Insurance Plan Comparison

Insurance Plan
Eligibility Criteria
Cost Sharing
Additional Costs
Additional Information
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