CommercialCoverageMedium impact
Preventive services for commercial members
Blue Cross Blue Shield of Rhode Island·RI · Gastroenterology, Family Medicine, Internal Medicine +1 more·Physician / Facility
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Effective January 1, 2022, colorectal cancer screening is now covered as a preventive service without cost sharing for commercial members starting at age 45 (previously age 50). This means no copays, deductibles, or coinsurance for qualifying colorectal cancer screening procedures.
Action Required
Immediately: Billing team must update system to remove cost sharing (copays, deductibles, coinsurance) for colorectal cancer screening procedures for commercial members aged 45 and older. Update encounter forms and billing software to reflect preventive service coverage. Verify patient age eligibility before billing to ensure proper coverage application.