All PlansCoverageMedium impact
Discuss Colon Health and Preventive Screening with Our Members
BCBS Texas·TX · Family Medicine, Internal Medicine, General Practice +1 more·General
Effective date
Feb 5, 2026
We identified it
Jun 13, 2026
Summary
BCBS Texas is encouraging providers to discuss colon health and preventive screening with members ages 45-75. The policy emphasizes proper documentation of colorectal cancer screenings for HEDIS measures and reminds providers that preventive screenings are covered at no cost share for most members, while diagnostic tests may have out-of-pocket costs.
Action Required
By February 5, 2026: Providers should ensure proper documentation of colorectal cancer screening dates and types in patient medical records or include pathology reports. Front desk staff should verify eligibility and benefits using Availity Essentials before appointments. Billing team should be aware that preventive colorectal screenings are covered at no cost share while diagnostic tests may have member cost-sharing responsibilities.