Breast Cancer Awareness and Your TSHBP Benefits

Breast exams are extremely useful in detecting cancer early. Clinical exams, breast self-exams (BSEs) and mammograms should be completed regularly so that it is possible to determine if there are changes in breast tissue, indicating breast cancer or other potentially harmful conditions.

EARLY DETECTION IS KEY

Early detection increases the chances of successful treatment. Regular screening tests for women at an average risk level:

  •  Women between 40 and 44 have the option to start screening with a mammogram every year.
  • Women 45 to 54 should get mammograms every year.
  • Women 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer.

PERFORMING SELF-EXAMS

In between clinical exams and mammograms, women should complete BSEs to become familiar with the look and feel of their breasts when healthy, so that changes can be detected as early as possible.

  • Lie down and place one arm behind your head.
  • Use the pads of your middle three fingers on the opposite hand to check your breast tissue in overlapping, dime-sized circular motions.
  • Use an up-and-down pattern starting at your underarm and moving all the way to the middle of your breastbone to feel for changes.

Standing with your hands on your hips, look in a mirror for changes in size, shape, contour or coloring of your breasts.

BREAST TISSUE CHANGES

Contact your doctor if you notice any of the following changes to your breast or nipple tissue while doing a BSE:

  • Lumps
  • Dimpling, red or scaly skin
  • Nipple discharge or pain

It is normal for breast tissue to change during menstrual cycles, pregnancy, menopause, or while taking birth control pills or other hormone therapy. However, if you notice changes at other times in your life, it is strongly suggested that you visit a doctor immediately.

More in-depth information on how to perform a BSE is available at ww5.komen.org. This website also provides a Breast Self-Awareness Interactive Tool that you can view. Or, check out this diagram on www.breastcancer.org, which illustrates how to perform a thorough self-exam.

BREAST CANCER SCREENINGS & YOUR TSHBP BENEFITS

  • Is a Mammogram Covered under my TSHBP Benefits? Yes, routine mammograms for women ages 35 and older are part of your plan’s Preventive and Wellness Services for Adults in compliance with the Affordable Care Act (ACA).
  • What is my cost for a mammogram under my TSHBP Benefits? As a preventative care service, your mammogram will be covered by your plan at 100%.
  • What do I do if I need a mammogram?
  FREE-STANDING RADIOLOGY
CENTER OR DOCTOR’S OFFICE
HOSPITAL

STEP

1

(855)-830-9234 Call us to confirm your provider is part of the Health Smart Physician and Ancillary Network. If you need a provider, we’ll find one for you.  Our Provider Search Tool  is also available to you! (888) 803-0081 Contact the Care Coordinator to coordinate facility services.

STEP

2

Call your doctor to schedule an appointment.

Provide the office staff with your insurance information, including the provider network Health Smart Physician and Ancillary Network.
Your Care Coordinator schedules your procedure with the provider and facility and arranges the payment.

The Care Coordinator provides you detail instructions on what to expect when you go into the facility.

STEP

3

Present your TSHBP member insurance card at your appointment. No ID card or paperwork needed. You go to the facility and have your procedure as scheduled.

Download an infographic of the chart and other helpful information below. If you have any questions about your TSHBP coverage, please contact us to speak to a representative

Download breast cancer awareness month infographic