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NBCCEDP California

Free mammograms in California: Every Woman Counts (EWC)

Every Woman Counts (EWC)

The program, the phone, the eligibility

California offers free mammograms through Every Woman Counts (EWC). Call 800-511-2300 to check eligibility.

Primary source: https://www.dhcs.ca.gov/services/every-woman-counts/

What the program pays for

  • Screening mammogram
  • Clinical breast exam
  • Diagnostic follow-up (ultrasound, MRI, biopsy)
  • Case management to treatment if cancer is found

How California's program works

Every Woman Counts (EWC) is California's NBCCEDP grantee, the channel through which women in California get a free mammogram plus diagnostic follow-up. Call 800-511-2300 or visit https://www.dhcs.ca.gov/services/every-woman-counts/ to start the eligibility check.

Who qualifies. Women, uninsured or with coverage that leaves a deductible or copay above what you can afford, per the program page. Income limits and age bands are set by each state, so confirm yours at intake. The program was designed to backstop gaps the ACA marketplace and Medicaid miss.

What's covered. If a mammogram is abnormal, the program pays for the diagnostic workup (ultrasound, diagnostic mammogram, MRI, or biopsy) at no charge. If the biopsy finds cancer, the federal Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA, Public Law 106-354) triggers Medicaid treatment eligibility: no separate Medicaid application is required in any state. Transportation and interpretation are covered in most state programs where they are a barrier to completing a scheduled appointment. Ask the intake coordinator specifically.

How to start. First, call 800-511-2300. Expect a short eligibility screen covering your age, household income and insurance, then a referral to a participating clinic or provider near you; have a recent pay stub or other proof of income ready, because most programs ask for it at the first visit. If you are insured but a deductible or copay is what stands between you and the test, say so: under-insured women qualify in most states, and the intake worker will tell you if yours is one.

For Black families in California

Black women are 40% more likely to die from breast cancer than white women (ACS, 2024), despite similar incidence rates: the gap traces to later-stage diagnosis, higher triple-negative rates, and uneven access to timely follow-up.

For Black women and families in California, the practical route is rarely an abstract national program. It is a local clinic or community navigator who answers the phone, walks you through the intake, and follows up when the appointment letter is delayed. The state program line above is the fastest way to be matched to a navigator serving your county.

Community partners that have historically carried this work (Sisters Network chapters, the Black Mamas Matter Alliance network, the National Black Nurses Association, local churches affiliated with Faith in Public Life, and the NAACP health committees) often maintain navigator lists outside the state portal. If the state line doesn't route cleanly, call the nearest FQHC (every FQHC has certified navigators on staff under federal 330-grant rules).

Where to get help in California

  • Federally Qualified Health Centers in California: every FQHC takes Medicaid, charges a sliding scale for uninsured patients, and participates in free-screening pathways. See our FQHC directory for this state at /clinics/ca/.
  • Obstetrics and Gynecology providers in California: our provider directory filters to this state and specialty. See /providers/ca/.
  • Medicaid in California: if you qualify for Medicaid, the free-screening pathway extends to treatment if cancer is found (BCCPTA, Public Law 106-354). See our Medicaid navigator at /medicaid/california/.
  • Black Health outcomes in California: see state-level race-stratified data at /health/california/.
  • Sisters Network Inc., national survivor organization with local chapters supporting Black women diagnosed with breast cancer: sistersnetworkinc.org.

References & primary sources

Data refreshed:

Other free screening programs in California