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Guidelines for Eligibility For Screening for Life

Screening for Life offers free screening tests for breast, cervical, colon, lung, and prostate cancer. You may be eligible if you:

  • Are a Delaware resident
  • Have health insurance that doesn't cover screenings
  • Are age 18-64 and not eligibile 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

Income Guidelines

Delaware Residents are eligible for Screening for Life if they have a household income between 139% and 250% of the Federal Poverty Level. The Federal Poverty Level is based on annual household income and household size. A household consists of the individual, their spouse, and all dependent children under 18 years of age.

Delaware Residents with an annual household income between 139% and 250% of the Federal Poverty Level are eligible for Screening for Life if they are deemed ineligible for Medicaid. Please refer to the Federal Poverty Guidelines that match the year in which you are applying for enrollment. The URL address is:

Insurance Guidelines


  • No medical insurance nor private HMO
  • Not eligible for Medicare or Medicaid
  • Not eligible for health insurance through the Health Insurance Marketplace

—   or   —


  • Unmet deductible (deductible must be more than 15% of annual income)
  • Insurance does not cover breast, cervical, colorectal, lung, and prostate screenings

The SFL program does not reimburse for co-pays or co-insurances.

The program does provide reimbursement for persons who have a high deductible relative to their income. If your deductible is equal to or higher than 15% of your income, you may be eligible for SFL—if you meet all the other eligibility requirements.


Get Screened for Cancer

Three of the most commonly diagnosed cancers -- breast, colorectal, and prostate -- can be detected in their earliest stages.

Routine cancer screenings can increase the chances of finding cancer early, and treating it.

The chart below indicates the age at which you should be screened and how often.


Cancer Type Recommended Age Screening How Often


Women 18 and older
    Woman 40 and older 1.2



Clinical Breast Exam (CBE)
Mammogram and CBD



           Women 21 and older 1.2
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

Colon Men & women 50 and older 1.2 FIT Test or
         Every 10 years

Men and women 50-80 who:

  • Smoke or have smoked a pack a day for 20 or more years, or 2 packs a day for 15 or more years
  • Currently smoke or quit smoking within the past 15 years
Low-dose CT scan Talk to your health care provider to determine to determine if a lung cancer screening is recommended.

Average Risk:  Men 50 & older 1.2

High Risk:  Men 45 or older, including African Americans and men with a first-degree relative who was diagnosed with prostate cancer at an early age (defined as younger than 65).

Higher Risk: Men 40 and older - men with more than one first-degree relative who had prostate cancer at an early age (definded as younger than 65). 1.2

Prostate-Specific Antigen (PSA) Test with or without a Digital Rectal Exam (DRE) Talk to your health care provider to determine if a prostate screening is recommended.

Talk with your doctor about individual screening recommendations.
Individuals with a family history of cancer may qualify for screening at an early age.

Per Screening for Life guidelines dated April 2021.

For more information call the Screening for Life Program or 2-1-1 toll-free and ask for Screening for Life.