Updated May 2026

Condition Care · Medicare Ratings

Breast Cancer Screening · 35603, AL

Best Medicare Plans for Breast Cancer Screening near 35603, AL (2026)

CMS tracks the share of eligible female members who complete a mammogram within two years. Plans with active outreach and removed copays consistently score higher. Here's the picture near 35603, AL.

15
Plans CMS-Rated
for Breast Cancer
84.0
Highest Score
Available
20
Local Specialists
on This Site
76.36%
Adults in 35603
Affected (CDC)
Data Sources: CMS Medicare Part C & D Star Ratings (2025) for plan-level quality on condition-specific measures. CDC PLACES (2025) for zip-level prevalence estimates. NPPES and CMS Physician Compare for local specialist information.
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare, CMS, or any insurance plan. This page displays publicly available CMS quality data to help you research breast cancer screening care options. We do not sell insurance or represent any carrier. Always confirm plan details, network status, and drug formularies directly with the plan before enrolling. For official enrollment, visit Medicare.gov or call 1-800-MEDICARE.

Why Breast Cancer Care Quality Varies by Plan

Early detection of breast cancer through screening mammography is one of the highest-evidence preventive services in Medicare — and one of the most variable across plans. CMS's breast-cancer screening measure looks at the share of female members age 50–74 who completed a mammogram within the past two years.

Plans that score well have active outreach — reminder calls, waived copays for screening, transportation to appointments. Plans that score poorly rely on the member to schedule their own screening. The score on this page is the single CMS Star Ratings measure for breast-cancer screening, and it's a reasonable proxy for how actively a plan runs preventive-care outreach generally.

How We Rank These Plans for Breast Cancer

CMS publishes annual Star Ratings for Part C and Part D plans. Within those ratings, several measures are condition-specific — they directly reflect how well a plan's enrollees with breast cancer screening receive recommended care. For Breast Cancer Screening, we rank plans using the following measures:

  • Breast Cancer Screening Preventive
How to read the composite score: Scores range 0–100 and are a weighted average of the measures above (higher is better). As a rough guide: 85+ is excellent, 70–84 is solid, 55–69 is average, and below 55 suggests many members with breast cancer screening aren't receiving recommended care. A plan with a missing score isn't necessarily worse — it simply didn't report enough measures for CMS to calculate one.

A plan must report at least 1 of 1 measures to receive a composite Breast Cancer score. Plans reporting fewer measures are shown in a separate "Not Rated by CMS for Breast Cancer" cohort — this typically happens with newer plans, smaller plans, or Special Needs Plans that serve narrow populations. Read our full methodology →

Top-Rated Medicare Plans for Breast Cancer near 35603, AL

Of the plans available near 35603, AL, 15 have enough CMS data to receive a composite Breast Cancer score. The top 10 are shown below, ranked by score. Plans with the same score are ordered by premium (lowest first).

PlanBreast Cancer ScoreStar RatingMonthly Premium
Humanachoice H7617-091 (PPO)
Humana
84.04.5 ★$0
Humanachoice H7617-090 (PPO)
Humana
84.04.5 ★$20
Humana Value Plus H7617-089 (PPO)
Humana
84.04.5 ★$28
Healthspring Courage (HMO)
Healthspring
80.04.0 ★$0
Healthspring Preferred (HMO)
Healthspring
80.04.0 ★$0
Healthspring Preferred Al (HMO)
Healthspring
80.04.0 ★$0
Healthspring Totalcare (HMO D-SNP)
Healthspring
80.04.0 ★$3
Healthspring Totalcare Plus (HMO D-SNP)
Healthspring
80.04.0 ★$7
Healthspring Preferred Plus (HMO)
Healthspring
80.04.0 ★$20
Humana Usaa Honor Giveback (HMO)
Humana
78.04.0 ★$0

How to read this table: The Breast Cancer score is a weighted average of CMS condition-specific measures (listed above). Higher is better. Star Rating is the plan's overall CMS Star Rating (1-5) across all measures. "Monthly Premium" is the base premium; actual cost depends on your situation. Drug formularies and provider networks vary by plan — always verify before enrolling.

Compare every plan side-by-side

See full premium, deductible, drug tier, and star-rating detail for all Medicare plans near 35603, AL. The 35603, AL plan page is our most complete comparison view.

