I have a family history of colon cancer. Will Medicare cover more frequent colonoscopies for someone in my situation?
Answered by 13 licensed agents
If someone is deemed to be at high risk for colon cancer, Medicare will cover frequent colonoscopies every 2 years. Your doctor or other health care provider may recommend you get services more often than Medicare covers. An additional plan such as a Medicare Supplement or a Medicare Advantage can provide such additional coverage.
Yes, under Medicare A & B, you may find that Medicare will cover your screening potentially every two years, under a doctor's order. Preventive care testing is offered as a separate rider with your Medigap programs, with some insurance carriers. These additional rider programs generally cover one hundred percent of the cost if classified as preventive care screening.
Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer. If you aren’t at high risk, Medicare covers the test once every 120 months, or 48 months after a previous flexible sigmoidoscopy. There’s no minimum age requirement.
If you initially have a non-invasive stool-based screening test (fecal occult blood tests or multi-target stool DNA test) and receive a positive result, Medicare also covers a follow-up colonoscopy as a screening test.
Yes, Original Medicare typically covers colonoscopies needed for colorectal cancer, including surveillance and follow-up procedures. Medicare Part B covers colonoscopies as preventive care. For those at high risk for colorectal cancer, Medicare covers colonoscopies every 24 months. If you've had colon cancer, Medicare will cover a colonoscopy one year after treatment and then every three years.
Yes, your gastroenterologist will determine the frequency of colonoscopies that will be required for you. Medicare will cover that with either co-insurance, or a co-pay, depending on whether you stay on original Medicare, or choose an Advantage plan. All Advantage plans, by law, cover what Medicare covers.
If you have a family history of colon cancer, Medicare may cover more frequent colonoscopies, typically every 2 years, as you are considered at high risk.
Yes, Medicare Part B covers a colonoscopy every 2 years (24 months) for individuals at high risk of colorectal cancer, such as those with a family history of the disease, inflammatory bowel disease, or polyps.
Medicare will typically cover a colonoscopy once every ten years for average at risk individuals. Individuals at a high risk (such as individuals with family history) may have a colonoscopy every 2 years. And of course Medicare will cover a colonoscopy for diagnostic purposes when conditions present.
Medicare will cover a colonoscopy every two years for someone that is considered high risk, such as someone with a family history of colon cancer. For individuals that are not considered high risk, a colonoscopy is covered every 10 years.