Guidelines for Eligibility
For Screening for Life
To be eligible for participation in the Screening for Life Program, you must meet criteria related to income, insurance, and age. You must meet all three criteria.
Income Guidelines
| Household Size | Annual Income Between 100% & 250% of Poverty Level* |
|---|---|
| 1 | $11,170 – $27,925 |
| 2 | $15,130 – $37,825 |
| 3 | $19,090 – $47,725 |
| 4 | $23,050 – $57,625 |
| 5 | $27,010 – $67,525 |
| 6 | $30,970 – $77,425 |
| 7 | $34,930 – $87,325 |
| 8 | $38,890 – $97,225 |
*2012 Federal Poverty Guidlines
Insurance Guidelines
Uninsured
- No medical insurance nor private HMO
- Not eligible for Medicare or Medicaid
— or —
Underinsured
- Unmet deductible (deductible must be more than 5% of annual income)
- Insurance does not cover breast, cervical, colorectal, and prostate screenings
The SFL program does not reimburse for co-pays or co-insurances.
The program does provide reimbursement for persons who have a high deductible relative to their income. If your deductible is equal to or higher than 5% of your income, you may be eligible for SFL—if you meet all the other eligibility requirements.
Age Guidelines by Gender
| Age | Covered Services for Women |
|---|---|
| 18-39 | Office visit, clinical breast exam, pelvic exam, Pap test, breast self-exam education, breast and cervical cancer education, at any participating SFL provider |
| 40-49 | All services above and screening mammogram at any participating SFL provider |
| 50-64 | All services above, and digital rectal exam, fecal occult blood test, colonoscopy, and colorectal cancer education at any participating SFL provider |
| 65 & older, if not eligible for Medicare | All services above |
| Age | Covered Services for Men |
| 40-50, African American men | Office visit, digital rectal exam, PSA test, prostate cancer education at any participating SFL provider |
| 50-64, all men | Office visit, digital rectal exam, PSA test, fecal occult blood test, colonoscopy, prostate and colorectal cancer education at any participating SFL provider |
| 65 & older, if not eligible for Medicare | All services above |
