Department of Labor and Regulation

Title - Division of Insurance email the Division of Insurance

Routine Mammograms

Insurance companies must pay for a routine mammogram on the same basis as other necessary diagnostic tests. However, the payment for a mammogram is subject to deductibles and co-payments. It is paid based on the following schedule.

Age Requirements

Ages 35 - 39 One screening
Ages 40 - 49 One screening every other year
Age 50 & older - One screening every year (every other year with Medicare supplement policies)

If there is a specific medical reason for a mammogram screening, it is covered even if it is not according to schedule.

If the mammogram is offered through a group plan not subject to South Dakota's jurisdiction, payment for the mammogram may be subject to another state's laws and not South Dakota's.

Division of Insurance
124 S. Euclid Ave., 2nd Floor
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369