Does My Insurance Cover Mammograms?

Breast health is an important part of every woman’s wellbeing. Depending on your age, you may be advised to undergo yearly screenings such as a mammogram.

Does my insurance cover mammograms? Here’s what you need to know about this critical diagnostic screening.

Do I Need a Mammogram?

Women between the ages of 40 and 44 are given the choice to begin annual breast screening if they wish. Women aged 45 to 54 should get a yearly mammogram, while women aged 55 and older can switch to receiving a mammogram screening every two years.

Those who have a family history or are genetically predisposed to breast cancer may be advised to undergo more frequent mammograms, while those with no risk factors may not be recommended for yearly screenings.

All women should be well aware of how their breasts normally look and feel. This way, they can identify and report any changes to their healthcare provider.

Does My Insurance Cover Mammograms?

Under the Affordable Care Act, which was passed in 2010, insurance companies are required to cover mammograms for breast cancer screening. This type of mammogram is for women who aren't experiencing any kind of symptoms and is routinely provided during your yearly wellness exam if you're over the age of 40 or have a high risk of breast cancer.

Depending on your insurer and plan, 3D, also known as tomosynthesis mammography, may not be fully covered.

Diagnostic mammograms are also typically covered by most insurers, though you may need to pay a deductible or co-pay. For exact information, it's best to call your insurance company or review your plan's coverage documents.

Mammograms at Capital Women’s Care

Now that you no longer have to ask, “Does my insurance cover mammograms,” the next step is to find a care clinic in your area!

Capital Women’s Care is proud to offer mammograms and other health screenings for women of all ages.

Contact us to schedule an appointment today at 410-314-0001, and be on your way to better health!