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Covered Services

Federally funded through grants to the Health Department, Ladies First pays for breast and cervical cancer screenings that include: annual mammograms, clinical breast exams, pelvic exams, Pap tests, and instruction in breast self-exam. Ladies First also pays for repeat mammograms, ultrasounds, biopsies, and colposcopies.

Type of Service
Eligibility Age		 Screening Diagnostic Referral for Treatment

Breast Screening
Age:

  • 40+
  • 18-39 (with breast symptoms or abnormal Pap)

Office visit

Clinical breast exam

Breast self-exam instruction

Screening mammogram

Diagnostic mammogram

Ultrasound

Consultation

Second opinion

Breast biopsy and related costs

To Ladies First for Medicaid Treatment Act if eligible+

Cervical Screening
Age:

  • 40+
  • 18-39 (with breast symptoms or abnormal Pap)

Office visit

Pelvic exam

Pap smear

Colposcopy

Other diagnostic tests

 To Ladies First for Medicaid Treatment Act if eligible+

Cardiovascular Disease Risk Factors
Age:

  • 40+

Office visit

Blood pressure check

Total cholesterol

Lipid profile

Body Mass Index

Approved follow-up tests

To Ladies First for Lifestyle Intervention++

To Quit Line for tobacco cessation services, if needed+++

Diabetes
Age:

  • Age: 40+

Office visit

Blood glucose

Approved follow-up tests

To Ladies First for Lifestyle Intervention++

To Quit Line for tobacco cessation services, if needed+++

+ The Vermont Breast and Cervical Cancer Medicaid Treatment Program Under the federal Medicaid Treatment Act, Vermont began enrolling women directly from Ladies First onto Medicaid in July 2001. The program offers full Medicaid benefits to women during their treatment period. Ladies First initiates applications for this program. Providers may receive more information or begin the enrollment process for a patient by calling the Provider Support Line at 1-800-510-2282.

Medicaid Treatment Program Eligibility Criteria:

  1. A woman must be enrolled in Ladies First.
  2. A woman must be screened for breast or cervical cancer by Ladies First.
  3. A woman must be diagnosed with breast cancer, cervical cancer, or a pre-malignant condition (cervical dysplasia).
  4. A woman must require treatment services.
  5. A woman must have no other creditable health insurance.
  6. A woman must be a US citizen or a qualified alien.
  7. A woman must be under age 65.

++ Lifestyle Interventions are tailored to the patient’s needs, but typically include four to six visits with a nutritionist, and referral to a local physical activity program.

+++ Quit Line tobacco cessation services for Ladies First members include:

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