Billing Beat

Diagnostic Lung Cancer Screening Benefit

February 26, 2015

The Affordable Care Act requires health plans to include preventive services that are recommended by the U.S. Preventive Services Task Force (USPSTF), without any out-of-pocket cost to patients. Accordingly, effective Jan. 1, 2015, Florida Blue and its affiliate, Health Options, Inc. (HOI) will provide qualified plan members coverage for an annual diagnostic screening for lung cancer at $0 copayment. There are however, prescribed medical criteria and defined claims coding requirements as well that must be met.

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