May 15, 2019 - July 15, 2019 Special Promo Flyer (PDF)
Please contact BCCCNP Staff at 1-877-221-6505 today for any questions or help filling out these forms!
2019 Program Enrollment Form - English (PDF)
2019 Program Enrollment Form - Spanish (PDF)
2019 Program Participation Agreement - English (PDF)
2019 Program Participation Agreement - Spanish (PDF)
2019 Program Participation Agreement - Arabic (PDF)
What this program covers:
Eligible women who meet the program income guidelines can receive the following services at no cost, along with transportation assistance gift cards:
Women ages 21-29: Pap test
Women ages 21-39: referred to BCCCNP with an abnormal clinical breast exam (CBE) and requires breast diagnostic services
Women ages 21-64: referred to BCCCNP for cervical follow-up tests for an abnormal finding on a cervical screening test
Women ages 40-64: breast screening test (mammogram) and/or follow-up tests (if needed) for an abnormal finding on a mammogram
Women ages 30-65: Pap test and HPV testing as per BCCCNP medical protocol and cervical screening eligibility guidelines.
More info about this program:
The Breast and Cervical Cancer Control Navigation Program or BCCCNP is part of a nationwide effort to decrease breast and cervical cancer deaths by providing breast and cervical cancer screening services for low to moderate income women who have no insurance or are under-insured. Screening services are available to women living in Clinton, Eaton, Genesee, Gratiot, Ingham, Ionia, Jackson, Lapeer, Livingston, Shiawassee and Washtenaw counties. Women who meet the eligibility guidelines may receive a pelvic exam, Pap test, clinical breast exam, mammogram and health education. Further diagnostic testing and treatment services are available to women who are found to have an abnormality through their screening. In addition to screening services, individualized assistance is available to insured clients to help them overcome barriers preventing them from receiving needed services. BCCCNP screening services for Ingham County are provided at the Ingham County Health Department Women’s Health Clinic or at the Cristo Rey Health Clinic. Multiples sites are available in the other counties served by this program.
Help support the BCCCNP program
The breast cancer awareness license plate was introduced in 2014 and is available at Michigan Secretary of State offices. The plate promotes awareness of the importance of breast cancer screening.The license plate features the pink ribbon, widely known as the symbol for breast cancer awareness, along with an important screening message at the bottom of the plate that reads “Early Detection Saves Lives.” A portion of the proceeds from license plate sales will go toward MDHHS’s breast and cervical cancer screening services program to help ensure that eligible women in underserved populations have access to this important, and possibly life-saving, health resource. $25 will go towards the program when a plate is first bought and $10 each time it’s renewed. To purchase a plate by mail or fax, complete and print the Breast Cancer Awareness License Plate Order Form. Check for the availability of a personalized Breast Cancer Awareness plate using Plate it Your Way. Learn more about MDHHS’s breast and cervical cancer screening program.
5303 S. Cedar Street
Lansing, MI 48911
(517) 887-4364 or toll-free (877) 221-6505
Monday - Friday
8a - -5p
April 2016 BCCCNP Newsletter January 2016 BCCCNP Newsletter