Compare All Medicare Plans near 35603, AL →

Other Plans Available (Not Rated by CMS for Breast Cancer)

Some Medicare plans in your area don't report enough data on breast cancer screening measures for CMS to compute a condition-specific score. This typically happens with newer plans, smaller plans, or Special Needs Plans that serve narrow populations. These plans aren't necessarily worse — they just can't be ranked on Breast Cancer care specifically:

  • Aarp Medicare Rx Preferred From Uhc (PDP) — Unitedhealthcare
  • Aarp Medicare Rx Saver From Uhc (PDP) — Unitedhealthcare
  • Bluerx Enhanced Plus (PDP) — Bluerx (Pdp)
  • Bluerx Essential (PDP) — Bluerx (Pdp)
  • Devoted C-Snp Choice 010 Al (PPO C-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted C-Snp Choice Plus 015 Al (PPO C-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted C-Snp Choice Premium 011 Al (PPO C-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted Choice 002 Al (PPO) — Devoted Health · 3.5 ★ overall
  • Devoted Choice Giveback 006 Al (PPO) — Devoted Health · 3.5 ★ overall
  • Devoted Choice Ma Only 007 Al (PPO) — Devoted Health · 3.5 ★ overall
  • Devoted Dual 007 Al (HMO D-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted Dual Choice Full 014 Al (PPO D-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted Dual Plus 006 Al (HMO D-SNP) — Devoted Health · 3.5 ★ overall
  • Devoted Giveback 002 Al (HMO) — Devoted Health · 3.5 ★ overall
  • Healthspring Assurance Rx (PDP) — Healthspring
  • Healthspring Extra Rx (PDP) — Healthspring
  • Humana Basic Rx Plan (PDP) — Humana
  • Humana Premier Rx Plan (PDP) — Humana
  • Humana Value Rx Plan (PDP) — Humana
  • Silverscript Choice (PDP) — Aetna Medicare
  • Wellcare Classic (PDP) — Wellcare
  • Wellcare Value Script (PDP) — Wellcare

Breast Cancer Screening near 35603, AL

76.36%
of adults in 35603 live with breast cancer screening

In 35603, AL, 76.36% of eligible adults completed recent breast cancer screening. That's similar to the national average of 75.75%. Your personal screening rate will depend more on your plan's member outreach than on local trends — see the top CMS Breast Cancer scores below.

How 35603, AL compares

Morgan County County

74.94%

Your zip outperforms the county.

Alabama

77.18%

In line with the state average.

National

75.75%

CDC BRFSS-derived benchmark, population-weighted.

Source: CDC PLACES (2025) — census-tract prevalence estimates rolled up to zip and county using population-weighted aggregation from census block data. State and national figures from CDC BRFSS as reported in CDC PLACES documentation. Prevalence is a crude (not age-adjusted) estimate of adults 18+.

Local Breast Cancer Specialists

The doctors below are in or near 35603, AL and practice in specialties directly relevant to breast cancer screening care. Plan network participation varies — always confirm with the practice and your plan before your first visit.

Rishi Patel

Cancer Care · 2.8 mi away
2.9K Medicare patients/yr

Naveen T. Lobo

Cancer Care · 2.8 mi away
8.8K Medicare patients/yr

Mary Brandenburg

Primary Care · <1 mi away
— Medicare patients/yr

Micah A. Howard

Primary Care · <1 mi away
406 Medicare patients/yr

View all doctors near 35603, AL →

Hospitals Serving 35603, AL Residents

For breast cancer screening care that requires hospitalization — procedures, surgeries, or emergency admissions — these are the nearest hospitals with full quality profiles on our site:

Decatur Morgan Hospital - Decatur Campus

3.0 mi away
3 ★ CMS overall

Lawrence Medical Center

17.5 mi away
Not rated by CMS

Athens Limestone Hospital

17.6 mi away
3 ★ CMS overall

Huntsville Hospital

26.0 mi away
2 ★ CMS overall

Crestwood Medical Center

26.0 mi away
2 ★ CMS overall

View all hospitals near 35603, AL →

35603, AL Community Context

Factors beyond plan ratings and doctor networks affect breast cancer screening outcomes. Neighborhood safety, transportation access, and broadband availability (for telehealth) all shape how successfully someone manages breast cancer screening. These data points are drawn from our sister sites:

Neighborhood Safety

C-

Block-level crime analysis from CrimeGrade.org. Safety affects willingness to keep appointments and take walks.

