Don’t Delay Your TRICARE Covered Cancer Screenings

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FALLS CHURCH, VA, March 29, 2023 - If you had cancer, you’d probably want to know as soon as possible. That’s because when it comes to cancer, time is critical. Generally, the earlier a cancer is found, the easier it may be to treat or cure. Some types of cancer can be detected before a person even shows symptoms. TRICARE covers screenings for these cancers as part of your preventive care benefit.

 
“Getting your recommended cancer screenings is vital to your health and longevity,” said Jeannine Pickrell, RN, Disease Management & Population Health, TRICARE Health Plan, Defense Health Agency. “If you’ve been putting off a cancer screening for months or even years, it’s time to make it a priority.”
 
You can get some cancer screenings during your next Health Promotion and Disease Prevention (HP&DP) exam, which makes prioritizing cancer screenings and other preventive services more convenient. And as outlined in the TRICARE Costs and Fees Fact Sheet, you’ll have no out-of-pocket costs for getting preventive care when you follow your plan’s rules.
 
Your age, your sex, and if you have certain risk factors determine which cancers you should be screened for and how often you should be screened for them. Read on to learn which cancer screenings are appropriate for you.
 
1. Breast Cancer
TRICARE covers clinical breast exams during a covered HP&DP exam. TRICARE also covers mammograms every 12 months for women who are:

  • Age 40 or older

  • Age 30 or older with a 15% or greater lifetime risk of developing breast cancer

 
For women age 30 or older with a 20% or greater lifetime risk of developing breast cancer, TRICARE covers annual breast MRI screening in addition to annual mammograms.
 
2. Cervical Cancer
TRICARE covers Pap tests (also called Pap smears) for women starting at age 21. Generally, you should get a Pap test at least once every three years. Your provider may recommend that you get Pap tests more frequently.
 
If you’re age 30 or older, TRICARE also covers HPV DNA testing when done in conjunction with a Pap test.
 
3. Colorectal Cancer
If you’re age 45 or older with average risk for colon cancer, TRICARE covers several different types of screenings for colorectal cancer. Ask your provider about which screenings are appropriate for you.
 
4. Lung Cancer
Do you have a history of smoking? TRICARE covers lung cancer screening if you:

  • Are 50 to 80 years old

  • Have a 20 pack per year or more history of smoking

  • Currently smoke or have quit smoking within the past 15 years

 
5. Oral Cavity and Pharyngeal Cancers
TRICARE covers a complete oral cavity examination as part of routine preventive care if you’re an adult at high risk due to exposure to tobacco or excessive amounts of alcohol.
 
6. Prostate Cancer
TRICARE covers annual prostate cancer exams for men. Your coverage depends on your age and other factors. Typically, TRICARE covers your testing if you’re age 50 or older with at least a 10-year life expectancy. However, you may be eligible for prostate cancer exams starting at age 40 or age 45 if you have certain risk factors (family history, race).
 
7. Skin Cancer
According to the Centers for Disease Control and Prevention (CDC), skin cancer is the most common form of cancer in the U.S. TRICARE covers skin cancer exams if you:

  • Have a family or personal history of skin cancer

  • Have increased occupational or recreational exposure to sunlight

  • Show clinical evidence of precursor lesions

 
Precursor lesions are abnormal areas of your skin that could turn into cancer. Talk to your provider if you notice any changes in your skin, including a new growth, a sore that doesn’t heal, or a change in a mole, or if you have concerns about your exposure to sunlight.
 
8. Testicular Cancer
Are you a male age 13 through 39? TRICARE covers testicular cancer exams annually if you have a history of cryptorchidism, orchiopexy, or testicular atrophy.
 
9. Thyroid Cancer
TRICARE covers thyroid cancer physical exams for adults with a history of upper body exposure to radiation.
 
Because clinical recommendations for cancer screenings can change over time, talk to your provider about which screenings are right for you. And remember, these screenings are meant to detect cancer before symptoms appear. If you show signs or symptoms of any of type of cancer, visit your provider as soon as possible. Visit the CDC and the National Cancer Institute websites to learn more.