Common use of Colorectal Cancer Screenings Clause in Contracts

Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancer. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. for further information on preventive services. Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine plan cost- sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

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Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancercolorectal. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved FDA‐approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing cost‐sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. 4.B.62 Preventive Care for further information on preventive services. Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine plan cost- cost‐ sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancer. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. 4.B.59 for further information on preventive services. Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine routing plan cost- cost-sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancercolorectal. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. Preventive Care for further information on preventive services. SAMPLE Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine routing plan cost- cost-sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

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Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancercolorectal. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. Preventive Care for further information on preventive services. Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine plan cost- sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

Colorectal Cancer Screenings. The Plan provides Benefits for colorectal cancer screenings as described in the guidelines of a national cancer society for asymptomatic Members who are: a. At average risk for colorectal cancer or b. At high risk for colorectal cancer. For purposes of this section, “Colorectal Cancer Screening” means all colorectal cancer examinations and FDA-approved FDA‐approved laboratory tests recommended by a Provider in accordance with the most recently published nationally recognized evidence based clinical guidelines of a national cancer society. If a colonoscopy is recommended as the colorectal cancer screening method and a lesion is discovered and removed during the colonoscopy, Benefits will be paid for the screening colonoscopy as the primary procedure. See section 2.I for information about free preventive services as defined in federal law. Preventive colonoscopies without cost-sharing cost‐sharing are only eligible for members who meet the specific guidelines under the USPSTF. See section 4.B. 4.B.62 for further information on preventive services. Colorectal cancer evaluations for asymptomatic screenings may be considered preventive (age dependent), but colorectal cancer evaluations due to symptoms or suspected disease are considered diagnostic and are subject to routine plan cost- cost‐ sharing.

Appears in 1 contract

Samples: Member Benefit Agreement

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