Are colonoscopies covered under the wellness benefit?
Colonoscopies performed for screening purposes are covered under the wellness benefit. However, unless determined to be medically necessary by UMR and PEBPs Utilization Management Company (APS Healthcare), virtual colonoscopies are not covered under any circumstances under the PEBP PPO plan. Under what condition(s) is a colonoscopy not covered under the wellness benefit? Colonoscopies are not covered under the wellness benefit when you have been previously diagnosed and treated for a medical condition, e.g. colon cancer, colon polyps and the purpose of the colonoscopy is to follow up on that previously diagnosed and treated condition. What should I tell my doctors office when Im scheduling my colonoscopy about my wellness benefit? If your colonoscopy is for screening purposes, you should tell your doctors office that you are scheduling a routine screening colonoscopy. If you are scheduling a follow up colonoscopy because of a previously diagnosed and treated medical condition, your cla
