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Breast Cancer Screening for Members Ages 40 to 74

07/19/2024

In line with new U.S. Preventive Services Task Force recommendations, Blue Cross and Blue Shield of Texas recommends that breast cancer screening for our members begin at age 40 rather than 50. We are updating our Preventive Care Guidelines to reflect this change. Screening should continue every other year until age 74.

Routine screening for breast cancer is the best way to detect it early, according to the Centers for Disease Control and Prevention. Breast cancer is easier to treat when it’s caught earlier.

Tips to Close Gaps in Our Members’ Care

  • Talk with our members about breast cancer risk factors and the importance of regular screening for women. We’ve created resources that may help.
  • Breast cancer disproportionately affects Black women, according to the CDC . Talk with our members about the unique risks and barriers they may face, which can result in poorer outcomes than other women.
  • Document screenings in members’ electronic medical record. Indicate the specific date and result. This helps us track member progress on the quality measure Breast Cancer Screening from the National Committee for Quality Assurance.
  • Document medical and surgical history in the medical record, including dates. Use correct diagnosis and procedure codes. Submit claims and encounter data in a timely manner.
  • Offer telehealth services when available and appropriate for preventive care appointments.
  • Follow up with members if they miss their appointment and help them reschedule.
  • For members who need language assistance, let them know we offer help and information in their language at no cost. To speak to an interpreter, members may call the customer service number on their member ID card.
  • For members who have transportation barriers, let them know that we provide Medicaid members with free non-emergency transportation services. 
  • See our Health Equity and Social Determinants of Health page for more information on health equity.

For men who are at high risk, the American Cancer Society recommends discussing with them how to manage risks.

Resources