Figuring out the the world of women’s health can sometimes feel overwhelming, especially when it comes to the question of: Are mammograms covered by insurance in Silver Spring?
This blog will guide you through the essentials of screening and diagnostic mammograms and provide helpful information regarding insurance coverage for mammograms. Read on!
What Is a Mammogram?
Mammograms are specialized x-ray images of the breast tissue that can help in early detection and diagnosis of breast cancer. Typically, they are recommended for women over 40, as well as women with a family history of breast cancer or other risk factors.
Screening Mammogram vs. Diagnostic Mammogram
A screening mammogram is an annual routine exam used to detect any changes or abnormalities in the breast tissue. It is usually covered by insurance and does not require a referral from a doctor.
On the other hand, a diagnostic mammogram is performed when there is a specific concern or symptom, such as a lump in the breast. This type of mammogram may require a referral from your doctor and may not be fully covered by insurance.
Are Mammograms Covered by Insurance in Silver Spring?
Now for the question at hand: Are mammograms covered by insurance in Silver Spring?
Mammograms are an essential preventive care tool for women. Accordingly, many insurance plans cover them as part of their wellness benefits. In fact, The Affordable Care Act (ACA) requires health plans to provide coverage for screening mammograms without any cost-sharing, such as copays or deductibles.
However, it’s crucial to check with your insurance provider beforehand to understand your specific coverage and any associated costs.
In some cases, plans may only cover a diagnostic mammogram if certain criteria are met, while others may require prior authorization from the insurance company.
Preparing for Your Mammogram
Before scheduling a mammogram appointment, make sure to inform the facility about any breast changes or concerns you may have.
On the day of your mammogram, avoid using deodorant, lotions, or powders on your underarms and chest area. They can interfere with the images.
During the procedure, the technologist will position your breasts between two plates for a few seconds to capture x-ray images.
This compression may cause some discomfort but should not be painful. If it is too uncomfortable for you, don’t hesitate to let the technologist know.
Schedule a Mammogram Today!
Ready to take the next step? If so, please call our office to schedule a mammogram with one of our highly skilled and experienced specialists.
