Preventive label doesn't guarantee free breast MRIs

A high-risk Washington woman faced a $1,200 bill for an annual breast MRI that was preapproved as a preventive measure, highlighting that federal rules don’t require free preventive MRIs for all cases (especially dense breasts) and that coverage varies—often leaving self-insured plans and state laws unable to guarantee no-cost imaging. The takeaway is to check state coverage rules, seek patient navigation, and shop around or time imaging to reduce out-of-pocket costs.