PPO Quality Ratings - Breast Cancer Screening    PPO Quality Ratings Checking for Cancer

Breast Cancer Screening 2014 Edition

Why is it important to screen for breast cancer?

Mammograms are one way to screen for breast cancer. Mammograms can find breast cancer before you have signs or symptoms of cancer. In finding and treating cancer early, you can prevent the cancer from spreading to other parts of your body.

How should doctors screen for breast cancer?

Your doctor should order a mammogram, which is an x-ray picture of your breast that can help find breast cancer when it is too small for you or your doctor to feel. If you are a woman between the ages of 50 and 74, it is recommended that you should routinely get a mammogram every other year. If you are at higher risk for breast cancer, you may need to start getting mammograms at an earlier age (40 or younger) or get one more often (every year). Your doctor should work with you to develop a screening plan that is right for you.

Talk with your doctor and health plan to find out about what materials and other resources are available. Many health plans offer educational materials (print or online) about breast cancer screening. These materials can help you to better understand the tests and the results.

What do the scores mean?

The scores show how well the health plan did at making sure women between the ages of 40 and 69 had a mammogram to screen for breast cancer during the past two years. The higher score means more women got the right care at the right time.

The scores are based on information from administrative records of female PPO members aged 40-69 in 2012. Some health experts also recommended that women up to age 74 get a mammogram every other year.

Look for differences of at least 4%. Smaller differences usually are not significant.

Breast Cancer Screening

Aetna PPO 66% Horizontal bar, 66 units  
Anthem Blue Cross PPO 66% Horizontal bar, 66 units  
CIGNA PPO 66% Horizontal bar, 66 units  
Blue Shield of California/Blue Shield Life PPO 65% Horizontal bar, 65 units  
Health Net PPO 65% Horizontal bar, 65 units  
UnitedHealthcare Insurance Co., Inc. 65% Horizontal bar, 65 units  
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  Score for top health plans nationwide 72% Score that ranks a health plan in the top 10% of all plans in the U.S.  
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