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Last Updated: 03/15/12 11:51:29 AM

Women's Health Connection (WHC)

Breast and Cervical Cancer Early Detection Program

The Women’s Health Connection Program is funded by the National Breast and Cervical Cancer Early Detection Program of the Centers for Disease Control and Prevention for the purpose of paying for breast and cervical cancer screening services for age-eligible women who do not have health insurance and who meet the Program’s income guidelines.

This program has outsourced to Access to Healthcare Network, July 2011. Their information is listed on the Contact Us page.

 
Who Qualifies?
 
Women 40 years of age or older who do not have health insurance, Medicaid, Medicare Part B, HMO coverage; or whose health insurance coverage does not pay for preventive services; and who meet the Program’s income guidelines are eligible.
 
Covered Services

For women 40 to 49 years of age, the Program pays for the clinic office visit at a contracted clinic for the purpose of having the following procedures performed: 

  • Annual pelvic exam
  • Annual Clinical Breast Exam (the hands-on breast exam performed by a clinician)
  • Pap test in accordance with established screening schedules and guidelines

Women 50 years of age or older receive the services listed above and a screening mammogram. There are no out-of–pocket expenses for these services for eligible women. You may be asked to pay for services that are not covered by the Program, and you have the option of declining those services if you are unable to pay for them. 

You will need to call Access to Healthcare Network’s call center; phone is listed on the Contact Us page. You will need to let them know that you would like to be enrolled with the WHC program. They will enroll you over the phone, and once enrolled the call center will give your information to a care coordinator and they will send you all the info and providers through the mail.

 
How to Get Enrolled
If you meet the criteria, you will find a list of providers in the "General Information" section of this web page, see right. Call the clinic that is closest to you, explain that you would like to make an appointment through the Women’s Health Connection Program and the clinic will take care of the rest.
 
What to Expect
When you receive your enrollment form, sign the appropriate Informed Consent page. This form remains with the clinic, which is responsible for filling out the Exam Form page and forwarding the completed enrollment form to the Program for processing. If eligible, at the time of your visit the clinic will provide you with a referral form for a mammogram. You must take the mammogram referral form with you to your appointment and give it to the imaging facility, so that they know to bill the Program. The Program will not pay for mammograms performed without a properly issued referral form. When the completed forms are received by the Program, the clinic will be paid for the office visit, the lab will be paid for the Pap test if you were eligible for a Pap test and the imaging facility will be paid for the mammogram if you were eligible for one.

Once it gets close to your year from your first visit, you would need to contact AHN to re-enroll with the program. What this does is allows the Program to update any changes to your phone number or address. If you had a mammogram and are eligible for another mammogram, you should have the mammogram at the same imaging facility that did your prior one. Do not make an appointment at the imaging facility until you have received the mammogram referral form from the clinic. If you do schedule a mammogram appointment without having the referral from the clinic, WHC will not reimburse for that service and you might get billed for that service.

 
What if your exam was not normal?
If your exam was not normal, the Program will pay for certain diagnostic tests necessary to determine if the abnormal finding is cancerous or not. At that time, your care coordinator will work with you to guide you through the diagnostic process.
 
More Information
If you would like more information, click on the Contact Us link in the "General Information" section of this page.
 
National Cancer Observances Calendar
For a list of National Cancer Observances, see Cancer Observance Calendar.

 

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