Updated May 2026
Condition Care · Medicare Ratings
Best Medicare Plans for Breast Cancer Screening near 37620, TN (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 37620, TN.
for Breast Cancer
Available
on This Site
Affected (CDC)
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
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 37620, TN
Of the plans available near 37620, TN, 19 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).
| Plan | Breast Cancer Score | Star Rating | Monthly Premium |
|---|---|---|---|
| Humana Value Plus H7617-088 (PPO) Humana | 84.0 | 4.5 ★ | $28 |
| Uhc Medicare Advantage Tc-0001 (PPO) Unitedhealthcare | 82.0 | 4.5 ★ | $0 |
| Blueadvantage Freedom (PPO) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $0 |
| Blueadvantage Sapphire (PPO) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $0 |
| Blueadvantage Total Heart And Diabetes (PPO C-SNP) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $0 |
| Sentara Community Complete Select (HMO D-SNP) Sentara Medicare | 79.0 | 3.5 ★ | $25 |
| Blueadvantage Extra (PPO) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $28 |
| Blueadvantage Total Heart And Diabetes Plus (PPO C-SNP) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $28 |
| Blueadvantage Ruby (PPO) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $46 |
| Blueadvantage Diamond (PPO) Bluecross Blueshield Of Tennessee | 79.0 | 4.0 ★ | $89 |
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 37620, TN. The 37620, TN plan page is our most complete comparison view.
Compare All Medicare Plans near 37620, TN →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 Preferred From Uhc (PDP) — Unitedhealthcare
- Aarp Medicare Rx Saver From Uhc (PDP) — Unitedhealthcare
- Aarp Medicare Rx Saver From Uhc (PDP) — Unitedhealthcare
- Abilis Health (HMO I-SNP) — Signature Advantage (Hmo Snp) · 3.0 ★ overall
- Abilis Health Community (HMO I-SNP) — Signature Advantage (Hmo Snp) · 3.0 ★ overall
- American Health Advantage Of Tennessee (HMO I-SNP) — American Health Advantage Of Tennessee · 4.5 ★ overall
- Anthem Dual Advantage (HMO D-SNP) — Anthem Healthkeepers
- Anthem Dual Advantage (PPO D-SNP) — Anthem Blue Cross And Blue Shield
- Anthem Full Dual Advantage (HMO D-SNP) — Anthem Healthkeepers
- Anthem Full Dual Advantage 2 (HMO D-SNP) — Anthem Healthkeepers
- Anthem Full Dual Advantage Support (HMO D-SNP) — Anthem Healthkeepers
- Bluerx Enhanced Plus (PDP) — Bluerx (Pdp)
- Bluerx Essential (PDP) — Bluerx (Pdp)
- Devoted C-Snp Choice Plus 020 Tn (PPO C-SNP) — Devoted Health · 3.5 ★ overall
- Devoted C-Snp Choice Premium 019 Tn (PPO C-SNP) — Devoted Health · 3.5 ★ overall
- Devoted C-Snp Plus 004 Va (HMO C-SNP) — Devoted Health
- Devoted C-Snp Premium 003 Va (HMO C-SNP) — Devoted Health
- Devoted Choice 010 Tn (PPO) — Devoted Health · 3.5 ★ overall
- Devoted Choice Giveback 006 Tn (PPO) — Devoted Health · 3.5 ★ overall
- Devoted Core 001 Va (HMO) — Devoted Health
- Devoted Core 010 Tn (HMO) — Devoted Health · 3.5 ★ overall
- Devoted Giveback 002 Va (HMO) — Devoted Health
- Healthspring Assurance Rx (PDP) — Healthspring
- Healthspring Assurance Rx (PDP) — Healthspring
- Healthspring Extra Rx (PDP) — Healthspring
- Humana Basic Rx Plan (PDP) — Humana
- Humana Basic Rx Plan (PDP) — Humana
- Humana Dual Fully Integrated H2875-003 (HMO D-SNP) — Humana
- Humana Dual Select H2875-005 (HMO D-SNP) — Humana
- Humana Gold Plus Snp-De H2875-004 (HMO D-SNP) — Humana
- Humana Premier Rx Plan (PDP) — Humana
- Humana Premier Rx Plan (PDP) — Humana
- Humana Value Rx Plan (PDP) — Humana
- Humana Value Rx Plan (PDP) — Humana
- Nhc Advantage (HMO I-SNP) — Nhc Advantage · 5.0 ★ overall
- Senior Care (HMO I-SNP) — Nhc Advantage · 5.0 ★ overall
- Sentara Community Complete (HMO D-SNP) — Sentara Medicare
- Silverscript Choice (PDP) — Aetna Medicare
- Silverscript Choice (PDP) — Aetna Medicare
- Uhc Dual Complete Va-Q001 (HMO-POS D-SNP) — Unitedhealthcare
- Uhc Dual Complete Va-V001 (HMO-POS D-SNP) — Unitedhealthcare
- Uhc Dual Complete Va-Y001 (HMO-POS D-SNP) — Unitedhealthcare
- Uhc Dual Complete Va-Y002 (HMO-POS D-SNP) — Unitedhealthcare
- Uhc Dual Complete Va-Y3 (HMO-POS D-SNP) — Unitedhealthcare
- Uhc Dual Complete Va-Y4 (PPO D-SNP) — Unitedhealthcare
- Wellcare Classic (PDP) — Wellcare
- Wellcare Classic (PDP) — Wellcare
- Wellcare Value Script (PDP) — Wellcare
- Wellcare Value Script (PDP) — Wellcare
Breast Cancer Screening near 37620, TN
In 37620, TN, 77.12% 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 37620, TN compares
Sullivan County County
Similar to the county average.
Tennessee
Above the state screening rate.
National
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 37620, TN 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.
Nicholas A. Cook
Reshma Khetpal
Michael E. Creazzo
Cathy L. Maine
Hospitals Serving 37620, TN 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:
Wellmont Bristol Regional Medical Center
Johnston Memorial Hospital
Sycamore Shoals Hospital
Creekside Behavioral Health
Franklin Woods Community Hospital
37620, TN 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
Block-level crime analysis from CrimeGrade.org. Safety affects willingness to keep appointments and take walks.
Coverage & Economic Context
Of residents lack health insurance · 6.5% unemployment rate. Coverage gaps and economic stress disrupt chronic-care continuity. See the full neighborhood profile at BestNeighborhood.org.
Telehealth Readiness
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 →
Breast Cancer Screening & Medicare: Common Questions
How is the Breast Cancer score calculated for plans near 37620, TN?
What if no plan near 37620, TN has a Breast Cancer score?
Are my specialists in-network with the top-rated Breast Cancer plans near 37620, TN?
Do these plan scores predict my personal experience with breast cancer screening?
When can I change my Medicare plan if I want a better Breast Cancer plan?
About the Reviewer
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
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