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Download FAQs about Medicare coverage for lung cancer screening
On February 5, 2015, the Centers for Medicare and Medicaid Services (Medicare) issued its final decision about coverage of low-dose CT (LDCT) lung cancer screening. Coverage began immediately.
Below are some of the frequently asked questions about Medicare coverage for lung cancer screening:
Medicare has decided that there is sufficient evidence to cover annual low-dose CT lung cancer screening coverage among Medicare beneficiaries considered high risk.
Physicians must provide a written order for screening to Medicare after having a lung cancer screening counseling and a shared-decision making discussion with the patient. This visit includes:
Medicare wants to make sure qualified, experienced radiologists are serving Medicare patients. As a result, Medicare requires that any radiologist involved with lung cancer screening for Medicare patients:
To be an eligible screening facility, a site must:
This coverage began on Feb. 6, 2015.
On Dec. 30, 2010, the U.S. Preventive Services Task Force (USPSTF) issued a new 'B' recommendation for lung cancer screenings for those at high risk. The USPSTF recommendation makes lung cancer screening with these same low-dose CT scans required coverage in many private or employer-sponsored health insurance plans starting in 2015. High-risk patients who do not have Medicare should check with their health insurance plan to see whether screening for lung cancer is covered.
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