Is colon cancer screening covered by insurance?
Medicare and Illinois Medicaid cover all methods of colon cancer screening. Coverage through Medicaid in other states may differ. Many insurance companies and health benefit plans cover some method of colon cancer screening. For specifics, please check with your insurance company or health benefit plan to find out how colon cancer screening is covered. If you are an HMO member, you will need to get a referral from your primary care physicians to see a specialist and for testing. If you are a PPO member and you need a colonoscopy, the gastroenterology specialist’s office should call your insurance company to get prior authorization. PPO members get higher benefits for using network providers. Call your insurance company to make sure the doctor you choose is in your network.
