This article is for providers ordering preventive breast cancer screening services for our members
Our members have access to preventive breast cancer screening services in accordance with nationally recognized cancer screening guidelines.
Commercial HMO/POS, EPO/PPO, and Indemnity members are covered:
Application of the benefit and the associated cost share aligns with other plan preventive health screening services, is in accordance with National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology (NCCN Guidelines®'), and complies with all applicable federal mandates described in the Patient Protection and Affordable Care Act.
Keep in mind that diagnostic care and studies—ordered in response to a specific patient sign or symptom—are subject to deductible, copayment, and/or co-insurance whereas routine or preventive screening mammography services have $0 cost share.