My Yearly

Updated on February 22, 2011
C.B. asks from Oskaloosa, KS
17 answers

hey ladies, i have a question about my yearly physical. do i have to have a pap?? i lost my insurance in 2010, but i had to make an appointment for my dr. to keep prescribing my birth control. i am planning on starting insurance again in the next six or eight months, however, my prescription will run out next month. since i am paying out of pocket i am afraid a pap will be astronomical - they only take 20% off for having no insurance. couldn't i just get the physical and wait to get the pap until my new insurance kicks in? i should also mention, i just had one a little over a year ago. i am also 33 years old. any thoughts? the receptionist took off the blood panel (not sure why i'd need that anyway) but i am considering asking them to just drop the pap. any reason i absolutely need to have it? thanks for the insight!

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D.G.

answers from Lincoln on

In November at my yearly I was told if you've had 3 consecutive good paps then going every 3 years is the new "norm". They will probably ask you if you want it or not.

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S.H.

answers from St. Louis on

from about age 30 on, my ob had no problem with 18-24 month intervals on my paps. He said as long as I had one partner & a history of good paps....then it wasn't an issue.

After reading the other posts, wow....he was waaaay before his times!

More Answers

G.T.

answers from Modesto on

My doc told me that if you and your partner are not having sex with other partners that a pap is only necessary every other year... so if that's your case I'm sure you are fine to argue against paying for one.

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S.W.

answers from Atlanta on

Have you always had normal paps in the past? If so, it would not be that big of a deal if you skip this one, but when you get your insurance back...I would make an appt to have one done. Hope this helps! Good Luck!

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K.W.

answers from Youngstown on

Did you try explaining the lack of insurance to your doctor's office. I would and ask for an extension for the birth control prescription and see if they will renew it for the 6 months to avoid having to see the doctor at all until you have insurance again. It might could save you even more money.

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S.W.

answers from Minneapolis on

Talk with your doctor, but some will not refill your BC prescription without doing a pap each year. They are testing for cervical cancer signs, and yes, that can hit at any age. Ask your clinic how much this test costs, as the cost seems to vary greatly (as the cost of most medical procedures do, grrrr).

Planned Parenthood is one place you can go for inexpensive reproductive care. (at least for now...)

M.S.

answers from Columbus on

I was just in to my OB last week. Surprisingly, she said paps are only required yearly if you've had an abnormal one in the past (in that case, you need yearly paps for 20 years). Otherwise, she said every 3 years is the new requirements for pap smears. The CDC has concluded that cervical cancer typically grows slow enough that it would get "caught" within the 3 year window. I thought it sounded very risky, but she said that's the new guidelines. So, if you had one last year, you should be fine to NOT get one this year.

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T.G.

answers from St. Louis on

Missouri has a 'Show Me Healthy Women' program through Family Planning that pays for yearly pap smears based on income. Check to see if KC has anything like it.

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L.L.

answers from Hartford on

My Ob told me that Paps are no longer an every year test. So you may not need one anyways :)

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T.H.

answers from Kansas City on

Yup, just wanted to get on the bandwagon for the "new rule". I have had abnormal paps in the past but b/c my last 3 were normal then I went on the new every 3 year schedule and it's worked out well. I would make sure that your office knows you don't have insurance before you're seen though, that way you can make sure you're getting only what you need at that moment.

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T.S.

answers from Sacramento on

The newer guidelines don't require a pap every year if you have a history of normal results. Ask your doctor. The other option would be to go to Planned Parenthood and get your exam. They'll do it for little or nothing since you're uninsured. They can also take care of your birth control Rx if you need...

... but you might need to act fast :-/

HTH
T.

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M.P.

answers from Pittsburgh on

Have you tried telling the docs office this? maybe they can just refill your BC over the phone and then schedule you for a future exam with pap.

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K.M.

answers from Kansas City on

The news recommendations say that many women don't need a pap yearly. If you have had 3 normal pap's in a row, don't have hx of abnromal ones, and have the same sexual partner for 5 years, you only really need a pap every 2-3 years. It's ok to ask for that, and still get a script for your birth control pills.

K.

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C.L.

answers from San Francisco on

if your income is low enough, or even for the fact that you dont have insurance, you could get it done at planned parenthood for really cheap or free. if not, then as L. as your not doing anything risky, then it would probably be worth it to wait until you have the insurance to take care of that.

S.M.

answers from Kansas City on

Of course everyone says do them. Cancer of any kind caught early is better treatable. I can't say anything though. I haven't done anything at all in 5 years. I have no desire or plans to do anything either.

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K.L.

answers from Washington DC on

Planned Parenthood will give you birth control at a price based on your income.

Have you asked your dr about making payments?

M.L.

answers from Houston on

One reason is they look for things such as cervical cancer. My friend's wife was about 29 and she just died from it a few months ago.

You can go to your state dept or even planned parenthood for a less expensive pap. I would ask your Dr what the total cost is, because obviously they would need to do lab work as well.

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