13349

Member for

5 years 4 months
Submitted by ssimhadhri on
Routine mammograms as recommended and determined suitable by the member's health care provider. As required by state law, coverage includes at least one baseline mammogram during the five-year period a member is age 35 through 39 and one mammogram each group plan year for a member age 40 or older. For members determined to be at "high risk" for breast cancer, a provider may recommend a screening mammogram outside of these time periods.