I have a family history of colon cancer. Will Medicare cover more frequent colonoscopies for someone in my situation?

Question

Timothy Brown · Accepted Answer

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.

Answered by Timothy Brown on April 14, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent

Larry Dalton · Answer

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.

Answered by Larry Dalton on April 5, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent

Cassandra Mancuso · Answer

Medicare will cover a colonoscopy every 24 months. You’ll need to check with your medigap plan or advantage plan to see how many more you can get.

Satoshi Aoki · Answer

Yes.

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.

https://www.medicare.gov/coverage/colonoscopies

Gary Henderson · Answer

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.

Answered by Gary Henderson on April 19, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent

David Christian · Answer

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.

Charles Borg · Answer

Yes. If you have a special situation Medicare usually adjusts for it. It is generally more flexible than a HMO plan.

Samuel Deter · Answer

Medicare will cover a colonoscopy every 24 months. You’ll need to check with your medigap plan or advantage plan to see how many more you can get.

Answered by Cassandra Mancuso on April 28, 2025

Agent Licensed in ME & NH

Answered by Cassandra Mancuso Medicare Insurance Agent

I have a family history of colon cancer. Will Medicare cover more frequent colonoscopies for someone in my situation?

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I have a family history of colon cancer. Will Medicare cover more frequent colonoscopies for someone in my situation?

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