In accordance with the Affordable Care Act, Aetna will now cover screening CT colonography (CTC) without patient copay. Aetna was the last of the nation's top five insurers to comply with the federal mandate to cover these lifesaving exams.

Aetna’s action is in accordance with the 2016 U.S. Preventive Services Task Force (USPSTF) guidelines for colorectal cancer screening, which assigned an “A” rating to colorectal cancer screening for individuals ages 50–75, including CTC as one of the screening options. The ACA requires insurers to cover USPSTF-approved screening studies without patient cost sharing. Aetna joins UnitedHealthcare, Anthem/Wellpoint, Cigna and Healthcare Services Corporation (HCSC).

Members of the American College of Radiology (ACR) Colon Cancer Committee continue to work with other commercial insurers to further CTC coverage.

In its April Policy Bulletin Update, Aetna revised its previous non-coverage policy for CTC to indicate that it is a medically necessary preventive service for colorectal cancer screening of average-risk asymptomatic individuals ages 50 years or older every five years.

Medicare does not yet cover CTC, even though it is an American Cancer Society-recommended exam. ACR, along with major colorectal cancer care advocacy groups, minority health care associations and medical societies, continues to strongly urge Congress for Medicare coverage. Most recently, ACR and others asked Congress to pass the CT Colonography Screening for Colorectal Cancer Act (HR 1298), which was introduced last month.

A complete list of CTC insurers may be found on the related resource webpage.