The experience of a 3D mammogram (tomosynthesis) is similar to that of a digital mammogram. The machine will move in an arc during the exposures and the technologist may ask you to hold your breath briefly during the exposures. The time between images may take a little longer as the technologist waits for the image to be constructed.
This screening test produces a 3D image of the breast which allows doctors to examine breast tissue layer by layer. This helps them spot abnormalities not visible in a 2D image from a traditional digital mammogram
3D mammography has quickly become the gold standard for diagnostic breast exams. Your provider may recommend a 3D mammogram because of the following benefits.
- 3D mammograms detect 41% more invasive breast cancers. Allowing these cancers to be found when they are smaller and more effectively treated.
- 3D mammography has reduced immediate recalls for additional imaging by 40-50%.
- 3D technology allows the radiologist to more effectively read mammograms of women with dense breast tissue. This decreases the need for additional tests.
Insurance Coverage of 3D Mammograms
More and more insurance companies are covering 3D mammography. Medicare currently pays for the procedure, as do many commercial insurances. Unfortunately, there are still some insurance companies that deny the charge.
They may claim it is not medically necessary or experimental. Please check with your insurance company regarding coverage for tomosynthesis before scheduling your appointment.
If your insurance company denies your claim, the additional charge you may be responsible for is $51. ProMedica will provide you with a copy of an appeal letter to send to your insurance company. Instructions should be included with your explanation of benefits (EOB) on how to appeal a denial.
If you file an appeal with your insurance company, please notify ProMedica Customer Service at 844-373-0871. We will suspend your $51 charge, pending an outcome of the appeal.