Employer-Sponsored Plan

Age 55-80
30 pack-year smoking Current smoker or quit within 15 years

No co-pay, co-insurance or deductible

*May be additional costs associated with screening (e.g. facility fees)

*If plan grand-fathered under Affordable Care Act then coverage not required.

Medicare

Ages 55-77
30 pack-year smoking Current smoker or quit within 15 years
No signs or symptoms of lung cancer

No co-pay, co-insurance or deductible

*May be additional costs associated with screening (e.g. facility fees)

 

Medicare Advantage Plan

Ages 55-77
30 pack-year smoking
Current smoker or quit within 15 years
No signs or symptoms of lung cancer

*May charge co-pay, coinsurance or deductible if out-of-network

No additional costs associated with screening

*May cover beyond age 77 depending on plan.

State Health Insurance Marketplace Plan

Age 55-80
30 pack-year smoking
Current smoker or quit within 15 years

No co-pay, co-insurance or deductible

May be additional costs associated with screening (e.g. facility fees)

 

Medicaid

*Criteria varies by state.

*May charge co-pay, coinsurance or deductible

*May be additional costs associated with screening (e.g. facility fees)

*Coverage varies by state (see Medicaid.gov)
May be pre-determined facility or providers.

Individual Private Plan

Age 55-80
30 pack-year smoking
Current smoker or quit within 15 years

No co-pay, co-insurance or deductible

*May be additional costs associated with screening (e.g. facility fees)

*If plan grand-fathered under Affordable Care Act then coverage not required.

TRICARE

Age 55-80
30 pack-year smoking
Current smoker or quit within 15 years

No co-pay, co-insurance or deductible

No additional costs associated with screening