Breast Health Resources Screening and Early Detection for
Breast Health Resources Screening and Early Detection for Uninsured or Underinsured Hoosiers Presenter: Amanda Wolfe, MA, Director of Client Services Little Red Door Cancer Agency
Presentation Highlights • • Why is screening/early detection important? What is breast health awareness? Why should we be concerned about those not getting screened? What are screening/early detection options for Hoosiers with barriers?
Why is screening/early detection important? • More than 250, 000 breast cancer diagnoses are made per year; it is the most common cancer in women • 5 year survival rate is 91%, but varies wildly depending on stage at diagnosis (99% for localized and 27% for distant) • increased 39% since the 80 s due, in part, to better rates of early detection • Mammography reduces the odds of dying from breast cancer by about 20% • Discussing cancer risks and monitoring opens the door for discussion regarding modifiable risks. Breast cancer incidence is associated with obesity, physical inactivity, alcohol consumption, and hormone usage
What is breast health awareness? • Replaces self-exams of the breasts • Know your risk • Practice recommended screening • Know your normal and report changes o Lump o Swelling or redness o Changes in size or shape o Itchy, scaly, dimpling skin o Inversion of or discharge from nipple o pain • Make healthy lifestyle choices
Why should we be concerned about those not getting screened? Least likely to access medical care; most likely to have worse outcomes: • 27% of households in Indiana fall below 200% of federal poverty level (20%-30% ALICE); breast cancer mortality is strongly associated with poverty. • Gap in mortality rates began widening in 1980 s when advances in technology made certain procedures and tests outside the reach of low-income consumers
Why should we be concerned about those who are not getting screened? • Approximately 8% of Indiana residents are uninsured; breast cancer mortality in strongly associated with lack of health insurance • Approximately 11% of Indiana residents identify as Black; breast cancer mortality is strongly associated with being African-American • Residents over 65 are (along with under 25) most likely to be ALICE, with a little less than one-third of individuals over 65 meeting ALICE criteria; both incidence and mortality rates increase with age
What are the screening/early detection options for Hoosiers with barriers? 1. 2. 3. 4. Does this individual understand their insurance coverage? Could this individual be enrolled in insurance? Could this individual access free breast screening services? Would this individual benefit from a low-cost/sliding scale provider? Don’t have the resources to ascertain this? No worries! Send them to Little Red Door!
Does this individual understand their insurance coverage? • Beginning in 2010, ACA required preventive care to be covered by the insurance company at no out-of-pocket costs to the individual. • Co-pays, co-insurance, and deductibles will not apply to a screening mammogram for any woman over 40 years old if she has not had one in the last one to two (timeframe varies) years. • Exceptions include diagnostic procedures and grandfathered insurance plans
Can the individual be enrolled in insurance? • Gold standard – 100% coverage of all preventive services • Medicaid or HIP o up to 138% of federal poverty level, or (in certain cases) disabled, or pregnant, or (in certain cases) a minor o Only legal residents are eligible o Application can be submitted online at https: //secure. in. gov/fssa/hip/index. htm • Marketplace plan • Covering Kids and Families can help with this! https: //www. ckfindiana. org/
Could this individual access free services? • Indiana BCCP contracts with healthcare providers throughout the state • Indiana Breast and Cervical Care Program services: o Colposcopies and liquid-based cytology tests o High risk panel HPV testing o Office visits and consultations o Pelvic exams/tests and clinical breast exams o Diagnostic breast ultrasounds o Mammograms o Breast biopsies
Could this individual access free services? Indiana Breast and Cervical Care Program eligibility: • uninsured or underinsured • Indiana resident • income at or below 200% of FPL • cannot be enrolled in Medicare part B • For screening services, must be at least 50 years old
Could this individual access free services? Komen and Indiana Breast Cancer Assistance Trust funded services: • Office visits and consultations • Clinical breast exams • Diagnostic breast ultrasounds • Mammograms • Breast biopsies • Travel
How to connect an individual to free breast health screening? • BCCP enrollment can be done through your regional coordinator: o Northern Region: United Health Services Mary Heck mheck@uhs-in. org o Central Region: YWCA Amber Thurman athurman@ywcalafayette. org o Family Health Centers of Southern Indiana Alicia Swank aswank@fhcenters. org
Other Free or Sliding Scale Breast Health Services • Public hospitals and non-profit clinics always have free or low-cost options for basic health services o Eskenazi o St Vincent o Planned Parenthood o Gennesaret Clinics o Healthnet Clinics
When in doubt, send them to Little Red Door! www. littlereddoor. org mail@littlereddoor. org Indy office: 317. 925. 558 Muncie office: 765. 284. 9063
- Slides: 16