Covered Services for Eligible Vermont Women
| AGE 18-39 (with breast symptoms or abnormal Pap) |
AGE 40 or OLDER | |
| SCREENING | ||
Breast |
• Clinical breast exam • Breast self-exam instruction • Screening mammogram |
• In-office breast exam • Breast self-exam instruction • Screening mammogram |
Cervical |
• Pelvic exam • Pap smear |
• Pelvic exam • Pap test |
*Cardiovascular |
Not available | • Blood pressure check • Total cholesterol • Body Mass Index (BMI) • Diabetic Screening (Glucose) |
| DIAGNOSTIC | ||
| Breast | • Diagnostic mammogram • Ultrasound • Consultation • Second opinion • Breast biopsy |
• Diagnostic mammogram • Ultrasound • Consultation • Second opinion • Breast biopsy |
| Cervical | • Colposcopy • Other diagnostic tests |
• Colposcopy • Other diagnostic tests |
| *Cardiovascular | Not available | • Follow-up glucose • Follow-up cholesterol • Lipid panel |
| AND MORE | ||
| Breast | • Referral to Medicaid Treatment Act, if eligible |
• Referral to Medicaid Treatment Act, if eligible |
| Cervical | • Referral to Medicaid Treatment Act, if eligible |
• Referral to Medicaid Treatment Act, if eligible |
| *Cardiovascular | Not available | • Goal setting for nutrition and physical activity with a Vermont Department of Health nutritionist • Help to quit smoking, with counseling, free patches, lozenges or gum |
* The Cardiovascular component of the Program is offered to eligible members as a one time series. A series includes: An initial cardiovascular screening, a diagnostic follow-up (if needed), up to 3 interventions, and a follow-up screening.
Please note women with VHAP, Medicaid and Medicare Part B are not eligible for Ladies First.
If you have primary insurance coverage, the insurance will be billed fi rst and you may have to pay a co-pay and/or your deductible (if applicable) for your visits and/or test(s). March 2006