Mammograms

TRICARE covers annual (every 12 months with a 30-day grace period) mammograms for:

• All women ages 40 and older
• Women ages 30 and older who are at a 15% or greater lifetime risk of developing breast cancer

TRICARE covers 3D mammograms (digital breast tomosynthesis) for diagnostic purposes (for example, if you have a lump and your doctor believes a 3D mammogram will be helpful in making a diagnosis). For information on additional 3D mammography coverage, visit Provisional Coverage.

What does TRICARE consider “at high risk”?

TRICARE considers you at high risk if you have:

• A lifetime risk of breast cancer of 15% or more using standard risk assessment models
• A history of breast cancer, ductal carcinoma in situ, lobular carcinoma in situ, atypical ductal hyperplasia, or atypical lobular hyperplasia
• A known BRCA1 or BRCA2 gene mutation
• A parent, child, or sibling with a BRCA1 or BRCA2 gene mutation and haven’t had genetic testing themselves
• Radiation therapy to the chest between the ages of 10 and 30
• A history of Li-Fraumeni, Cowden, or Bannayan-Riley-Ruvalcaba syndrome, or a parent, child, or sibling with a history of one of these syndromes