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If a mammogram shows I have cancer, is my treatment free under the Affordable Care Act?

ANSWER

If a mammogram shows you have cancer, your treatment is not free under the Affordable Care Act. You’ll have to cover the cost of copays or coinsurance and deductibles for treatment as your plan guidelines dictate.

But if you’re in Medicaid, all states extend benefits to women whose breast cancer is found under the National Breast and Cervical Cancer Early Detection Program.

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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People in my family have a high risk for breast cancer. Can I get free BRCA genetic counseling?

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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

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