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Low-dose chest CT screening for individuals at high risk for lung cancer

March 29, 2012

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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.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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