UnitedHealthcare expands colorectal cancer screening ages

As of Oct. 1, 2021, the UnitedHealthcare Preventive Services Coverage Determination Guideline (CDG) (pdf) includes updated age range recommendations for colorectal cancer screening.

In accordance with the Affordable Care Act (ACA), health plans must waive cost-share for coverage of evidence-based items or services that have in effect a rating of “Grade A” or “Grade B” in the current recommendations of the United States Preventive Services Task Force (USPSTF).

The change affects all non-grandfathered plans. No action is needed by clients or customers that follow UnitedHealthcare’s standard benefits.

UnitedHealthcare CDG updates, effective Oct. 1, 2021




What does the USPSTF now recommend?


For adults aged 50 to 75 years:
Screen adults aged 50 to 75 years for colorectal cancer at average risk of colorectal cancer. Grade A


For adults aged 45 to 49 years:
Screen adults aged 45 to 49 years for colorectal cancer at average risk of colorectal cancer. Grade B



To whom does this recommendation apply?

Adults 45 years and older who do not have signs or symptoms of colorectal cancer and who are at average risk for colorectal cancer (i.e., no prior diagnosis of colorectal cancer, adenomatous polyps or inflammatory bowel disease; no personal diagnosis or family history of known genetic disorders that predispose them to a high lifetime risk of colorectal cancer, such as Lynch syndrome or familial adenomatous polyposis).


What’s new?


The USPSTF expanded the recommended ages for colorectal cancer screening to 45 to 75 years (previously, it was 50 to 75 years). 

For questions, please contact your broker or UnitedHealthcare representative.

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