Common use of Screening Mammograms Clause in Contracts

Screening Mammograms. The Plan provides Benefits for annual screening mammograms for asymptomatic Members who are women 40 years of age and older for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast, with no cost-sharing. The Plan also provides Benefits for additional radiological procedures recommended by a Provider when the initial screening mammogram results are not definitive. Additional radiological procedures following an initial screening are considered “Diagnostic” and are subject to cost-sharing. Mammograms ordered to monitor a diagnosed condition are not screening mammograms and will be subject to cost-sharing.

Screening Mammograms. The Plan provides Benefits for annual screening mammograms for asymptomatic Members who are women 40 years of age and older for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast, with no cost-sharing. The Plan also provides Benefits for additional radiological procedures recommended by a Provider when the initial screening mammogram results are not definitive. Additional radiological procedures procedures, such as breast ultrasound, biopsy, and repeat mammogram, following an initial screening are considered “Diagnostic” and are subject to cost-sharing. Mammograms ordered to monitor a diagnosed condition are not screening mammograms and will be subject to cost-sharing.

Screening Mammograms. The Plan provides Benefits for annual screening mammograms for asymptomatic Members who are women 40 years of age and older for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast, with no cost-sharingcost‐sharing. The Plan also provides Benefits for additional radiological procedures recommended by a Provider when the initial screening mammogram results are not definitive, or the member is at especially high risk for breast cancer. Additional radiological All procedures following an that stem from the initial screening evaluation are considered “Diagnostic” and are not subject to cost-sharing. Mammograms ordered to monitor a diagnosed condition are not screening mammograms and will be subject to cost-sharingcost‐sharing.

Screening Mammograms. The Plan provides Benefits for annual screening mammograms for asymptomatic Members who are women 40 years of age and older for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast, with no cost-cost - sharing. The Plan also provides Benefits for additional radiological procedures recommended by a Provider when the initial screening mammogram results are not definitive. Additional radiological procedures following an initial screening are considered “Diagnostic” and are subject to cost-- sharing. Mammograms ordered to monitor a diagnosed condition are not screening mammograms and will be subject to cost-cost - sharing.

Screening Mammograms. The Plan provides Benefits for annual screening mammograms for asymptomatic Members who are women 40 years of age and older for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast, with awith no cost-sharing. The Plan also provides Benefits for additional radiological procedures recommended by a Provider when the initial screening mammogram results are not definitive. Additional radiological procedures procedures, such as breast ultrasound, biopsy, and repeat mammogram, following an initial screening are considered “Diagnostic” and are subject to cost-sharing. Mammograms ordered to monitor a diagnosed condition are not screening mammograms and will be subject to cost-sharing.