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 |