Diocese of Palm Beach Revenue and Competitors

That is why the Diocese of Palm Beach offers coverage of routine and diagnostic mammograms for covered employees and their dependents under the Diocesan medical plans. Following are the details of those benefits. Routine and diagnostic mammograms are covered under preventive health benefits. Routine and diagnostic mammograms are not subject to the deductible, coinsurance or co-payment. Benefits are processed at 100%, if you use participating providers. Benefits paid for routine and diagnostic mammograms do not accumulate toward the adult calendar year maximum for preventive services. Services must be obtained in a medical office, medical treatment facility or through a health testing service that uses radiological equipment registered with the appropriate Florida regulatory agency (or those of another state) for diagnostic purposes or breast cancer screening Obtain a prescription from your physician for a routine or diagnostic mammogram, then contact Blue Cross's Customer Service Department at 800-345-3885 to confirm that a provider is participating in your medical plan's network. The following mammogram screening services are Covered Services when furnished to a Participant: a baseline mammogram for any woman who is 35 years of age or older, but younger than 40 years of age; a mammogram every two years for any woman who is 40 years of age or older, but younger than 50 years of age, or more frequently based upon a Physician's recommendation; a mammogram every year for any woman who is 50 years of age or older; or one or more mammograms a year, 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 age 30. Except for mammograms done more frequently than every two years for women 40 years of age or older, but younger than 50 years of age, benefits are payable when, with or without a prescription from a Physician, the Participant obtains a mammogram in a medical office, medical treatment facility or through a health testing service that uses radiological equipment registered with the Department of Health and Rehabilitative Services for breast cancer screening. Benefits are not subject to the Calendar Year Deductible and Coinsurance requirements of the Group Health Plan.