ACR: Commercial payors may be requiring copays for preventive services

2023 05 08 17 00 4219 Acr Logo 2023 400

The American College of Radiology (ACR) is sounding the alarm that some commercial payers may be requiring copayments for U.S. Preventive Services Task Force (USPSTF)-recommended preventive services, such as lung cancer screening with low-dose CT (LDCT).

"Lung Cancer Screening programs [have] alerted ACR that some payers are notifying imaging centers during prior authorization that cost sharing will apply for screening for lung cancer with low-dose computed tomography (LDCT)," the college said in a statement. "The payer action may be related to a recent Texas federal court ruling that invalidated the Affordable Care Act (ACA) requirement that USPSTF-approved preventive services be covered at no cost to the patient. However, the ruling has been appealed and it is not in effect; the College previously reported that it will continue to monitor this court ruling."

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