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Colonoscopy Bowel Preparation Covered by Insurance

Tuesday, May 3, 2016

The Affordable Care Act (ACA) recognizes a colonoscopy screening as part of the free preventive services to be covered in all health plans. Since the ACA went into effect, the language regarding what is covered has needed additional clarification.

Initially there were questions concerning insurance coverage for removal of polyps during a routine screening. The Departments of Labor, Health and Human Services and the Treasury released a statement in 2013 stating that polyp removal is an integral part of a colonoscopy. As such, the removal of a polyp during a routine screening would not incur any cost-sharing.

The Departments of Labor, Health and Human Services and the Treasury have once again provided clarification to another frequently debated question concerning bowel preparation and cost-sharing.

The statement released on April 20, 2016 states that the required preparation for a colonoscopy is an integral part of the procedure. The preparation medications are required to be prescribed by a health care provider and would be covered under the preventive colonoscopy with no cost-sharing.

Reminder: March is National Colorectal Cancer Awareness Month

Thursday, March 3, 2016


March is National Colorectal Cancer Awareness Month and PCC would like to take this opportunity to remind stakeholders colorectal cancer screening tests are an important tool to help detect and prevent this deadly disease. With appropriate screening and early detection, colorectal cancer can be prevented and treated. If you are age 50 and older, PCC encourages you to schedule a potentially lifesaving colorectal cancer screening colonoscopy.

According to the Centers for Disease Control and Prevention (CDC), “Of the cancers that affect both men and women, colorectal cancer is the second leading cause of cancer-related deaths in the United States and the third most common cancer in men and in women.”

The CDC also recommends several things you can do to help prevent colorectal cancer, including:

  • Number one is to have a colonoscopy screening beginning at age 50. The screening will help find precancerous polyps as well as find cancer early when treatment is most effective. 
  • Remain physically active
  • Maintain a healthy weight
  • Eat a diet high in vegetables, fruits and whole grains
  • Curb the consumption of alcohol
  • Refrain from smoking

In recognition of National Colorectal Cancer Awareness Month, be sure to spread the word to family and friends that colorectal cancer can be prevented. If you would like to learn more about colorectal cancer, check out our ongoing issue brief series.


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