By Lillie Shockney, R.N., M.A.S. Provided by: Johns Hopkins University

Breast Cancer Chronicles

Medicare: Annual Mammogram Quirks By Lillie Shockney, R.N., M.A.S. - Posted Fri, Nov 14, 2008, 4:13 pm PST

Showing 16-28 of 28 Comments

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  • 16. Posted by A Yahoo! Health User on Mon, Nov 17, 2008, 5:27 am PST

    learned about medicare payment that you had better have it after a year and a day if you want medicare to pay it. Thanks Blog.

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  • 17. Posted by A Yahoo! Health User on Mon, Nov 17, 2008, 8:14 am PST

    This is a very stupid rule. Is this a taste of universal medical care?

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  • 18. Posted by A Yahoo! Health User on Mon, Nov 17, 2008, 1:30 pm PST

    If you call Medicare they will tell you your information is INCORRECT. For example, if your last mammogram was on ANY date in November of 2007 - you are eligible to receive your next one on ANY day in November of 2008.

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  • 19. Posted by A Yahoo! Health User on Tue, Nov 18, 2008, 4:12 am PST

    We need MORE rules and regulations. People don't have anything much to do so we can spend our time trying to figure out what the new sets of rules require. Oh, and don't think you can opt out because you will find that with fines, penalties, being taxed for the "service" anyway, etc. ... you are trapped. Calm down and have a nice glazed donut... or two.

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  • 20. Posted by A Yahoo! Health User on Tue, Nov 18, 2008, 6:30 am PST

    i was reading some of the comments of people complaining about it being painful, i think they dont know what pain is. a mammygram is nothing, my sister died from breast cancer, believe me a mammy is not painful.

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  • 21. Posted by A Yahoo! Health User on Tue, Nov 18, 2008, 10:48 pm PST

    it was very helpful to find out that medicare pays for them at all. I have not had one in 6 or so years but will make an appointment right away. Thank you

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  • 22. Posted by A Yahoo! Health User on Tue, Nov 18, 2008, 11:05 pm PST

    This happened to me last year and when I received my bills all I was told was that "Medicare has changed their rules". So this year I didn't know what to do. Thanks for the explanation and now I'll go for the "ouch".

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  • 23. Posted by A Yahoo! Health User on Tue, Nov 18, 2008, 11:12 pm PST

    Just one more thing, I promise! I'm also a nurse, one who worked closely with Medicare reimbursement day in and day out. For those who believe Medicare is confusing, try dealing with private insurance! Medicare has ONE set of rules ... if those rules are followed your provider gets paid. Often when there's a denial it's because some clerical person transposed a number. Don't accept Medicare denials (or insurance denials, for that matter) without asking that your claim be reviewed and resubmitted.

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  • 24. Posted by A Yahoo! Health User on Wed, Nov 19, 2008, 5:36 am PST

    Perhaps why a second one is done or is a film or digital mam a better one.

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  • 25. Posted by A Yahoo! Health User on Wed, Nov 19, 2008, 7:02 am PST

    Foxy Grandpa, Medicare will pay for a screening pap smear once every twenty four months. It will also pay for a clinical pelvic exam once every twenty four months, so if you stagger them, you can have a paid pap every year. Also, if you are at high risk for cervical cancer, Medicare will pay for a screening pap once every twelve months. Hope this helps.

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  • 26. Posted by A Yahoo! Health User on Wed, Nov 19, 2008, 7:31 am PST

    You can visit this website to see a complete list of preventative services Medicare covers. This explains what is covered and how often. http://www.medicare.gov/Health/Overview.asp

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  • 27. Posted by A Yahoo! Health User on Sat, Nov 22, 2008, 6:14 pm PST

    This article was very helpful -- sort of like reminding us to "read the fine print." Next time I'll make sure the mammograms are at least 366 days apart. Thanks.

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  • 28. Posted by A Yahoo! Health User on Thu, Nov 05, 2009, 11:02 pm PST

    Why doesn't Medicare and ALL insurance companies cover Thermography Breast analysis. It can detect cancer also and much safer than the mammograms. What about Digital Breast Tomosynthesis. Much better than Mammo's. The cat & mouse games that insurance companies play with what they do & don't cover is disgusting. Who regulates them?

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