Mammograms. One baseline mammogram is covered for female Members between the ages of 35 and 39. A mammogram is available every two years for female Members between the ages of 40 and 49 and a mammogram is available every year for female Members aged 50 and older. In addition, one or more mammograms a year are available when based upon a Physician's recommendation for any woman who is at risk for breast cancer because of a personal or family history of breast cancer, because of having a history of biopsy-proven benign breast disease, because of having a mother, sister or daughter who has had breast cancer, or because a woman has not given birth before the age of 30. Mammograms are not subject to the Calendar Year Deductible or any cost-sharing.
Appears in 9 contracts
Samples: Medical and Hospital Service Contract, Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract
