Change to Prostate Cancer Screening Benefit Level

Sep. 05, 2018

Currently, Blue Cross and Blue Shield of Montana (BCBSMT) covers prostate cancer screening at no member cost share when billed with a preventive diagnosis.

Beginning Jan. 1, 2019, this screening will no longer be covered at the no member cost share level. Instead it will be treated as a standard medical benefit, and any applicable cost sharing (copay, coinsurance and deductible) may apply, based on the member’s health plan.

This initiative applies to all non-grandfathered retail and group members. It does not apply to members who have Medicaid or Medicare plans.

What does this mean for you?

  • You may now need to seek payment from both BCBSMT and the member.

Note: Some groups may elect to continue coverage at the no member cost share level. Members may confirm their coverage by calling the number on the back of their customer ID card.