In order to qualify for screening services, a woman must meet age, income and insurance status guidelines. In addition, a woman must not participate in any program that provides these same services, such as Family Planning in a parish health unit. The screening provider determines a patient's eligibility for participation in LBCHP. Contact one of our providers if you are experiencing any breast or cervical symptoms, as this may help you qualify.
For treatment services for women already diagnosed with breast or cervical cancer, refer to the Medicaid eligibility income guidelines found here: Medicaid information.
Women must be between 21 and 64 years of age to qualify for cervical cancer screenings. For breast cancer screenings, women must be between 40 and 64 years old. A woman who by virtue of symptoms or physical findings, regardless of age, is considered to have a substantial likelihood of having breast disease is to be referred for a diagnostic mammogram.
The participant's household income must be at or below 250% of the Federal Poverty Level. The Federal Poverty Level and the LBCHP's maximum allowable income are adjusted annually.
2018 Federal Poverty Guidelines
Maximum Allowable Income for 250%
3. Insurance Status
Uninsured women qualify for clinical and navigation services. All insured women who meet other eligibility qualify for navigation services only. If insured, a woman may also qualify for clinical services if she is underinsured.
Women under Medicare Part B and/or Medicaid are not eligible for LBCHP clinical services, but are eligible for navigation services. LBCHP cannot pay the co-payment for Medicare. A woman who meets the income requirements of LBCHP is considered underinsured and eligible for services under the following conditions:
• Her medical insurance does not cover LBCHP services, or
• The deductible or co-payment required by her insurance deters her from receiving breast and cervical cancer early detection screening services.
If you have any questions about eligibility or want to find out if you qualify, please contact us here.