Sage Cancer Screenings Covered Services & Eligibility

Programs & Initiatives in Health Care
Sage Cancer Screenings Covered Services & Eligibility

Breast and cervical cancer screening

Eligibility

  • Breast – Women beginning at age 40*
  • Cervical – Women ages 21 to 64
    • Do not have insurance
    • Have insurance that does not cover screening or has a deductible or co-pay
    • Have income within program guidelines

Screening services

  • Office visit for breast and/or cervical exam
  • Screening mammogram (breast exam required)
  • Pap smear every three years

Diagnostic services

  • Office visit to review abnormal screening results
  • Breast surgical consult
  • Diagnostic mammogram
  • Fine needle aspiration of breast lump, including pathology reading
  • Colposcopy, including biopsy
  • Endometrial Biopsy (when done as a follow-up for a Pap with abnormal result of Endometrial cells or Adenocarcinoma)
  • High Risk HPV Panels (when done as a follow-up for a Sage-covered Pap with ASCUS or LSIL results)
  • Breast ultrasound
  • Breast biopsy

Note: Treatment for non-insured, Sage patients may be covered by the Medical Assistance for Breast or Cervical Cancer (MA-BC). 

Colorectal cancer screening

Eligibility

  • Men & women ages 50 to 64
    • Do not have insurance
    • Have insurance that does not cover screening
    • Have income within program guidelines

Screening, diagnostic and supportive services

  • Bowel prep kit
  • Screening colonoscopy
  • Follow-up tests for patients with abnormal screening results
  • Interpreters for patients who do not speak English

Income Eligibility

Household Size

Monthly Income

Yearly Income

1

$2,513

$30,150

2

$3,383

$40,600

3

$4,254

$51,050

4

$5,125

$61,500

5

$5,996

$71,950

6

$6,867

$82,400

7

$7,738

$92,850

8

$8,608

$103,300

Add for each additional

$1,005

$12,060

Self-employed or farmers: use household net income (after business expenses)

Maximum allowable gross income (Effective January 1, 2017: Guidelines change yearly**)

Schedule a screening

If you are interested in receiving breast, cervical or colorectal cancer screening, or have questions call Sage at 1-888-643-2584 to see if you are eligible.


* Age exceptions for breast services: If a woman under 40 has breast symptoms or a family history of breast cancer (self, parent, sibling, child) Sage may cover her office visit and any other breast screening testing. If further follow-up is needed, the woman could also have a diagnostic mammogram, breast ultrasound, breast surgical consult or outpatient breast biopsy.

**Program income guidelines are based on the Federal Poverty Level. This is updated annually at the end of January. Sage's prior year guidelines remain in effect until then.