Introducing the Galleri multi-cancer early detection test

Galleri is a blood test that can detect 50+ cancer types and can be taken annually.1,2

The Galleri test is available by prescription only. The Galleri test does not detect a signal for all cancers, and false positive or false negative results can occur. The Galleri test should be used in addition to healthcare provider recommended screening tests.

Roger testimonial

Patient Story: Roger, Cancer Signal Detected with the Galleri test

Patient Story: Roger, Cancer Signal Detected with the Galleri test

The Galleri test is available by prescription only. The Galleri test does not detect a signal for all cancers, and false positive or false negative results can occur. The Galleri test should be used in addition to healthcare provider recommended screening tests.

Who is eligible?

The Galleri test, valued at $949, is available annually at no cost to members and dependent spouses age 50 and older or age 35-49 with risk factors who are on a fund health plan.  

Members

  • Age 50 years old or older 
  • Age 35-49 with elevated risk factors
  • On a fund health plan
  • Personal history of cancer⁺
  • Current smoker or history of smoking
  • Obesity
  • Diabetes
  • Family history of cancer (first-degree relative)
  • Hereditary genetic predisposition
  • Occupational exposures (e.g. burn pits, asbestos)
  • Environmental exposures (e.g. alcohol consumption, sun exposure)
  • Medical conditions
    • Autoimmune chronic inflammatory conditions (e.g., IBD, asthma)
    • Nonautoimmune chronic inflammatory conditions (e.g., cirrhosis, chronic hepatitis B/C)
    • Immunodeficiencies (e.g., primary or viral, such as HIV or HPV)
    • Solid organ transplantation

Please note that the Galleri test is not available for people who are currently pregnant or undergoing cancer treatment.

woman with brown hair wearing a tan sweater and gray pants smiling softly and sitting on a chair in her living room

Dependents Spouses

  • Age 50 years old or older 
  • Age 35-49 with elevated risk factors
  • On a fund health plan
  • Personal history of cancer⁺
  • Current smoker or history of smoking
  • Obesity
  • Diabetes
  • Family history of cancer (first degree relative)
  • Hereditary genetic predisposition
  • Occupational exposures (e.g. burn pits, asbestos)
  • Environmental exposures (e.g. alcohol consumption, sun exposure)
  • Medical conditions
    • Autoimmune chronic inflammatory conditions (e.g. IBD, asthma)
    • Non-autoimmune chronic inflammatory conditions (e.g. cirrhosis, chronic hepatitis B/C)
    • Immunodeficiencies (e.g. primary or viral, such as HIV or HPV)
    • Solid organ transplantation

Please note that the Galleri test is not available for people who are currently pregnant or undergoing cancer treatment.

Black couple sitting at their kitchen table writing on a notepad with a cup of coffee and a tablet on the table in front of them

Note to dependent spouses: Use the member’s Benefit ID and your email address, name and date of birth when requesting the test. 

Limited data exists regarding the performance of Galleri in individuals <50 years of age.2,4,5

Galleri for Excavators Local 731

The Galleri test, valued at $949, is available annually at no cost to members and dependent spouses age 50 and older or age 35-49 with risk factors who are on a fund health plan. 

To request the test, you will need an Access ID.

Members: Your Access ID is your Benefit ID.

Dependent Spouses: Your Access ID is the member’s Benefit ID.

Your Benefit ID can be found on your Introduction to Galleri letter.

Eligible individuals can request the test once every 12 months from the time of blood draw.

Your test results are confidential and will not be shared with anyone at Excavators Union Local 731 or their associated Benefits Funds.

