Many women skip their annual mammogram because they believe it’s not covered by insurance. They also falsely believe that the test costs more than it does, according to a study published online in May in the journal Cancer.
Many women skip their annual mammogram because they believe it's not covered by insurance. They also falsely believe that the test costs more than it does, according to a study published online in May in the journal Cancer.
Past studies have shown that nearly a quarter of women over 40 have not had a mammogram in the past two years. Approximately 40% of poor women have never had one.
Dr. Ann Scheck McAlearney and colleagues at Ohio State University conducted face-to-face interviews with women over a two-year period to learn why noncompliance was so widespread.
"We were surprised by the proportion of women surveyed who simply had no idea that their insurance covered the cost of a mammogram. Additionally, nearly 40% of the women surveyed said that they had overestimated the costs of a mammogram," said McAlearney, an assistant professor of health services management and policy at OSU.
The researchers asked 897 women over 40 about insurance coverage and probed perceived barriers to mammography screening. They compared the women's reported insurance coverage level with their actual coverage to determine the accuracy of their perceptions.
More than half of the participants reported cost to be the most significant barrier to mammography, but nearly 40% of these women had an inaccurate perception of what their insurance covered.
It remains unknown whether better education efforts on the part of insurance companies and physicians would actually improve the screening rate, McAlearney said.
She suggested the need for a longitudinal cost study in which patients receive information about the true costs of a screening mammogram. Researchers could then determine whether this information makes an actual difference in screening rates.
"We need to see whether this is just an information barrier or an actual cost barrier," she said.
For more information from the online Diagnostic Imaging archives:
Copenhagen study confirms mammo screening benefit
Closing doors in mammography threaten continued access to care
Mammography crisis continues as experts struggle to find solution
Stay at the forefront of radiology with the Diagnostic Imaging newsletter, delivering the latest news, clinical insights, and imaging advancements for today’s radiologists.
Study Shows Enhanced Diagnosis of Coronary Artery Stenosis with Photon-Counting CTA
July 10th 2025In a new study comparing standard resolution and ultra-high resolution modes for patients undergoing coronary CTA with photon-counting detector CT, researchers found that segment-level sensitivity and accuracy rates for diagnosing coronary artery stenosis were consistently > 89.6 percent.
FDA Expands Approval of MRI-Guided Ultrasound Treatment for Patients with Parkinson’s Disease
July 9th 2025For patients with advanced Parkinson’s disease, the expanded FDA approval of the Exablate Neuro platform allows for the use of MRI-guided focused ultrasound in performing staged bilateral pallidothalamic tractotomy.