Breast Cancer Mobile Mammogram Screening Event

HEALTH FAIR and MOBILE MAMMOGRAMS:
March 15, 2018 - 9AM - 3:30PM

at Dayton Civic Center


CLICK HERE TO START YOUR APPOINTMENT REGISTRATION.

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Requirements to be seen in mobile:

✔  Are a female age 35 or older

✔  Are due for a mammogram

✔  Do not have any breast symptoms or problems

✔  Not currently pregnant or nursing

✔  Have not been diagnosed with breast cancer within  the past 2 years

✔  Have a primary care physician



Need financial assistance?

You might qualify if you:

✔  Are uninsured

✔  Are low-income & can provide proof of income

✔  Have a Doctor’s order

(* if you do not have a doctors order please contact sokeefe@daytontx.org)


✔  40 years or older



If you do not have a doctor’s order the city of Dayton can help with that. A doctor/nurse will be on-hand to see for referrals. Email: sokeefe@daytontx.org for information on this.
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SCHEDULE YOUR APPOINTMENT NOW:

To register, participants will need both the web address and code
Click here or try the embedded page below. This link takes you off of the daytontx.org site.


www.therose.org/mobile 
Code: 
Dayton



  1. The Rose Accepted Insurance
  2. Uninsured Patient Info

Accepted Insurance Plans

If you do not see your insurance on this list, please call our business office: 281-481-3208

Accountable Health Plans
Admar/Med Network
Advantra Freedom
Aetna - HMO, POS, PPO
Aetna Medicare Replacement
Affiliated Healthcare/PHN
Amerigroup
Anthem
Beechstreet
Blue Choice
Blue Cross & Blue Shield
Care Improvement PPO
CCN
ChampVA
Cigna - HMO, POS, PPO
Coventry Healthcare
Evercare of Texas
Fiesta
First Health
Friendswood ISD
Galaxy Network
Great West
Healthnet Pro
Healthmedpro
HHPO - PPO Next
HMO Blue (with referral)
Humana - PPO & HMO
Indemnity - Non-contracted
Medcorp Southwest

Medicaid - Limited HMO
Medical Control - HHPO
Medicare Regular - Ltd HMO Replacement
Medicare Railroad
Multiplan
NAPP
National Preferred Provider Network (NPPN)
Pacificare
PHCS
PPONext - HHPO
Preferred Plan of Texas
Premier/HAS
Pronet
Prudential
Randalls
Renaissance - Texas Health Spring
Secure Horizons
Select Care - Texans Plus
TX Annual Conf. of United Methodist Churches
Texas True Choice - Beechstreet
Texas Municipal League (TML)
TriCare Standard
TRS Care - Aetna
Unicare - Performance, Classic, PPO, HMO
United Healthcare
USA Managed Care
Universal Healthcare
Veterans Affairs
WellCare



Some Required Forms and Downloads Before You Come:

Physician Referral
Standing Order FormAuthorization and Release FW BCCS
Health Insurance Accepted - 2017

This may not be everything you need or required to bring. Please visit therose.org for information and forms that may be required or call: (281) 484-4708