Sage Cancer Screenings Covered Services and Eligibility - Minnesota Department of Health

Sage Cancer Screenings Covered Services and Eligibility

Breast and cervical cancer screening

Updated Sage Provider Manual eligibility criteria: Eligibility PDF

For a detailed explanation of eligibility, see the Sage decision Trees (brokendown by age): Sage Decision Tree (PDF)

Eligibility

  • Breast – Women 40 and older1,2
  • Cervical – Women ages 21 to 641
    • 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, and/or breast health education
  • Screening mammogram – office visit required including breast health education and/or clinical breast exam
  • Pap smear every 3 years, (or every 5 years if Pap accompanied by HPV co-testing)

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). 

Income Eligibility 3

Household Size

Monthly Income

Yearly Income

1

$2,683

$32,200

2

$3,629

$43,550

3

$4,575

$54,900

4

$5,521

$66,250

5

$6,467

$77,600

6

$7,413

$88,950

Add for each additional

$946

$11,352

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

Maximum allowable gross income (Effective January 1, 2021: 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.


1 Sage age eligibility guidelines for breast and cervical cancer screening will be reviewed June 2022.

2 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.

3 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.

Updated Tuesday, 20-Jul-2021 11:45:46 CDT