CommercialCoverageMedium impact
Preventive services for commercial members
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician / Facility
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Effective January 1, 2022, commercial insurance plans will cover colorectal cancer screening as a preventive service with no cost-sharing (deductible, copay, or coinsurance) beginning at age 45, lowered from the previous age of 50. This change eliminates patient financial responsibility for these screening procedures when billed appropriately.
Action Required
Immediately: Billing team must update system settings to bill colorectal cancer screening procedures as preventive services with no cost-sharing for commercial members age 45 and older. Update encounter forms and EMR templates to reflect new age criteria. Verify patient eligibility and age before billing to ensure proper preventive service coding.