BCBS TexasMedium ImpactCoverage

Discuss Colon Health and Preventive Screening with Our Members

Published January 12, 2026Effective February 5, 2025

AI Summary

Blue Cross Blue Shield of Texas is encouraging providers to discuss colon health and preventive screening with members aged 45-75, emphasizing that preventive colorectal cancer screening is covered at no cost share for most members. The policy outlines recommended screening tests including annual gFOBT, FIT, Cologuard every 3 years, and colonoscopy every 10 years.

Action Required

Immediately: Providers should discuss colon health screening options with members aged 45-75. Document the date and type of colorectal cancer screening performed in medical records or include pathology reports. Check member eligibility and benefits using Availity Essentials before appointments to verify coverage details, as diagnostic tests may have out-of-pocket costs while preventive screenings are typically covered at no cost share.

Plan Types

All Plans

States

TX

Specialties

family-medicine, internal-medicine, general-practice, gastroenterology