As of March 23,
2012, IBC includes coverage of chest CT screening for our managed care
members at high risk for lung cancer.
This decision was made based upon
National Cancer Institute-sponsored research published by the National Lung
Screening Trial Research Team, in addition to current clinical practice
guideline recommendations. Results from the study illustrated a 20 percent
reduction in overall lung cancer mortality among high-risk individuals who were
randomized to the low-dose CT screening arm of the trial.
This benefit is available for
members when all of the following are met:
- The patient has no signs or
symptoms suggestive of underlying cancer.
- The patient is between 55 and
74 years of age.
- There is at least a 30
pack-year history of cigarette smoking (if former smoker, quit date is within
the previous 15 years).
Providers are required to obtain precertification
from AIM Specialty HealthSM (AIM), an independent company contracted
with IBC to perform precertification for select diagnostic imaging services for
our managed care members.
Precertification can be requested through the AIM
ProviderPortalSM.
Note: You can also access the AIM
website by selecting AIM from the Authorizations option in
the Plan Transactions menu on NaviNet Plan Central.
If you have any questions regarding this new
benefit, please contact your Network Coordinator.
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