Breast and Pelvic Health

Annual breast cancer screenings (mammograms):

• Recommended yearly for women ages 40-74
• Covered 100% when you choose an in-network doctor or clinic (those that accept your health insurance); you’ll pay more if you go out-of-network
• Included as preventive screenings:
  • Screening mammograms
  • Breast MRI or ultrasound when medically indicated* to complete the screening process and billed as preventive by the provider

*When the provider determines that additional imaging is needed based on initial mammogram results, and the follow-up imaging is part of the screening (not diagnosis or treatment).

Learn more

Why might my costs still vary?

Coverage depends on how services are billed by your provider (preventive vs. diagnostic). If imaging is performed to diagnose or treat a confirmed condition, cost sharing may apply.

Helpful tips

• Ask your provider whether follow-up imaging is part of preventive screening or diagnostic care.
• If a service requires prior authorization, your provider should submit it in advance.
• For major procedures, you can request a predetermination of benefits before moving forward.

Find a mammogram facility

Need to find a high-quality, in-network doctor? Download the Quantum Health* mobile app or visit Quantum Health online and click on “Care” to search for a doctor.

*Members enrolled in Cigna HMO and Kaiser Permanente plans should contact their insurance carrier.

Leakage, discomfort or pelvic pain — these are things many women experience at some point, whether after childbirth, during midlife changes or somewhere in between. They're more common than you might think, and while they can feel embarrassing to bring up, help is available. You don't have to just live with it. Talk with your provider about symptoms and potential options such as physical therapy or specialty care.

Other pelvic health resources:

• https://www.mayoclinichealthsystem.org/topics/pelvic-health
• https://my.clevelandclinic.org/departments/obgyn-womens-health/depts/urogynecology-pelvic-floor-disorders
• https://www.nichd.nih.gov/health/topics/factsheets/pelvicfloor
• https://www.fda.gov/consumers/knowledge-and-news-women-owh-blog/what-women-need-know-about-their-pelvic-floor