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What is a mammogram or breast cancer screening?

A mammogram is a quick, simple procedure that checks for signs of breast cancer—one of the most common forms of cancer for women in the U.S. Since around 1 in 8 women in the U.S. will develop breast cancer at some point in their lives, mammograms are an important part of preventive cancer treatment and catching early signs of the disease.1

A woman talks to her doctor in a doctor’s office.

How a mammogram checks for breast cancer

A mammogram uses an X-ray involving a very small dose of radiation (less than a standard chest X-ray) to screen for abnormal cells or growths in the breast tissue. During this process, the breast is placed between 2 supports that are gently pressed together to give the X-ray a clear picture. You may experience some discomfort, but only for a few seconds each time.2 The entire procedure lasts only about 20 minutes. You can usually get a mammogram in an imaging center, some doctor’s offices or in a mobile breast cancer screening unit.

When you should consider a breast cancer screening

Mammograms are an important part of the fight against breast cancer. They may detect the presence of abnormal cells up to 3 years before any symptoms can be felt.3 Because mammograms are so effective at catching these early signs, they can reduce the mortality rate of breast cancer by up to 40%.4

The American Cancer Society® recommends:

  • That women should have the choice to begin annual screenings at age 40
  • Women ages 45 to 54 should have a mammogram once per year
  • Women 55 and over should get breast cancer screenings every 2 years, or annually if they choose5

How much does a mammogram cost?

Humana plans cover annual preventive mammograms with no out-of-pocket costs to Humana members beginning at age 40.

The cost for a diagnostic mammogram, such as to diagnose a medical condition, can vary based on your insurance coverage, age, what state you live in or your income.6 Humana Medicare Advantage plans generally include a diagnostic mammogram if ordered by a doctor. Cost share may vary depending on the plan.

If you have Medicare Part B or Medicare Advantage, you are covered for all of the costs of yearly screening mammograms and up to 80% of the cost of necessary diagnostic mammograms. However, there may be some additional out-of-pocket costs for diagnostic mammograms.7

Several government programs and nonprofits provide low-cost or free mammograms for low-income or uninsured women across the U.S., such as the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).

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How can I schedule a mammogram near me?

Consult a doctor to see when you should set up a preventive breast cancer screening. Find a doctor or an imaging center in your network to schedule a mammogram near you.


Sources:

  1. “How Common is Breast Cancer?” American Cancer Society, last accessed August 26, 2021, https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html.
  2. “Breast Cancer and Mammograms,” WebMD, last accessed August 26, 2021, https://www.webmd.com/breast-cancer/mammograms.
  3. “Early Signs and Symptoms of Breast Cancer,” St. Vincent Hospital, last accessed October 27, 2021, https://www.stvincenthospital.com/services/diagnostic-imaging/early-signs-of-breast-cancer.
  4. Debra L. Monticciolo, “Current Guidelines and Gaps in Breast Cancer Screening,” Journal of the American College of Radiology (October 2020), accessed October 27, 2021, doi:10.1016/j.jacr.2020.05.002.
  5. Kevin C. Oeffinger et al., “Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society,” JAMA (October 2015), accessed August 26, 2021, doi:10.1001/jama.2015.12783.
  6. “How Much Does a Mammogram Cost?” Healthline, last accessed August 26, 2021, https://www.healthline.com/health/womens-health/3d-mammogram.
  7. “When Does Medicare Cover Mammograms?” Healthline, last accessed August 26, 2021, https://www.healthline.com/health/medicare/does-medicare-cover-mammograms.