I signed up for a colonoscopy, first one at 70. Then I started wondering about the cost.
Reading from Medicare.gov. it says as below. I'm hanging my hat on this sentence.
"If you aren’t at high risk, Medicare covers the test once every 120 months, or
48 months after a previous flexible sigmoidoscopy."
I have not been told I am high risk, but the test was recommended by my oncologist.
Anyway trying to find out the cost and if it is normal for Medicare to pay.
The second paragraph starting with "If" looks like it should be tied either to something before it or after it to make sense.
What is the If? If then what.
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.
If your doctor or other health care provider accepts assignment, you pay nothing for the
screening test(s). However, if your doctor finds and removes a polyp or other tissue during the
colonoscopy, you pay 15% of the Medicare-Approved Amount for your doctors' services. In a
hospital outpatient setting or ambulatory surgical center, you also pay the facility a 15%
coinsurance amount. The Part B deductible doesn't apply.
btw, My wife just left a mammogram office, the mammogram is covered, but checking into the office for the procedure is $205.36.
Reading from Medicare.gov. it says as below. I'm hanging my hat on this sentence.
"If you aren’t at high risk, Medicare covers the test once every 120 months, or
48 months after a previous flexible sigmoidoscopy."
I have not been told I am high risk, but the test was recommended by my oncologist.
Anyway trying to find out the cost and if it is normal for Medicare to pay.
The second paragraph starting with "If" looks like it should be tied either to something before it or after it to make sense.
What is the If? If then what.
Colonoscopies
Medicare covers screening colonoscopies once every 24 months if you’re a.t high risk forcolorectal 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.
Your costs in Original Medicare
If your doctor or other health care provider accepts assignment, you pay nothing for the
screening test(s). However, if your doctor finds and removes a polyp or other tissue during the
colonoscopy, you pay 15% of the Medicare-Approved Amount for your doctors' services. In a
hospital outpatient setting or ambulatory surgical center, you also pay the facility a 15%
coinsurance amount. The Part B deductible doesn't apply.
btw, My wife just left a mammogram office, the mammogram is covered, but checking into the office for the procedure is $205.36.
That was 44 years ago. She's figured it out with well over 100 contacts in her phone. She has contacts high and low, she's fed homeless living in the woods, plied city workers and city commissioners with her well known eggrolls and also having contact with a dozen different business owners.
