This article is for all PCPs, OB/GYNs, endocrinologists, and orthopedists.
Starting June 1, 2019, we will cover osteoporosis screening for women under the age of 60 who are at increased risk for developing the condition. This benefit applies to members of all of our products except Medicare Advantage and the Federal Employee Program.
Today we cover osteoporosis screenings for women over 60. To qualify for coverage, women under 60 must be identified as being at increased risk—commonly determined by a clinical risk assessment. This preventive service is offered at $0 cost when the member receives care from an in-network provider. Some members may be responsible for a copay or deductible, depending on their employer. Be sure to verify your patient’s benefits and eligibility before providing services.
Why is Blue Cross making this change?
This is in response to a recent change in the screening recommendations from the U.S. Preventive Services Task Force to allow screenings for postmenopausal women under 65 who are at increased risk of osteoporosis.
To access our osteoporosis clinical treatment resources, log in to bluecrossma.com/provider, and go to Clinical Resources>Clinical Programs & Information>Treatment Resources.
If you have any questions, please contact your Network Manager.