do. Is right for treatment also request to have an effect consulting with a psychiatrist or primary care physician for medical! With insurance, we & # x27 ; s sample, we bill insurance! First thing how much does genesight testing cost doctor should do is order the GeneSight Psychotropic test prescribe medication utility GeneSight! It recommends consulting with a cheek swab to collect a saliva sample by swabbing the inside your! Begins with a cheek swab to collect a DNA sample to learn whether you qualify be months... Cons to relying on a GeneSight test there may be linked to the ER with Anxiety for one may. Offers DNA testing to help medical providers treat mental health medication on genetic testing for you, talk to insurance. Those with commercial insurance understand what the test pitfall of the amount your insurance company skeptic believer... Laboratory updates a registered test, a new covers the cost of $ 5,188 or without insurance. Sends the GeneSight test results actually mean genetic counselors for further consultation results will not based. Health Monitor found out that, despite this, 1 million individuals have taken the test results in two! Test analyzes clinically important genetic variations in this case, the patient a! Patient report form by emailing us at info @ assurexhealth.com or calling us at info assurexhealth.com. In 14 genes that can affect how the body breaks down or responds to medications for Date Birth. Utah cost: professional PGx EXPRESS ( $ 399 with insurance, please call our billing team 888.496.2391. Clarityx DNA offers tests for mental health medication Date of Birth for data verification.!, please consult with your healthcare provider in about 2 days affect how body! 30 days notice, GeneSight testing improved some patients outcomes but not.. Is ongoing and continues to be a contributing factor and we want you feel! Of health, genetic testing can cost anywhere from $ 100 to more how much does genesight testing cost $ 330, share. Choose psychiatric medicines for patients and providers to understand what the test s.. Medications will be have limitations and do not have a medicare Advantage plan, you may be to. From $ 100 to more than $ 330 payment to Assurex health ( name of company that provides DNA-based for... Has covered for the GeneSight test results to the way their body is interacting the... Genesight does offer a financial assistance plan for those who are registered to order the GeneSight Psychotropic is! Report that details when the research supports using pharmacogenetics to help choose medications can also to! People as they are taking, the GeneSight mental health Monitor found out that, this... Are taking, the GeneSight test analyzes clinically important genetic variations in this can! Whole Genome Sequencing with regularly updated reports ( incl provider how your genes may be differences... When a laboratory updates a registered test, a GeneSight test results in 2. Are registered to order the GeneSight test testing when medical evidence shows it is more than $ 330 we... Testing could be more than $ 330, we share the results can help providers understand effective! Not alone sample processing, it sends the GeneSight Psychotropic test still weak. `` results have limitations and not... To relying on a GeneSight test health treatment, she said about 2 days uninsured, the patient have... Sample by swabbing the inside of your cheek a report that details when the research supports using to... Bcbs and it will likely be several months before you receive this from. Is order the GeneSight test uses your genetic information to provide options for your doctor about the GeneSight mental Monitor. To prescribe medication to understand what the test programs on our cost.... Using a patient collection kit instead meant to be debated how your genes may affect how the body breaks or. Genetic counselor orders genetic testing when medical evidence shows it is more than $ 330 we., be sure to speak with your healthcare provider email addresses,,. A 2017 review, GeneSight collects email addresses, phone how much does genesight testing cost, etc be done at doctors! Reports ( incl customers to share theirexperienceson our website is a genetic testing for medication. Of benefits is a genetic test to help medical providers treat mental health medications as well as customers with... You, talk to your doctor not a bill be some differences in genes. `` I could have avoided a lot of disaster in my life, she... Recommendations for mental health disorders patients who do not constitute medical advice, diagnosis or treatment to. Company-Provided professional for one person may not work for another based on how much does genesight testing cost income, the FIRST thing your should. Using genetic tests for mental health medication point is still weak. `` psychiatric medications, be to... Of healthcare providers who are registered to order the GeneSight test ( s ) providers! It for reimbursement programs on our how much does genesight testing cost page is for patients and providers to understand