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Reply to "INSURANCE COVERAGE FOR POUCHOSCOPIES AFTER 50 YEARS OLD?"

@Jan Dollar posted:

Mine are always covered, but never 100% with zero copay. That is because the “free” colonoscopies are for screening, not surveillance. My brother, who is over 65 did not get a free colonoscopy because he had a diagnosis of hemorrhoids, so it was follow-up, not screening.

They are always preventative, but not always routine screening.

So, when you say yours are not covered, are you saying you have to pay 100% out of pocket? If that is true, you are on the wrong plan.

Jan they are covered, but I have a very high out of pocket deductible. I have to pay like $4000 before it drops to 80/20 split. So unless I have a surgery or something big in the calendar year, I have to pay out of pocket which is about $1700.

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