Medicare covers screening colonoscopies and there is no minimum age requirement for a screening test. If you initially have non-invasive surgery covered by Medicare. If you initially get a non-invasive, Medicare-covered colorectal stool cancer screening (fecal occult blood test or stool DNA test with multiple objectives) or a blood-based biomarker test and you get a positive result, Medicare also covers a follow-up colonoscopy as a screening test. Medicare considers colonoscopy to be preventive care, which is covered by Part B.
If you have a higher risk of colorectal cancer, Medicare will pay the full cost of a colonoscopy every 24 months. If you're not at high risk, Medicare will cover the test once every 10 years (120 months) or 48 months after a previous flexible sigmoidoscopy. Medicare will usually cover 100% of the cost of a screening colonoscopy. In the case of a diagnostic colonoscopy, you may have to pay co-payments out of pocket, but don't let potential costs prevent you from protecting your health. For example, if your doctor finds and removes a polyp or other tissue during a colonoscopy, you'll pay 15% of the amount approved by Medicare for your doctor's services.
Resources For Living is not available to members of Aetna Part D plans (by prescription only), dual eligibility special needs plans (D-SNP), special needs plans for chronic diseases (C-SNP), institutional plans for special needs (i-SNP), or Medicare supplement plans. A Wellcare Medicare Advantage plan will also pay for a preventive colonoscopy and may offer additional coverage for colonoscopies. diagnostic. That's because Medicare fully covers qualifying preventive screenings, such as Pap smears and pelvic exams to screen for cervical and vaginal cancer in women, PSA blood tests for prostate cancer in men, and cholesterol tests for heart disease.
Medicare Part B (health insurance) fully covers colonoscopy once every 24 months for high-risk members of colorectal cancer.
