BCBS TexasMedium ImpactAdministrative

Discuss Colon Health and Preventive Screening with Our Members

Published May 3, 2026Effective February 5, 2026

AI Summary

Blue Cross Blue Shield of Texas is encouraging providers to discuss colorectal cancer screening with members ages 45-75 and properly document screenings to close HEDIS care gaps. The policy emphasizes that preventive screenings are covered at no cost share for most members, while diagnostic tests may have out-of-pocket costs.

Action Required

Providers should discuss colorectal cancer screening options with members ages 45-75 and document the date and type of screening performed in medical records or include pathology reports. Front desk staff must verify eligibility and benefits using Availity Essentials before appointments to confirm coverage details including copays and deductibles.

Plan Types

All Plans

States

TX

Specialties

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