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Paying for Your Mammogram

Paying for your Mammogram at Central Vermont Medical Center

Central Vermont Medical Center is committed to providing every woman her recommended mammograms and will work with you to get them paid for.

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Central Vermont Medical Center is committed to providing every woman her recommended mammograms.  CVMC’s Patient Navigator works with women who have insurance or financial challenges to find the best way to get their mammograms paid for.

If You Have Health insurance

If you have health insurance, we will bill your insurance company:

  • At the Central Vermont Medical Center we offer the latest technology of 3D/Tomosynthesis Breast Imaging. Our standard of care is to provide you with the most effective imaging; therefore we perform 3D/Tomosynthesis exams unless otherwise notified by the patient. Currently not all insurance companies are covering the full cost of 3D/Tomosynthesis imaging, which can leave you with an out-of-pocket charge of about $160.00.
  • If your insurance company does not cover 3D/Tomosynthesis breast imaging we still offer the Standard 2D Breast Imaging upon request. All insurance companies must cover the full cost of a Standard 2D Routine Mammogram, with a co-payment from you of no more than $25.00, according to Vermont law. The required full coverage of Standard 2D Mammograms applies to annual screening mammograms for women 40 or older and to mammograms recommended by a healthcare provider for women under 40.
  • If it is a diagnostic or ultrasound mammogram, you will be billed for whatever part your insurance company does not pay.  If you cannot afford to pay this part, you may qualify for Ladies First assistance. You may also apply for assistance from the CVMC Breast Care Project, funded in part by Susan G. Komen for the Cure. Please call our Patient Navigator at 225-5449.

If You Don't Have Health insurance

Lack of health insurance should not prevent you from getting your mammogram. There are programs that help pay for mammograms, including Ladies First and the CVMC Breast Care Project, funded in part by Susan G. Komen for the Cure. Please call our Patient Navigator at 225-5449.

  • Ladies First is a health screening program for Vermont women, funded by the federal government through the Vermont Department of Health.  Income-eligible uninsured or under-insured women can be screened for breast and cervical cancers and heart disease. Ladies First pays for:
    • Annual mammograms
    • Clinical breast exams
    • Pelvic exams
    • Instruction in breast self-exam
    • Cardiovascular disease risk factor screening (cholesterol, high blood pressure, diabetes)
  • Susan G. Komen for the Cure is a national organization that funds breast care programs, breast cancer screenings, and research. For several years, CVMC has been the recipient of a generous Susan G. Komen grant to fund its breast care projects.
  • Central Vermont Medical Center and People’s Health and Wellness Breast Care Project is funded in large part by Susan G. Komen for the Cure. The grant is used to ensure that women receive screening and diagnostic mammograms regardless of their ability to pay. It also funds special Women’s Clinics held at People’s Health and Wellness Clinic, where comprehensive women’s health services are provided.
  • Patient Navigation Services at Central Vermont Medical Center are available free of charge to all persons in the CVMC service area. The Patient Navigator’s job is to help individuals eliminate obstacles to getting the cancer care they need when they need it. The Patient Navigator serves as a guide through the health care system, from cancer screenings to treatment and beyond. Learn more about the services provided by our Patient Navigator.