The Breast and Cervical Cancer Program (BCCP) is a coverage group for uninsured women who are found to be in need of treatment for breast or cervical cancer or pre-cancerous lesions.
Where to send: the completed application is faxed to the Breast and Cervical Cancer Program at (803) 255-8223.
Attach: a Pathology Report indicating the diagnosis and a copy of the applicant's insurance card must be faxed with the application.
Not sufficient: a cytology report (Pap Smear) is not sufficient.
Review: eligibility is reviewed annually for women with breast or cervical cancer and bi-annually (every six months) for women with pre-cancerous lesions.
| Question | Answer |
|---|---|
| Form Name | Form 913 |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 12 min |
| Edition | February 2009 |
| Where to send | Fax to the Breast and Cervical Cancer Program at (803) 255-8223 |
| Other names | DHHS Form 913, Form 913, SC Medicaid application, South Carolina Medicaid application, Breast and Cervical Cancer Program application |
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