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Paying for the Displeasure of a Colonoscopy

March 14, 2008 04:05 PM ET | Michelle Andrews | Permanent Link | Print

Reader Comments

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lemyaskin rulezz

Paying for the Displeasure of a Colonoscopy - March 14, 2008

I know this is old news, but in the context of my search for answers about why most of the cost of my recent colonoscopy was not covered by insurance and your final statement, I'd like to offer that you'll need more help than just a weak little law to "do the right thing." Let me expand: North Carolina gets a "A" on the 2009 Colorectal Cancer Legislation Report Card. Yippee! North Carolina has a law on the books! As best I can determine, the law requires private insurance companies to cover the cost of up to four procedures, including fecal occult blood test (FOBT), flexible sigmoidoscopy, double-contrast barium enema (DCBE), and colonoscopy. However, as in all law, there is a loophole. That is, if the company is large enough (as my employer is) to self-insure, they're not required by law to cover the procedure. I suppose that’s because the law tends to address only private insurers. So, even if your readers are covered with private insurance, they may in fact not be for colorectal cancer screening...at least not in North Carolina. Incidentally, I owe about $1800 of the $2700 total, butt (oops!) I have a clear colon!

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Colonoscopy

I have insurance which technically covers colonoscopy as a kind of surgery, but my deductible is very high ($5000), so I would end up paying the whole cost of the procedure out of pocket if I got one. I have had rectal bleeding now for two years and my doc has recommended colonoscopy, but I simply cannot afford it. Meanwhile, Aetna continues to suck money out of each paycheck for its worthless "insurance." If I end up with colorectal cancer, I would like to have my dead body dumped on CEO Ron Williams' lawn along with those of all the other people he has killed to get his 23 mil a year.

colonoscopy

People are lucky who has health insurance. I need a colonoscopy

and do not have health insurance.No one will help me get the diagnosis I took the fecaal occult test there was negative postive results I am 60 and stressing because I as not old enough to get medicare.Unless you have a postive results no one will help you get the test.

Another lucky one

My entire family had colonoscopies after my 38 year old sister was diagnosed with advanced stage four colon cancer. I, too, had the pre-cancerous cells that could have become cancerous.

My husband is in the military and I am covered by Tricare; the rest of my family was also covered through their insurance companies.

My sister's diagnosis came out of nowhere; her primary care physician was shocked when the hospital called her. It's a horrible disease that can be prevented if caught early enough so I firmly believe that the screening age should be lowered. It goes without saying that the procedure should be covered by all insurance companies, no matter what the state.

Hereditary Colon Cancer...No Insurance

My Father was just diagnosed with stage IV colorectal cancer that has metastasized to the liver...inoperable only offering Chemo as a treatment. The Doctors told me that at 51 and the disease being hereditary, I should of had at least 1 screening by now. After investigating the costs, and since I'm not planning on moving out of the country...I won't be having one...I'll just be rolling the dice with the rest of the uninsured.

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About On Health and Money

Senior Writer Michelle Andrews reports on how to be a smart health consumer and get the best care for your money. Write to her at onhealthmoney@usnews.com.

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