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How do I qualify for a free mammogram for my breast cancer screening?

ANSWER

To qualify for a free mammogram, you have to be over age 40. You're covered for a mammogram every 1 to 2 years. The specifics depend on your policy, as outlined in its summary of benefits.

Mammograms are only free as a screening test for women without symptoms. If you go to the doctor with a symptom -- like a lump -- the mammogram is considered a "diagnostic test." In that case, you'll need to pay any deductibles and a copay or coinsurance.

From: Free Breast Cancer Screening & Prevention WebMD Medical Reference

SOURCES:

U.S. Department of Health and Human Services:  "Preventive health services for adults;" "Preventive health services for women;" "Talk with a Doctor If Breast or Ovarian Cancer Runs in Your Family;" "Get Tested for Breast Cancer;" and "2013 Poverty Guidelines."

U.S. Preventive Services Task Force: "USPSTF A and B Recommendations."

American Cancer Society: "Affordable Care Act: Breast Cancer Screening;" "Cancer Prevention, Screening & Treatment Under the Affordable Care Act;" "Paying For Breast Cancer Screening;" "Medicare Coverage for Cancer Prevention and Early Detection."

Community Catalyst and the Center for Health Insurance Studies, Georgetown University Health Policy Institute: "Essential Benefit Package."

CMS.gov: "Affordable Care Act Implementation FAQs - Set 12."

FamiliesUSA.org: "2016 Federal Poverty Guidelines."

Surveillance, Epidemiology and End Results Program, “SEER Stat Fact Sheets: Breast Cancer.”  


Reviewed by Sarah Goodell on September 17, 2018

SOURCES:

U.S. Department of Health and Human Services:  "Preventive health services for adults;" "Preventive health services for women;" "Talk with a Doctor If Breast or Ovarian Cancer Runs in Your Family;" "Get Tested for Breast Cancer;" and "2013 Poverty Guidelines."

U.S. Preventive Services Task Force: "USPSTF A and B Recommendations."

American Cancer Society: "Affordable Care Act: Breast Cancer Screening;" "Cancer Prevention, Screening & Treatment Under the Affordable Care Act;" "Paying For Breast Cancer Screening;" "Medicare Coverage for Cancer Prevention and Early Detection."

Community Catalyst and the Center for Health Insurance Studies, Georgetown University Health Policy Institute: "Essential Benefit Package."

CMS.gov: "Affordable Care Act Implementation FAQs - Set 12."

FamiliesUSA.org: "2016 Federal Poverty Guidelines."

Surveillance, Epidemiology and End Results Program, “SEER Stat Fact Sheets: Breast Cancer.”  


Reviewed by Sarah Goodell on September 17, 2018

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Under the Affordable Care Act, are 3D mammograms free?

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