Empire Plan to Cover 3D Mammograms

Effective February 20, 2017, the Empire Plan carriers, United HealthCare and Empire BlueCross, will cover services for 3D mammograms. Until recently, 3D mammogram tomography has been considered an unproven technology by many insurance plans, including the Empire Plan. Consistent with a recent Circular Letter by the NYS Department of Financial Services, the Empire Plan will cover in-network 3D mammogram services with no copayment and non-network 3D mammogram services will be covered, subject to deductible and coinsurance. Claims for 3D mammogram services rendered on or after February 20, 2017 which were previously processed and denied by Empire Blue Cross and/or United HealthCare will be readjusted as a covered service.