Coverage & Economic Context

7.4%

Of residents lack health insurance · 3.8% unemployment rate. Coverage gaps and economic stress disrupt chronic-care continuity. See the full neighborhood profile at BestNeighborhood.org.

Telehealth Readiness

65.3627

Households with fiber broadband — reliable internet makes chronic-care check-ins easier. Check your address at ISPReports.org.

These community-context indicators come from our sister sites — independent of the Medicare data above — and are included because the environment a person lives in shapes how successfully they manage a chronic condition. Zip-level detail helps explain why identical plans can produce different outcomes in different neighborhoods.

Your Next Steps

If you or a family member has breast cancer screening, here's a practical checklist for choosing a Medicare plan:

  • Check the Breast Cancer score column above. A higher composite score means the plan's existing members with breast cancer screening receive recommended care more consistently.
  • Verify your specialists are in-network. Plan networks vary by carrier. See local Breast Cancer doctors and call their offices to confirm your shortlisted plans are accepted.
  • Check your medications. If you take prescription drugs for breast cancer screening, confirm they're on the plan's formulary at an affordable tier. Drug coverage changes every January.
  • Look at the Medication Adherence measure. CMS separately measures how consistently a plan's members stay on their medications. High adherence scores correlate with plans that proactively support chronic-care patients.
  • Respect the enrollment window. You can only switch plans during specific periods. Review enrollment dates →
Compare All Medicare Plans near 35603, AL → Local Breast Cancer Specialists

Breast Cancer Screening & Medicare: Common Questions

How is the Breast Cancer score calculated for plans near 35603, AL?
The score is a weighted average (0–100) of CMS's condition-specific quality measures. For Breast Cancer Screening, CMS tracks several measures including clinical outcomes, medication adherence, and preventive services — the exact measures are listed in the "How We Rank These Plans" section above. Each plan's score reflects how well its enrollees with breast cancer screening are actually receiving recommended care. See our full methodology →
What if no plan near 35603, AL has a Breast Cancer score?
Smaller plans, newer plans, and some Special Needs Plans don't report enough data on breast cancer screening measures for CMS to compute a score. That doesn't mean those plans are worse — it just means you can't compare them head-to-head on breast cancer screening care specifically. For those plans, look at the overall Star Rating, call the plan's member services, and verify that your specialists are in-network before enrolling.
Are my specialists in-network with the top-rated Breast Cancer plans near 35603, AL?
Plan networks vary by carrier and by year. The most reliable answer comes from calling each specialist's office directly — plan provider directories are often out of date. We list local specialists near 35603, AL further down this page; once you've shortlisted 1–2 plans, call each office and ask whether they accept that specific plan.
Do these plan scores predict my personal experience with breast cancer screening?
They're directional, not deterministic. A plan's Breast Cancer score reflects how well its existing members with breast cancer screening are being cared for on average. Your own experience will depend heavily on which primary-care physician and specialists you see, whether your medications are on the plan's formulary, and how proactive you are about preventive visits. That said, plans with consistently low scores usually have systemic problems worth avoiding.
When can I change my Medicare plan if I want a better Breast Cancer plan?
For most Medicare beneficiaries, the main opportunity is the Annual Enrollment Period (October 15 – December 7) for a January 1 effective date. Medicare Advantage members also have a Medicare Advantage Open Enrollment Period (January 1 – March 31) to switch MA plans or return to Original Medicare. Special Enrollment Periods apply in some situations (moving, losing employer coverage, dual-eligibility changes). Review all enrollment dates →

About the Reviewer

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward reviews all condition pages and methodology for data accuracy. Every CMS measure, prevalence statistic, and plan ranking goes through a validation pipeline before publication. We display only publicly available CMS and CDC data; you never need to enter personal information to see any of it.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org. Those sister sites power the community-context section on this page.

Data sources: CMS Medicare Part C & D Star Ratings (2025), CDC PLACES (2025), CMS NPPES, CMS Physician Compare, CrimeGrade.org, BestNeighborhood.org, ISPReports.org. This page is for informational purposes only and is not medical advice. Always consult a licensed clinician about breast cancer screening management and verify plan details directly before enrolling. Read our full methodology →Privacy policy

Medicare Resources

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