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  Home >> Bureaus >> Bureau of Eligibility Processing >> The Breast and Cervical Cancer Program

  The Breast and Cervical Cancer Program 

Effective July 1, 2005
Women under age 65 diagnosed, and in need of treatment for either and Coverage for women diagnosed by BCN is limited to women age 47-64. Coverage for women diagnosed by a Non-BCN provider is limited to women under age 65:

  • Breast Cancer
  • Cervical Cancer
  • Pre-Cancerous Lesions (CIN 2/3 or atypical hyperplasia)
can be eligible for Medicaid coverage.

Eligibility

  • The applicant has been screened by a physician or through the South Carolina Breast and Cervical Cancer Early Detection Program-Best Chance Network (BCN) and found in need of treatment for breast or cervical cancer or pre-cancerous lesions (CIN 2/3 or atypical hyperplasia),
  • She does not have other insurance coverage that would cover treatment for breast or cervical cancer or pre-cancerous lesions (CIN 2/3 or atypical hyperplasia), including Medicare Part A or B,
  • Her family income meets BCN guidelines (at or below 200% of the Federal Poverty Level), and
  • She is not eligible for another Medicaid eligibility group.
  • Coverage for women diagnosed by BCN is limited to women age 47-64
  • Coverage for women diagnosed by a Non-BCN provider is limited to women under age 65.

Application process

Upon being diagnosed with breast or cervical cancer or pre-cancerous lesions (CIN 2/3 or atypical hyperplasia), a woman can apply for coverage in the following manner:

  1. Complete and sign the Breast and Cervical Cancer Program application.   The provider rendering the diagnosis must also sign the application.
  2. The completed application, along with the Pathology Report indicating the diagnosis, must be faxed to the Breast and Cervical Cancer Program at (803) 255-8223.
  3. The applicant will be notified in writing, of approval or denial of the application. Women who qualify are eligible for the full range of Medicaid coverage. 
  4. Coverage continues as long as eligibility criteria are met and the beneficiary continues treatment. The beneficiary must report to her Medicaid worker when treatment is completed.
  5. Eligibility is reviewed annually for women with breast or cervical cancer and bi-annually (every six months) for pre-cancerous lesions. When it is time for the review, a review form is mailed to the beneficiary and must be returned or coverage will stop.
  6. Once treatment is completed, the beneficiary must qualify under another Medicaid program for coverage to continue.

Get an Application

If you have questions regarding the BCCP, or need help in completing the application, please call: 1‑888-549-0820 (toll-free). Medical providers can order additional copies from forms@scdhhs.gov.




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