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South Carolina Medicaid: Women’s health

We want our members to get the care they need when they need it. For our female members, we cover certain types of procedures and visits.
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Breast cancer screening (mammogram)

Routine mammograms, which are X-rays of the breast, may detect breast cancer early and make treating it easier.

Speak with your doctor about when and how often you should get a mammogram.1 The American Cancer Society recommends:

  • Women, ages 40 to 44 choose to begin annual breast cancer screenings with mammograms
  • Women, ages 45 to 54 get mammograms every year
  • Women, ages 55 and older switch to getting mammograms every 2 years, or continue yearly screening

Know your risk factors, opens in new window.

Breast cancer screenings are covered for Humana Healthy Horizons in South Carolina members.

Read this article for more information about breast cancer screenings

Cervical cancer screening (Pap smear)

Cervical cancer was once the leading cause of cancer-related death for women in the U.S., but that’s no longer the case, according to the Centers for Disease Control and Prevention (CDC). The main reason, the CDC says, is Pap tests, which can detect unusual cells in the cervix before they become cancerous.2 Starting at age 21, most women should have a Pap smear at least once every three years.

What does this mean for you? Talk to your doctor and follow his or her recommendations about when to get a cervical cancer screening. Make sure your doctor knows about your history of Pap tests, because a long history of Pap tests with normal results might mean you don’t need to continue testing. Tell your doctor, too, if you are sexually active. The most common cause of cervical cancer is the human papillomavirus, or HPV, which can be spread through sexual contact.3

Cervical cancer screenings are covered for Humana Healthy Horizons in South Carolina members.

Family planning

Family-planning services are covered for Humana Healthy Horizons in South Carolina members.

To get family-planning services, you can:

  • Go to any doctor or clinic that takes Medicaid and offers family-planning services
  • Visit one of our family-planning providers

You do not need a referral from your primary care provider (PCP).

Covered services include:

  • Birth control and birth control devices (e.g., IUDs, implantable contraceptive devices, and others) that are available with a prescription
  • Emergency contraception
  • Sterilization services

You also can see a family-planning provider for:

  • Human immunodeficiency virus (HIV) and sexually transmitted infection (STI) testing and treatment
  • Counseling related to your test results
  • Screenings for cancer and other related conditions

Use our online Find a Doctor service to find a family-planning provider near you.

HumanaBeginnings care management program

We know all moms need help before and after giving birth. Taking care of yourself while you’re pregnant will help your baby have a healthy start. Through our HumanaBeginnings™ care management program, Humana Healthy Horizons® in South Carolina:

  • Helps pregnant and new moms get the care they need
  • Makes available extra resources and services
  • Offers rewards through Go365 for Humana Healthy Horizons® for completing prenatal and postpartum checkups

Learn more about our HumanaBeginnings care management program, including how to enroll

Go365 for Humana Healthy Horizons

Go365 for Humana Healthy Horizons is a wellness program that offers you the opportunity to earn rewards for taking healthy actions, such as having a breast cancer screening and/or cervical cancer screening, enrolling in HumanaBeginnings, and/or having a prenatal or postpartum visit.

For each eligible Go365 activity completed, you can earn rewards and then redeem the rewards for gift cards in the Go365 in-app mall.

Program Disclaimer

Rewards have no cash value. The monetary amounts listed above are reward values, not actual dollars. For some rewards, your doctor has to tell us that you completed the healthy activity. Once we get this information from your doctor, you will see in the app the option to redeem the reward. For any reward you qualify to earn during the [July 2022-June 2023] plan year, we must get confirmation from your doctor by no later than [September 15, 2023.]

Go365 for Humana Healthy Horizons is available to all members who meet the requirements of the program. Rewards are not used to direct the member to select a certain provider. Rewards may take 90 to 180 days or greater to receive. Rewards are non-transferrable to other Managed Care Plans or other programs. Members will lose access to the Go365® App and to the earned incentives and rewards if they voluntarily dis-enroll from the Humana Healthy Horizons or lose Medicaid eligibility for more than one-hundred eighty (180) days. At the end of plan year (June 30, 2023), members with continuous enrollment will have 90 days to redeem their rewards.

E-gift cards may not be used for tobacco, alcohol, firearms, lottery tickets, and other items not supporting a healthy lifestyle. Rewards are not used to direct an enrollee to a specific healthcare provider. Rewards may be limited to once per year, per activity. See activity description for details.

Resources

1Breast Cancer Early Detection and Diagnosis.” American Cancer Society. https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection.html. Last accessed August 17, 2022.

2Cervical Cancer Statistics. The Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/cervical/statistics/index.htm. Last accessed August 17, 2022.

3HPV and Cancer. National Cancer Institute. https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-and-cancer. Last accessed August 17, 2022.

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