My doctor ordered an annual mammogram for me. Is it covered by my insurance?
- It depends. Your ANNUAL Mammogram could be either a Screening or a Diagnostic Mammogram. A Screening Mammogram is usually covered completely by insurance as part of their “Wellness” package.
- A Diagnostic Mammogram, however, is processed through your insurance company as a diagnostic exam, so you may have out-of-pocket expenses, based on your co-pay arrangement and whether or not you have met your deductible for the year.
When will my doctor receive my Mammography report?
- Screening Mammography will normally be read within 5 business days, and the report will then be faxed to your physician.
- Diagnostic Mammography will be reviewed immediately by a subspecialized Imaging Physician and the results sent to your physician the same day.
Why am I receiving two bills for my Mammogram?
- When you have your mammogram, you will receive 2 bills:
- A Cedars-Sinai bill for the technical portion.
- A bill from the Imaging Physician group who interpreted your study.
What is the “Facility Charge” that appears on my Mammography bill?
- The hospital sends one bill for all visits on the same day. The consolidated statement may list charges for your visit to the Cedars-Sinai Breast Center and will also itemize the charges related to the breast imaging exam you completed. A separate bill will be sent by your doctor and the Imaging Physician.
In addition to my Mammogram, I am being billed for something called CAD. What is this?
- CAD stands for Computer-Aided Detection, a recent advance in the field of breast imaging.
To schedule an appointment, please call (310) 423-8000.
If you have questions about your Cedars-Sinai bill, please contact:
- Cedars-Sinai Business Office: (323) 866-8600
If you have questions about the subspecialized Imaging Physician’s separate bill, please contact:
- Cedars-Sinai Imaging Medical Group: (800) 303-3044