Breast and Cervical Cancer Early Detection

The Alabama Breast and Cervical Cancer Early Detection Program (ABCCEDP) provides free breast and cervical cancer screenings for women who meet eligibility guidelines. Free services include a pelvic exam, pap smear, clinical breast exam, mammogram, and diagnostic services such as an ultrasound, colposcopy, or biopsy, if needed.

For more information about free screenings, contact ABCCEDP toll-free at 1-877-252-3324 or contact your local county health department.

Eligibility Guidelines for Free Services

  • Women meeting the age eligibility
  • Women who have an income at or below 250% of the federal poverty guidelines - 2019 Income Eligibility Guidelines
  • Women without insurance or who are underinsured

Breast Cancer Screening

  • Women aged 50-64, screen every year
  • Women aged 40-49, screen every other year
  • Women age 40-49 with breast complaints
    -- Breast complaints include bloody nipple discharge, dimpling, or discrete palpable mass.
    -- This does NOT include pain in the absence of other clinical findings.
  • Women age 40-64 (High Risk), screen every year
    -- Personal history of breast cancer
    -- First degree relative with breast cancer
    -- Greater than 20% lifetime risk of breast cancer using a breast cancer risk assessment
  • Women under age 40:
    -- Breast mass AND one of the following:
       -- First degree relative with breast cancer
       -- Bloody nipple discharge expressed by provider
  • Women age 65 and older with no insurance or Medicare Part A only

Cervical Cancer Screening

  • Women age 21-64 (Those who have had tubal ligation or partial hysterectomy with cervixremaining)
    -- Ages 21-29: Pap test only every 3 years
    -- Ages 30-64: Co-test every 5 years, or Pap test every 3 years
  • Women age 21-39
    -- Who have had a tubal ligation
    -- Who need cervical diagnostic follow-up services for abnormal cervical cancer screening results
  • Women ANY AGE with a past personal history (biopsy) of CIN ll, CIN lll, or invasive cervical cancer
  • Women age 65 or older with no insurance or Medicare Part A only. Must meet ASCCP guidelines for continued screening.

(Note: Research shows that women in this group are at a higher risk for cervical cancer due to lack of screening following tubal ligation.)

Our ability to provide breast screening services to women age 40-64 is directly related to funds available for this grant year. Program funds are provided by the Centers for Disease Prevention and Control, the State of Alabama, Susan G. Komen North Central AL, and Joy to Life Foundation.

ADPH will continue to monitor the number of women enrolling in the program and related costs. Although adjusting the age groups eligible for program services can be frustrating and confusing, utilizing all funds to serve those in need is our ultimate objective.

A flyer has been created for ABCCEDP women regarding Alabama 211. By dialing 2-1-1, individuals will be provided information and easy access to community resources located throughout Alabama. Assistance with insurance through the Health Insurance Marketplace as well as many other services listed on the flyer will be available. An ABCCEDP eligibility update form that summarizes current eligibility has also created.

Patient Enrollment

Health care providers who have contracted with ABCCEDP should enroll their patients through the ABCCEDP Online Med-It System.

For instructions on how to enroll a patient, please read the 2012 Med-It Enrollment Instructions.

CDC Breast Cancer Facebook PageBreast Cancer Facebook Page

We would like to share the exciting news that the CDC’s Division of Cancer Prevention and Control has recently launched a Facebook page dedicated to the topic of breast cancer. The page, targeted to public health partners, healthcare providers and the public, was created to provide an interactive forum dedicated to preventing and reducing the effects of breast cancer on women. Please log onto Facebook and “like” their page, engage with their content, and share with your followers on Facebook. We hope you find this to be a valuable resource in the fight against breast cancer.

You can find the new CDC Breast Cancer page at

Women Screened

From the program's beginning in 10/1996 through 12/2018:

  • 124,884 women screened
  • 194,887 clinical breast exams provided
  • 180,919 mammograms provided
  • 104,628 Pap smear tests provided
  • 2,407 breast cancers detected
  • 2,444 cervical preinvasive (CIN I, II & III) and invasive cancers detected

July 2017 - June 2018:

  • 10,979 women screened
  • 7,137 clinical breast exams provided
  • 7,663 mammograms provided
  • 4,321 Pap smear tests provided
  • 102 breast cancers detected
  • 289 cervical preinvasive (CIN I, II & III) and invasive cancers detected

Page last updated: November 14, 2019