NEW CONNECTICUT BREAST MRI LAW

 NEW CONNECTICUT BREAST MRI LAW 
      As of June 15, 2012, a new law regarding
 MRI screening for breast cancer went into effect in Connecticut. The law requires insurance coverage for breast MRI screening in patients who meet the guidelines established by the American Cancer Society. The ACS recommends screening breast MRI for women who have:
            1. BRCA mutation
            2. First-degree relative of BRCA carrier, but untested
            3. Lifetime risk ~20-25% or greater, as defined by BRCAPRO or
                other models that are largely dependent on family history
            4. Radiation to chest between age 10 and 20 years
            5. Li-Fraumeni syndrome and first degree relatives
            6. Cowden and Bannayan-Riley-Ruvalcaba syndromes and first-
                degree relatives
 
 Patients should understand that  insurance will usually require that they meet any deductible first, and then pay the policy’s co-pay, before their insurance will pay.
            We still recommend that screening breast ultrasound be done for average-risk patients with mammographically dense breasts, and that MRI is not needed in these patients. Screening MRI should be done for the high-risk patients (per ACS guidelines), and breast ultrasound then would not be necessary in these patients, even if mammographically dense. Mammography should be done for all patients, regardless of risk level, and regardless of whether they have ultrasound or MRI as well.