2005结肠癌筛查和监控指南（英文）-CIGNA.docVIP

CIGNA HEALTHCARE COVERAGE POSITIONColorectal Cancer Screening and Surveillance INSTRUCTIONS FOR USE Coverage Positions are intended to supplement certain standard CIGNA HealthCare benefit plans. Please note, the terms of a participant’s particular benefit plan document [Group Service Agreement (GSA), Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Positions are based. For example, a participant’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Position. In the event of a conflict, a participant’s benefit plan document always supercedes the information in the Coverage Positions. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in each specific instance require consideration of 1) the terms of the applicable group benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Positions and; 4) the specific facts of the particular situation. ?2005 CIGNA Health Corporation Coverage Position Colorectal cancer screening may be subject to the terms, conditions and limitations of a preventive services benefit. Please refer to the applicable CIGNA HealthCare benefit plan document to determine benefit availability and the terms and conditions of coverage. If coverage for colorectal cancer screening is available, the following conditions apply. CIGNA HealthCare covers the following colorectal cancer tests as medically necessary for both men and women age 50 and over who are at average risk: yearly fecal occult blood (FOBT) or immunochemical test flexible sigmoidoscopy – every five years double contrast barium enema (DCBE) – every five years colonoscopy – every