Screen for more in 4 simple steps

illustrated graphic of a Black male doctor in a white lab coat reading a chart

Request the test

It will take about 10 minutes to complete an online health questionnaire about your medical history. The Galleri test, by GRAIL, is available by prescription only. By requesting the test and completing the questionnaire, you’re requesting a prescription from Recuro Health, an independent telemedicine provider.

illustrated graphic of the Galleri test box sitting on a table in front of a window

Receive a collection kit

If the Recuro Health telemedicine provider confirms your eligibility and prescribes the Galleri test, you will receive a notification via email and a collection kit in the mail. Visit Galleri.com/schedule to book your blood draw appointment at a GRAIL blood draw partner.

illustrated graphic of a white, gray haired female patient having her blood drawn

Provide your sample

Bring your test kit and Test Requisition Form (TRF) with you to the appointment. A trained technician will draw your blood sample and ship the kit to the GRAIL lab.

Illustrated graphic of a black man sitting in a blue armchair and reviewing test results on a tablet

Receive your results

Recuro Health will contact you when your result is ready — about 2-3 weeks after your blood is received at the GRAIL lab.

What does the Galleri test result mean?


The Galleri test detected DNA fragments associated with cancer in your blood sample. About 1 out of every 100 test has a Cancer Signal Detected result.4

This result will also include a prediction of the issue type or organ associated with the cancer signal, called a Cancer Signal Origin (CSO). This provides direction to your doctor on the cancer’s origin and can help guide the next steps for diagnosis.2,5

In a clinical study, around 6 out of 10 people with a Cancer Signal Detected result were diagnosed with cancer after diagnostic testing.6*

*Based on the first ~25,000 participants with 1 year of follow-up. 

The Galleri test does not detect a signal for all cancers, and false positive or false negative results can occur. The Galleri test should be used in addition to healthcare provider recommended screening tests.

Cancer signal detected thumb

NEXT STEPS

A Cancer Signal Detected test result is not a cancer diagnosis and requires follow-up diagnostic testing. Such testing may include lab work or imagining ordered by your healthcare provider to confirm cancer.

The Galleri test did not detect DNA fragments associated with cancer in your blood sample. 

Nearly 99% of people who use the Galleri test will screen negative.4

This result does not completely rule out the possibility of cancer. While the Galleri test is a powerful tool, it cannot detect a signal for all cancers and not all cancers can be detected in the blood. Some cancers shed little or no DNA into the bloodstream, making them unlikely to be detected through a blood test (e.g., brain, skin, and early-stage breast and prostate cancers).7 False positive and false negative results do occur. This result does not predict whether you will develop cancer in the future. 

Cancer signal not detected thumb

NEXT STEPS

Continue with any routine cancer screenings your healthcare provider recommends. Do not ignore cancer signs or symptoms if they occur, as this could lead to delayed diagnosis.

Cancer can be unpredictable. The Galleri test can be taken as a simple blood test. Adding the Galleri test to an annual routine can improve your chance of finding cancer early.8

CancerNavigator

Excavators Local 731 partners with CancerNavigator to ensure that members with a positive signal on their Galleri test have the support they need for diagnostic testing and next steps. CancerNavigator's dedicated Oncology Nurse Navigators can answer questions members may have related to a suspected or confirmed diagnosis, and can provide education and guidance at every step. For any questions about cancer support services please visit cancernavigator.com/exc731 or or call Excavators Union Local 731's dedicated CancerNavigator support line at (718) 208-4390.

Frequently Asked Questions for Excavators Local 731

The Galleri test, valued at $949, is available annually at no cost to members and dependent spouses age 50 and older or age 35-49 with risk factors who are on a fund health plan.

To access the Galleri test as a covered benefit, you must request the test through this web page. 

When you request the test, an independent telemedicine healthcare provider will review your request and order it if appropriate. The test is available by prescription only.

The cost of the Galleri test, blood draw, and laboratory fees are all covered under this benefit at no cost to eligible members and dependent spouses.

An at-home or in-lab blood draw is included in the price of the test if scheduled with one of our partner labs. Find a time and location convenient for you.

When requesting the Galleri test, you will need to provide an Access ID to confirm eligibility for the benefit. 

Members: Your Access ID is your Benefit ID.

Dependent Spouses: Your Access ID is the member’s Benefit ID.

Your Benefit ID can be found on your Introduction to Galleri letter.

