Preventive Care

The basics of breast cancer screening 

Oct 31, 2024 | 8 minute read
Written by Healthsource Staff

Breast cancer is one of the most common cancers and the second leading cause of cancer death in women. Chances of getting it increase as you get older, but it can occur at any age.  

According to the American Cancer Society, the average risk of developing breast cancer is about 1 in 8 – and it is showing up more frequently in younger people, too.  

Fortunately, death rates from breast cancer have been steadily decreasing over the past few decades, thanks in large part to preventive screenings. Many people with breast cancer do not have symptoms, which is why regular screenings are key to early detection. They can help stop cancer from spreading or becoming more serious.

Read on for information on some commonly asked questions about breast cancer screenings. 

What is a breast cancer screening? 

One of the most common breast cancer screening options is a mammogram, which is an x-ray of the breast. It can detect tumors or abnormal areas too small to be felt during a breast exam or noticed during a routine self-check. While mammograms can be uncomfortable, they are an important screening tool. If you’re experiencing pain or anxiety, let the imaging center staff know. They can take extra steps to help you feel more comfortable. 

A breast exam may also be performed during your annual wellness visit. This is different from a breast cancer screening, but can help detect breast changes that may require further testing. Your provider will manually check each breast, under your arms, and around your collar bone for any swelling, lumps, or changes.   

Who should get screened and when? 

The U.S. Preventive Services Task Force recommends starting regular mammograms at age 40. If you’re of average risk without a family history, a screening mammogram is recommended at least every 2 years between the ages of 40 to 74.  

For people with higher risk factors, such as a family history of breast cancer, a baseline mammogram may be scheduled at an earlier age. A diagnostic mammogram may also be scheduled if changes are noted during a breast exam. 

Because screening recommendations can be different for each person, it’s best to talk to your primary care provider about your family history. They can help you get the right screening at the right time. 

Where can you get screened? 

Your primary care provider is your first stop for an annual wellness visit. During that visit, you should talk to your provider about screening options.  

Mammograms are usually performed at imaging centers. Your provider can recommend a location for a mammogram or you can use the Find Care tool on Premera.com to locate a nearby imaging center. Sign in and type ‘Diagnostic Imaging Center’ into the search bar. 

How much do these screenings cost? 

Routine screenings for cancer, like mammograms, are covered at no charge to you if you see an in-network provider. 

It’s important to know that the same test, like a mammogram, can be either a screening (free) or diagnostic (covered, but not free) test.  

How can you tell the difference? If the test is used to check out a sign, symptom, or health concern, it is diagnostic. You can always ask your healthcare provider if a recommended test is preventive. If they say “no,” then it may be covered, but will be subject to your annual plan deductible and coinsurance. 

It’s never too late to talk to your healthcare provider about preventive cancer screenings. Together you can decide what is best for you based on your risk factors and health history.  

Learn more about preventive cancer screenings and how to find care on our website. 

Healthsource Staff
Healthsource Staff

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