New law designed to increase access to potentially life-saving screening
With the start of the new year, women in Missouri have one less barrier in their fight against breast cancer. Effective Jan. 1, 2019, insurance providers are required to cover the cost of 3D mammography, also known as breast tomosynthesis. The new law also lowers, from 50 to 40, the age at which mammograms must be covered.
Missouri joins more than ten other states which require 3D mammography coverage. Those other states include Oklahoma, which started requiring coverage on Nov. 1, 2018, and Arkansas, which started requiring coverage in 2017.
“Improved access to 3D mammography leads to significant improvement in early detection of breast cancer,” Sonu Suri, MD, said. “Detecting tiny cancers in breast tissue leads to better prognosis, less invasive treatment, decreased cost and better survival rates.”
The use of 3D mammography also can reduce stress on patients by decreasing the rate of call backs for additional testing on women who do not have breast cancer.
While all women may choose to receive a 3D mammogram, the screening is most beneficial for women with dense breast tissue. Dense breasts contain more glandular tissues as opposed to fatty tissue. In a standard 2D mammogram, the glandular tissue can give a similar appearance to cancer, which can require further testing.
A 3D mammogram provides images from different angles allowing a computer to digitally recreate an image of the breast layer-by-layer. This view makes it easier to see the tissue and evaluate possible abnormalities.
“Coverage for 3D mammography is a wonderful benefit for women,” said Kim Sanders, BSRT, mammography technologist. “Finding breast cancer earlier means we can treat it earlier and women have a better chance at beating the disease.”
Annual mammograms are recommended for women age 40 and older, regardless of whether it is a standard or 3D mammogram. Women should talk to their primary care physician about which type of mammogram would be best for them.
The requirement for insurance coverage for 3D mammograms was included in Missouri House Bill 1252, which was passed by the legislature and signed by the governor.
