Mammograms and coverage: What to know before going

A mammogram is a specialized X-ray that examines breast tissue to check for signs of breast cancer, often before showing any symptoms. The results of your mammogram can help doctors decide if more testing is needed, such as a breast tissue biopsy.

Research suggests that regular mammograms boost early breast cancer detection rates. Since the 1980s, breast cancer screening programs have helped drop breast cancer mortality rates by as much as 40-50%.¹ Now, the five-year survival rate for early-detected breast cancer is almost 99%.¹

Before going to get a mammogram, you can get a better understanding of your insurance coverage and potential costs by:

• Clarifying whether the exam will be billed as a screening or diagnostic mammogram. Talk with your doctor to determine what type of mammogram you need.
• Reviewing your insurance coverage to understand any potential out-of-pocket costs. Remember that diagnostic mammograms often have deductibles or copayments.
• Checking your plan's annual limits and confirm the facility is in-network.