Medicare AdvantageCoverageMedium impact
Updated Preventive Coverage for Colorectal Cancer Screening to add SimpleScreen™ CRC for Medicare Advantage Members (Effective July 24, 2026)
Independence Blue Cross·Gastroenterology, General Practice, Internal Medicine +1 more·News & Announcements
Effective date
Jul 24, 2026
We identified it
Sep 12, 2026
Summary
Medicare Advantage plans are adding SimpleScreen™ CRC (a noninvasive colorectal cancer screening test) to their preventive coverage effective July 24, 2026. This expands covered screening options for MA members and may affect billing for colorectal cancer screening services.
Action Required
By July 24, 2026: Billing team must verify SimpleScreen™ CRC coverage status in all Medicare Advantage plan billing systems and update claim submission protocols. Obtain the specific CPT/HCPCS code for SimpleScreen™ CRC from the full policy document (not provided in this summary) and add to MA plan coverage lists. Update encounter forms and provider education materials to inform providers that SimpleScreen™ CRC is now a covered preventive service for MA members. Confirm whether prior authorization is required. Failure to update billing rules may result in incorrect claim denials or improper denials of covered services.