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Reminder: New Preventive Plus benefit effectiveJanuary 1, 2015

December 1, 2014

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Beginning on January 1, 2015, Independence small group and individual commercial members will be able to utilize the new Preventive Plus benefit for colon cancer preventive screening colonoscopies.

When performed at a freestanding ambulatory surgery center (Freestanding ASC), the Preventive Plus benefit fully covers a colon cancer preventive screening colonoscopy with no member cost-sharing ($0 costsharing; i.e., no copayment, deductible, or coinsurance).

When the services are performed at a hospital outpatient facility or hospital-based ASC, the member will incur cost-sharing of up to $750.

Checking patient eligibility

To verify if a patient has the Preventive Plus benefit, use the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal.

Referring patients

Use the Find a Doctor tool at to locate Freestanding ASCs and associated gastroenterologists and colon and rectal surgeons with a Preventive Plus indicator. The service must be performed at a Freestanding ASC for members to take advantage of the $0 cost-sharing.

In early 2015, updates will be made to the Referrals transaction to assist physicians when referring patients for colon cancer preventive screening colonoscopies. Additional information about these enhancements will be communicated in future editions of Partners in Health UpdateSM.

Questions

If you have questions regarding the Preventive Plus benefit, you may call 1-800-ASK-BLUE or contact your Network Coordinator.

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

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