Patient Resources

MOBILIZING OUR PATIENT COMMUNITIES

Need ideas for motivating eligible patients to request lung screenings? Would specific resources help you steer patients through your local screening network? We are ready to help at every stage of the journey.

What is Lung Cancer Screening?

Lung cancer screening involves using a low-dose computed tomography (LDCT) scan to detect lung cancer early, when it’s more treatable. This scan is designed for people who are at high risk for lung cancer but do not show symptoms yet. Early detection can save lives by identifying cancer before symptoms appear.

Lung Cancer Screening Guidelines

The U.S. Preventive Services Task Force (USPSTF) provides the following criteria for lung cancer screening eligibility:

  • Age: 50-80 years old.
  • Smoking History: At least a 20 pack-year history (e.g., one pack per day for 20 years or two packs per day for 10 years).
  • Current Smoker or Quit Within the Last 15 Years: The individual should either still be smoking or have quit in the past 15 years.
LCI Screening Assessment Tool:

https://lungcancerinitiative.org/wp-content/uploads/2022/02/LCI-screening-2021.pdf

 

What If You Don’t Fit the Guidelines?

Many people who don’t meet the formal screening criteria may still have concerns about their risk of lung cancer, especially if they have symptoms such as persistent cough, shortness of breath, or chest pain.

 

Steps to Take if You Don’t Meet the Guidelines:
  • Talk to Your Doctor: Share any concerns you have about lung cancer, even if you don’t meet the official guidelines. Your doctor will evaluate your medical history, symptoms, and any environmental or occupational exposures that may increase your risk.
  • Consider Risk Factors Beyond Smoking: Factors such as exposure to radon, asbestos, secondhand smoke, or a family history of lung cancer could raise your risk, even if you don’t meet the age and smoking requirements for screening.
  • Ask About Clinical Trials: There are ongoing studies that look at new ways to detect lung cancer early in people who don’t fit the guidelines. Ask your doctor about trials or research studies that might be an option for you.

How to Talk to Your Doctor About Screening

If you’re concerned about lung cancer but don’t meet the guidelines, the conversation can feel intimidating. Here are some tips on how to approach this discussion:

  • Be Open and Honest: Clearly communicate any risk factors or symptoms you’re experiencing. Even if you don’t meet the typical guidelines, let your provider know your concerns.

 

  • Ask Questions:
    • “I’ve been reading about lung cancer screening. Do you think it’s appropriate for me to get screened?”
    • “I don’t meet the usual criteria, but I’m worried because of [symptoms/exposure/etc]. Can you help me understand my options?”
  • Request a Referral: If you and your doctor agree that screening would be beneficial, ask for a referral to a facility that offers LDCT scans.

 

  • Discuss Your Family History: Even if you don’t meet age or smoking history criteria, family history of lung cancer can be a strong indicator for the need for screening.

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Lung Cancer Screening and Insurance

Medicare:

Medicare Part B covers lung cancer screenings once per year for eligible individuals, who must meet the USPSTF criteria.

 

Private Insurance:

Most health insurance plans in North Carolina (including those through the Affordable Care Act, employer-sponsored plans, and private insurers) cover lung cancer screenings for those who meet the guidelines, including:

  • Individuals aged 50-80 with a smoking history of at least 20 pack-years and are current smokers or have quit within the last 15 years.

If You Don’t Meet the Guidelines:

While many private insurance plans focus on the USPSTF criteria, it’s possible that your insurer will approve screening for people with higher risk factors or symptoms. Always ask:

  • “Will my insurance cover lung cancer screening if I don’t meet the official guidelines?”
  • “How can we work together to get approval for this screening?”
For Uninsured or Underinsured Patients:

If you’re uninsured or underinsured in North Carolina and surrounding states, there are several resources available to assist you in obtaining lung cancer screenings:

 

North Carolina:

  • ECU Health: Uninsured individuals can contact ECU Health to speak with an outreach coordinator about lung cancer screenings. Call 252-847-9507 for assistance. ecuhealth.org
  • NC 211: A service provided by the United Way of North Carolina, NC 211 offers free and confidential information on health and human services, including medical care for uninsured patients. Dial 2-1-1 or 1-888-892-1162 to speak with a call specialist. nc211.org
  • Atrium Health’s Levine Cancer Institute: Operates a mobile lung cancer screening unit that offers free screenings to underserved communities in 19 counties across North and South Carolina. This initiative aims to make screening more accessible to vulnerable populations.
    https://atriumhealth.org/medical-services/specialty-care/other-specialty-care-services/pulmonary-care/lung-cancer-screening-program

 

South Carolina:

  • South Carolina Department of Public Health: Provides information on lung cancer screening and offers resources to find local screening centers. They also offer free quit support through the SC Tobacco Quitline at 1-800-QUIT-NOW. dph.sc.gov

General Resources:

  • American Lung Association’s Lung Cancer Screening Assistance Program: Provides free or low-cost lung cancer screenings to eligible individuals who are uninsured or underinsured. Eligibility is based on income and smoking history. Visit their website for more information: lung.org

  • American College of Radiology’s Lung Cancer Screening Locator Tool: Helps you find accredited lung cancer screening centers near you. You can contact these centers to inquire about financial assistance programs they may offer.
    preventcancer.org
  • National Association of Free and Charitable Clinics: Offers a directory of free clinics that may provide cancer screenings or referrals. Search for clinics in your area here: preventcancer.org

 

Before scheduling a screening, it’s advisable to contact the facility to confirm eligibility requirements and inquire about any available financial assistance programs. Early detection through screening can significantly improve treatment outcomes for lung cancer.

Lung Cancer Screening Patient Navigators

What is a Lung Cancer Screening Navigator?

A patient navigator is a trained professional who helps guide patients through the lung cancer screening process. They provide emotional support, assist with scheduling appointments, help with insurance and financial challenges, and explain the next steps after a screening.

 

How Navigators Help:

    • Scheduling: A navigator can help schedule the initial screening and any follow-up appointments.
    • Insurance Assistance: Navigators can help you understand your insurance coverage and assist in obtaining approval for screening if necessary.
    • Emotional Support: Navigators are there to support you emotionally through the screening process, helping you cope with fear and uncertainty.
    • Resource Guidance: They can direct you to additional resources like financial assistance, support groups, and educational materials.
    How to Access a Navigator:
    • Contact your healthcare provider or screening facility: Ask if they have a patient navigator available for lung cancer screenings.
    • Lung Cancer Initiative (LCI): LCI offers patient navigators to help individuals throughout North Carolina. LCI Patient Navigator Program
    • American Lung Association (ALA): The ALA provides support and resources for lung cancer patients and can help connect you with a patient navigator. ALA Navigator Page: ALA Lung Cancer Resources

     

    Early detection of lung cancer can significantly improve outcomes. If you’re concerned about your risk or feel that you should be screened even if you don’t meet the guidelines, talk to your doctor. Don’t let barriers like cost, access, or fear stop you from seeking help. Patient navigators and resources are available to assist you through the process.