Under this benefit program, members and dependent spouses are eligible for benefit coverage of the Galleri test every year (365 days from the date of your last test).

To access the Galleri test as a covered benefit, you must request the test through this web page. An independent telemedicine provider will review your request and order the test, if appropriate.

The Galleri test is provided at no cost to eligible individuals only when obtained through this authorized site.

The blood draw associated with the Galleri test must occur on a date you are covered under this benefit.

Individuals are responsible for the full cost of the test when obtained via any other means, such as a personal physician, or when the blood draw date of service occurs after the Excavators Union Local 731 benefit coverage has ended.

Get support

For questions about the Galleri test, please contact GRAIL Customer Service:

The Galleri test is recommended for use in adults with an elevated risk for cancer, such as those age 50 or older. The test does not detect all cancers and should be used in addition to routine cancer screening tests recommended by a healthcare provider. The Galleri test is intended to detect cancer signals and predict where in the body the cancer signal is located. Use of the test is not recommended in individuals who are pregnant, 21 years old or younger, or undergoing active cancer treatment.

Results should be interpreted by a healthcare provider in the context of medical history, clinical signs, and symptoms. A test result of No Cancer Signal Detected does not rule out cancer. A test result of Cancer Signal Detected requires confirmatory diagnostic evaluation by medically established procedures (e.g., imaging) to confirm cancer.

If cancer is not confirmed with further testing, it could mean that cancer is not present or testing was insufficient to detect cancer, including due to the cancer being located in a different part of the body. False positive (a cancer signal detected when cancer is not present) and false negative (a cancer signal not detected when cancer is present) test results do occur. Rx only.

The GRAIL clinical laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accredited by the College of American Pathologists. The Galleri test was developed — and its performance characteristics were determined — by GRAIL. The Galleri test has not been cleared or approved by the Food and Drug Administration. The GRAIL clinical laboratory is regulated under CLIA to perform high-complexity testing. The Galleri test is intended for clinical purposes

  1. US Preventive Services Task Force. A,B,C grade recommendations, cancer, screening [cited 2025 Mar 18]. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results
  2. Klein EA, Richards D, Cohn A, et al. Clinical validation of a targeted methylation-based multi-cancer early detection test using an independent validation set. Ann Oncol. 2021;32(9):1167-77. doi: 10.1016/j.annonc.2021.05.806
  3. Matrana M, Shukla V, Kingsbury D, et al. Real‑world data and clinical experience from over 100,000 multi‑cancer early detection tests [poster]. American Association for Cancer Research (AACR) Annual Meeting; 2025 Apr 25-30; Chicago. https://assets.grail.com/wp-content/uploads/2025/04/7202.Matrana.AACR-2025-RWE-100K_Poster_Final.pdf
  4. Schrag D, Beer TM, McDonnell CH, et al. Blood-based tests for multicancer early detection (PATHFINDER): a prospective cohort study. Lancet. 2023;402(10409):1251-60. doi: 10.1016/S0140-6736(23)01700-2
  5. GRAIL, Inc. Enhanced Cancer Signal Origin prediction. [Data on file: VV-TMF-59592]
  6. Nabavizadeh N, et al. Safety and performance of a multi-cancer early detection (MCED) test in an intended-use population: initial results from the registrational PATHFINDER2 study [proffered presentation]. European Society for Medical Oncology (ESMO) Annual meeting: 2025 Oct 17-21; Berlin.
  7. Bredno J, Venn O, Chen X, et al. Circulating tumor DNA allele fraction: a candidate biological signal for multi-cancer early detection tests to assess the clinical significance of cancers. Am J Pathol. 2022; 192(10):1368-78. doi:10.1016/j.ajpath.2022.07.007
  8. Sasieni P, Clarke CA, Hubbell E. Impact of MCED screening interval on reduction in late-stage cancer diagnosis and mortality. European Society for Medical Oncology (ESMO) Virtual Congress [poster]; 2021 Sep 16-21.