Topic: BCBS Diagnostic Mammogram Payment

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Posted on: Oct 6, 2010 09:48PM

Posted on: Oct 6, 2010 09:48PM

ginasmimi wrote:

I was diagnosed in 10/08 followed by lumpectomy and radiation. My post treatment consists of diagnostic mammo first on both breasts, now every six months on the bad girl, and yearly for the good girl.  I have BCBS with a $500 ded. I pay over $600 monthly.  I am entitled to one yearly routine mammo, but they pay $0 for diagnostic.  I just don't see how that is fair.  Anyone with the same issue?  I soon will be going to annual mammos, but they still will be diagnostic for the next 3 years.  Thanks

Dx 10/28/2008, IDC, 1cm, Stage I, Grade 2, 0/4 nodes, ER+, HER2-
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Oct 6, 2010 11:24PM keddamae wrote:

I have Medical Mutual (not BCBS), but have the same problem.  Diagnostic mammograms are out-of pocket.  I have a $5000 deductible before the insurance pays anything.  It seems like they should at least apply the cost of a routine mammogram to the cost of the diagnostic.  Fortunately my next mammgram is in December so it will be covered since my deductible is already fulfilled this year.

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