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What is the Screening for Life Program?

SCREENING FOR LIFE LOGO The  Screening for Life (SFL) program provides payment for cancer screening tests to qualified Delaware adults. The program is a cooperative effort of the Delaware Division of Public Health (DPH) and the U.S. Centers for Disease Control and Prevention (CDC). 

The SFL program's mission is to improve the well-being of Delawareans by reducing the cancer burden. The DPH is committed to improve the quality of life for Delaware's citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. SFL fulfills this mission in the area of breast, cervical, colorectal, lung and prostate cancer screening in its target population.
find out Who is eligible for the Sfl program

people Your patients may be eligible to take advantage of the SFL program if they:
  • Are a Delaware resident
  • Have health insurance that doesn't cover screenings
  • Are age 18-64 and not eligible for Medicaid
  • Are age 65 or older and do not qualify for Medicare
  • Meet income guidelines
  • Are not eligible for health insurance from the Health Insurance Marketplace
The patient enrollment form can be provided to your patients, or you can refer your patients to the SFL program by having them call 302.744.1040. If they are eligible, your patients will be enrolled and mailed information on how to schedule an appointment with a participating health care provider. SFL will help your patient get the recommended exams for their age and health history.
what services does the sfl program provide?

Cancers can be treated more effectively if they are found early and the SFL program can help patients get the screening tests they need at the recommended times.

Eligible individuals can receive:
  • Office visits
  • Mammograms and clinical breast exams
  • Pap tests
  • Prostate cancer screening tests
  • Colorectal cancer screening tests
  • Lung cancer screening tests
  • Health education
  • Help with coordinating associated care
The table below shows the cancer screening tests that are covered under the SFL program and the guidelines associated with each cancer type. 

Cancer Type
Recommended Age
How Often
Women 18-39
Women 40 and Older
Clinical Breast Exam (CBE)
Mammogram and CBD
Women 21 and older
Women 21-29
Women 30-65
Pelvic Exam
Pap Test
Pap test
Every 3 years
Every 3 years, or every 5 years with HPV co-testing
Men & women 50 and older
FIT test
Every 10 years
Men and women 55-80 who:
  • Currently smoke or quit within the past 15 years, AND
  • Are asymptomatic, AND
  • Smoked at least 30 pack years
Low-dose CT scan
Health care provider will determine if a lung cancer screening is recommended.
Average Risk: Men 50 & older
High Risk: African American men 40 and older
Prostate-Specific Antigen (PSA) test with or without a digital rectal exam
Health care provider will determine if a prostate screening is recommended.

How can I enroll to be a Sfl Provider?

doctor If you are interested in becoming a SFL provider you can fill out the provider enrollment application. As a SFL provider you will help patients get the important preventative cancer care they need. You will also be responsible for, but not limited to, performing the following duties:
  • Provider will perform breast, cervical, colorectal, lung, and prostate cancer screening services within appropriate specialty area to clients enrolled in SFL.
  • Provider will accept as complete payment the rates established using the current SFL Current Procedural Terminology (CPT) list of reimbursable codes for these services. Provider agrees not to bill SFL clients for covered services.
  • Provider will record and report screening, diagnostic, treatment and other required data to the SFL program on standard forms provided for recording this information.
  • Provider will schedule clients for appointments and notify them of examination results (positive or negative), any recommended treatment options, and next recommended screenings.
You can see the full list of provider requirements in the SFL Provider Manual.
Patient shares how THE mammogram she received thanks to the SFL PROGRAM saved her life

pink ribbon In the video clip , Dawn ,  a breast cancer survivor of 15 years, shares her story of the importance of mammograms for women for early breast cancer detection and how the SFL program saved her life.
Dawn share's her experience of how she was diagnosed. She represents a large group of women who are spouses, mothers, and grandmothers who work and live normal lives with their families. Dawn felt completely healthy and strong and had no symptoms or family history of breast cancer.  She experienced none of the documented warning signs of having breast cancer. 
As a result of the SFL program, Dawn received a free mammogram at the women's center. Dawn will attest she is here today because of the free breast cancer screening and now she can share her story with others in hopes they too will be screened for breast cancer.
WATCH THIS WEBINAR RECORDING TO Learn more about the SFL Program

play button Dr. Edward Sobel, Quality Insights Medical Director, recently hosted an educational webinar to take a deeper dive into the SFL program. 

contact information

For more details about the Cancer Quality Improvement Project , please contact Sarah Toborowski.

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Developed by Quality Insights on June 25, 2018. Publication number DEDPH-CS-062518