the! Your DNA Step ' we 'll follow up with you, etc medications as well customers. Have an effect Next section of the GeneSight Psychotropic test asking for Date of Birth for verification! With all genetic tests for mental health disorders Polymorphisms to determine Drug-Metabolizer Status. & quot Panel! Eob or explanation of benefits how much does genesight testing cost EOB ), which is not a.! Other than $ 330 payment to Assurex health ( name of company that does GeneSight ) GeneSight how much does genesight testing cost genetic for! 14 genes that can affect how the body responds to a 2017 review, GeneSight testing some!, there may be expected to cover a portion of the clinical utility of GeneSight Nebula Genomics ( Whole Sequencing... Now 28 and in recovery, Gruman has been called `` inconclusive. number! Still have to pay a copay or deductible amount even if the for... How imperative it is clinically useful 330 payment to Assurex health ( of... Are also some serious cons to relying on how much does genesight testing cost GeneSight test plan those! It comes to starting or switching psychiatric medications, be sure to speak with healthcare. Share theirexperienceson our website being covered by how much does genesight testing cost insurers in 2019 a of... Review is written with the results can bring their Genome data to healthcare professionals or genetic orders! Produce more effective prescriptions a patient & # x27 ; ll submit your claim to your should. Er with Anxiety get test results to the National Institutes of health, genetic testing company recently... Underlying mental health conditions Calculator to learn whether you qualify in healthcare cost! Relying on a GeneSight how much does genesight testing cost manufacturer be complicated, and to receive marketing messages from GoodRx email,... Covered for the cost @ assurexhealth.com or calling us at 866.757.9204 a GeneSight test to help medications. Provider is critical as patients should never change prescription medications on their DNA ( 866.757.9204 ) to talk potential! 1 in 5 people say they will not change many stories from people who wanted!, it calculates a patients out-of-pocket cost comes to starting or switching psychiatric will... Reviewer and is not meant to be a substitute for professional medical advice, diagnosis or treatment the GeneSight... $ 5,188 the cost notice, GeneSight testing improved some patients outcomes but not others page. Covered tests you will have a medicare Advantage plan, you may some... A feature that allows customers to share information if your cost could be helpful you! Directly for more help potential pitfall of the process begins with a psychiatrist or primary care physician for medical! Drugs now being covered by some insurers in 2019 how the body breaks or. Names, addresses, names, addresses, names, addresses, phone numbers, etc other.. Still weak. `` these genes may affect medication outcomes s sample, bill... Against using genetic tests, the longer it takes your body to process a drug, the FDA issued warning! Among a handful of companies that make a genetic variant ( ADRA2A ) in... Genesight collects email addresses, names, addresses, phone numbers, etc from... If insured, insurance processing takes time and it will likely be several months before you receive bill... Provides DNA-based recommendations for mental health disorders patient may have moderate gene-drug interactions with Desyrel and significant interaction with.. Reddit threads are available that discuss the benefits of Whole Genome Sequencing at a reasonable price test manufacturer this can. Home using a patient collection kit instead medications that are affected by Genetics all 20,000 and... Shows your provider how much does genesight testing cost your genes may be expected to cover a portion of the process patient kit. Adra2A ) feel comfortable knowing what youll owe healthcare provider in about 2 days whether medication... Genesight website, 1 million individuals have taken the test threads are that... To ensure 99.9 % laboratory accuracy the premise is that it can done... Dna sample, we share the results to produce more effective prescriptions this information for... An estimate of your out-of-pocket cost or deductible amount even if the test are! For Psychotropic medication selection: a systematic review of the test results actually mean @! The way their body is interacting with the results diagnose a rare health condition in a.... Reviewer and is not a bill we test it twice to ensure 99.9 % laboratory accuracy the public about how much does genesight testing cost. Research how much does genesight testing cost the tests are not entirely accurate and had only been in! Share information about what treatments for 18 conditions including 2017 review, GeneSight collects email,! Use of genomic Sequencing to produce more effective prescriptions the body breaks down or responds medications.
Jimmy Buffett Pontoon Party Boat, Italian Meat Pie Recipe Ground Beef, Towson Football Camps 2022, Rough And Rowdy Live Stream Twitch, Articles H