Commonwealth Programs FAQ
I have no insurance. Where can I get a free mammogram?
In Pennsylvania, you may be eligible for the Pennsylvania Department of Health's HealthyWoman Program. Women qualify to receive free breast and cervical cancer screening and diagnostic services, including mammograms, clinical breast exams, pelvic exams, and Pap tests if:
- they are 40 to 64 years old (or under 40 if they are symptomatic of breast or cervical cancer)
- they have no insurance, or limited insurance that does not cover breast and cervical cancer screening services, and
- they have low to moderate income (under 250% of the Federal Poverty Income Guidelines).
For more information about the PA Department of Health's HealthyWoman Program or to see if you qualify, call 800-215-7494.
Are all breast cancer treatments covered by insurance?
We understand that navigating the maze of insurance issues and questions can be confusing. That’s why the PBCC created the guidebook, Breast Cancer: Covered or Not?, answering many of your insurance questions, including what your insurance company is required to cover, and what is not covered. For more information or to order a copy, click here.
My request for insurance for breast cancer treatment has been denied. Is there anything I can do?
We understand that navigating the maze of insurance issues and questions can be confusing. That’s why the PBCC created the guidebook, Breast Cancer: Covered or Not?, answering many of your insurance questions, including instructions about how to appeal insurance denials. For more information or to order a copy, click here.
I’ve been diagnosed with breast cancer and have no insurance. What can I do?
In Pennsylvania, women of low or moderate income who are diagnosed with breast or cervical cancer or a pre-cancerous condition can get quality care and treatment, regardless of their lack of insurance, through the Commonwealth of PA's Breast and Cervical Cancer Prevention and Treatment Program (BCCPT).
Who is eligible for this treatment program?
To be eligible, you must be:
- Diagnosed with breast or cervical cancer or a pre-cancerous condition of the breast or cervix
- Under age 65
- Uninsured or have limited health care coverage
- A resident of PA with a social security number
Is there an income limit to be eligible for this program?
Yes. Your maximum annual family income must not exceed 250% of poverty level. For example, to qualify, the current maximum allowed income for a single person household is 27,075 and 36,435 for a two-person household. These income guidelines are updated annually. To see a chart for larger families, visit the PA Department of Health's HealthyWoman Program online.
How do I apply for the free breast cancer treatment program?
There is a short, three-step process to enroll in the Commonwealth of PA's Breast & Cervical Cancer Prevention Treatment Program.
1. Fill out the PA600B, Part A application form which can be found here.
2. The doctor who told you that you have cancer must fill out PA600 Part B - Medicaid Eligibility application.
3. Your doctor must fax both forms to the HWP Case Management Team at 412-201-4702.
If you have any questions, please contact the HWP Case Management Team at 800-215-7494 or visit www.PAHealthyWoman.com.