A Breakdown of Breast Cancer Insurance Coverage

a breakdown of breast cancer insurance coverage advice for people with and without insurance coverage for breast cancer screening diagnosis and treatment is critical to getting access to healthcare for this condition people without insurance or who are denied coverage for certain treatments or procedures need to explore their options as many as 2000 as many as 2019 billion people are expected to being to be diagnosed with invasive breast cancer in any single year knowing what resources are available is key to getting the best outcome this article will sorry this article will outline the treatments you may need for breast cancer what types of insurance cover them and what you can do when you do not have insurance prevention diagnosis and treatment of breast cancer knowing what kind of care you could need at each level of your cancer diagnosis is important first preventive screening a mammogram is the most effective screening tool for breast cancer other Imaging studies sorry other Imaging studies such as breast ultrasound and press MRI or magnetic resonance imaging could also occur if a person has symptoms has dense breasts is considered high risk or has an abnormality that is found by a mammogram second diagnosis a mammogram 

May raise suspicion of cancer but depressed biopsy or removing a tissue sample from the breast for analysis in a lab is necessary to make a formal diagnosis information from this biopsy will be key in deciding how to treat you your healthcare provider will also want to ensure the breast cancer has not spread to other parts of the body this may require additional Imaging studies procedures office visits and hospitalizations true treatment treatments include medication exam an example chemotherapy hormonal therapy immunotherapy radiation surgery in example method mastectomy or any combination of this in 1998 the Women's Healthcare and cancer rights are required the health plans that cover mastectomy or surgical removal of a breast also have to offer reconstruction also have over reconstructive breast surgery for people undergoing a mastectomy 

This could include breast implants for a prosthesis finding out breast cancer coverage with an exciting policy with the Affordable Care Act or ACA was based in 2010 it required that insurance plan covered 10 essential health benefits those benefits include sorry those benefits include the surface needed to treat to thread serious conditions like cancer screening mammograms were met free and ambulatory care or care outside of the hospital hospital care level laboratory tests prescription drug coverage such as one drug from every class including chemotherapy and rehabilitation service will include in all plants unfortunately not all health plans have to follow the ACA rules individual private plans and small group plans do however plants that exist sorry however plants that excited excised before the ACA referred to as grandfather plants and large group plans to not depending on the type of insurance you have your cancer coverage may vary Marketplace or private the ACA created the health insurance Marketplace which many individuals and families turned 2-4 care today plans are divided into metal categories bronze silver coal and platinum only premiums increase deductibles decrease and your cause of care 

Gradually decrease as you move from a prawns to a platinum plant premium subsidies are available to help people keep code stoned the subsidies or those subsidies originate with the ACA but were expand with the American Rescue plan in 2021 so that no one would pay more than 8.5 percent of their income on Health Care the inflation reduction Act of 2022 has extended this larger subsidies through 2025. employer depending on the size of your employer you may be offered group health insurance through your job the ACA requires larger employers are defined in the most States as those hiring the equivalent of 50 full-time employers to provide affordable Comprehensive Health Care to any employers working more than 30 hours per week to be affordable a plan must not cost more than a certain percentage of your income or 9.61 in 2022 to be comprehensive a plan must give minimum value meaning that it covers sufficient hospital and physics and physician service large employers that offer Insurance can choose to self-insurance or fully insure their plans self-insurance means that the self-insured means that the employer puts their own health plan together and pays for your care directly fully insured means that the employer purchase care through an insurance company the difference is important because Shelf because self-insured plans are not regulated by state law having a self-insured plans means you could miss out on certain benefits other people in Europe's State get meditate medicine medicine is run on a state level out of it received funding from both the federal government and the states it is offered to families with low incomes pregnant people children and those who are medically needy states that expand meditate under the Affordable Care Act may also extend illegibility to single people who qualify based on income [Music] state in general pays toward Cancer Care what is covered and what you pay will depend on the state in which you recite people who do not traditionally qualify for medicine may still be able to receive treatment for breast cancer through the program specifically a person of any sex or gender diagnosis with breast cancer through the national press and cervical cancer early dissection program or nbcc ETP qualifies for treatment through medicine of not to qualify for nbccce TP screening the federal government set an income limit of 250 percent of the federal profit of the federal poverty limit and below Medicare is federally found Health Care Program for people 65 and older or those with qualifying disabilities care is divided into four parts Part a hospital insurance Part B medical insurance part C Medical Advantage and party prescription drug coverage the federal government runs original Medicare part A and B private insurance companies run Medical Advantage or an alternative to par ah an alternative to part A and Part B that can offer supplemental benefits and partly medical covers a wide range of Cancer Care mammograms are covered for free if the healthcare provider accepts assignment if necessary press ultrasound and press MRI are also tougher for a fee regarding treatment Part B Comfort surgeries radiation and a wide range of chemotherapy option other medications including some specialized chemotherapy treatments and immunotherapies required Part D coverage okay everyone that's all this article today thank you so much for watching this video until the next one bye

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