In a study published in the Journal of Women’s Health, The Patient Protection and Affordable Care Act’s (ACA) elimination of co-pays for screening mammography in 2010 has had a positive benefit for commercially insured women across a variety of racial and income groups.
According to the research team, racial disparities in screening mammography have narrowed, particularly among African American women.
Do women know?
The school of thought in recent years is that with the elimination of screening mammography “zero cost share” as it is sometimes noted, is that the majority of women who are recommended for screening actually know that a conventional 2D mammogram has no cost to them with their insurance coverage. This train of thought may not be entirely accurate.
But the elimination of screening mammogram co-pays and its corresponding benefit (according to this research) indicates that more women with coverage are indeed aware and/or are becoming aware.
At Diagnostic Imaging Services, there are a select number of health insurance plans — including Medicare and Medicaid — that cover the 3D tomosynthesis portion of a screening mammogram. The DIS revenue cycle management department can assist in informing women if their health plan covers 3D.
If it does not, the 3D tomosynthesis option has a fee of $60. The majority, if not all, Health Savings Account (HSA) and Flexible Spending Account (FSA) plans allow monies from these types of accounts to be used for the 3D fee. We encourage those who wish to use these types of funds to verify eligibility with their benefits provider.
So, what stops women from having a screening mammogram?
In a past blog post, Diagnostic Imaging Services identified the main reasons, as identified by research, as to why women choose not to undergo a screening. Certainly, removing cost considerations was a major step in clearing a path for more screenings to be completed.
The earlier breast cancer (or many forms of cancer) is detected, the better chance of total recovery. Statistics and research bear this out:
- 1 in 8 women will develop breast cancer in their lifetime.
- 8 out of 9 women diagnosed with breast cancer have no family history.
- With early detection, the five-year survival rate is nearly 100%.
Ladies, if a screening mammogram is right for you, click the green button on this page and request assistance with scheduling a visit to a DIS center near you. Four centers offer screening and diagnostic mammography, including our Metairie Women’s Center “Breast Imaging Center of Excellence.”
Choose Diagnostic Imaging Services: doctor trusted and patient preferred.