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Insurance Coverage for Colorectal Cancer Screening

    https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/screening-coverage-laws.html
    Stool DNA test (Cologuard): Covered at no cost* for those age 45 to 85 as long as they are not at increased risk of colorectal cancer and don’t have symptoms of colorectal cancer ... Medicaid coverage for colorectal cancer screening varies by state. Some states cover …

Insurance Coverage | Cologuard® Patient Site

    https://www.cologuard.com/insurance
    Cologuard is covered by Medicare and most major insurers. 94% Nationwide, more than 94% of Cologuard patients have no out-of-pocket cost for screening.* Read more. Many …

Cologuard® Cost | Cologuard Patient Site

    https://www.cologuard.com/affordable
    Cologuard ® is covered by Medicare and most major insurers. Nationwide, more than 94% of Cologuard patients have no out-of-pocket cost for screening. *. *Exact Sciences estimate based on historical …

Cologuard Test: Pros and Cons, Safety, and Accuracy

    https://www.verywellhealth.com/cologuard-test-pros-and-cons-5216759
    Cologuard is an at-home test that screens for colon cancer. It isn’t 100% accurate, though, meaning you still may need a colonoscopy. ... Cologuard is also less …

FAQ: Is Cologuard® Covered By Insurance? | Patient Site

    https://www.cologuard.com/faq/Is-Cologuard-Covered-By-Insurance
    Cologuard is covered by Medicare and most major insurers. Most patients pay $0.*. Find more information here. View all FAQs.

Frequently Asked Questions | Cologuard® Patient Site

    https://www.cologuard.com/faq
    If your provider has any questions, we can help. Contact our Customer Care team at 1-844-870-8870. Cologuard is only billed under CPT code 81528. This code was established by the American Medical Association CPT …

Does Medicare Cover Cologuard?

    https://www.medicare.org/articles/does-medicare-cover-cologuard/
    Medicare includes coverage for colorectal cancer screening, including a Cologuard kit under specific circumstances. A stool DNA test (Cologuard) will be covered by …

CMS Manual System Department of Health

    https://www.cms.gov/files/document/r11865bp.pdf
    policies to expand colorectal cancer screening coverage by 1) reducing the minimum age for certain CRC screening tests from 50 to 45 years and 2) expanding the regulatory …

Does Medicare Cover Cologuard? Yes, Here's How

    https://assurance.com/medicare-products/does-medicare-cover-cologuard/
    Does Medicare Cover Cologuard? Medicare does cover Cologuard, but only under certain circumstances. Specifically, Medicare Part B –or the portion of Original Medicare that’s responsible for medical …

Adding coverage for CPT code 81528, Cologuard (Multi …

    https://medicaid.ncdhhs.gov/blog/2018/07/02/adding-coverage-cpt-code-81528-cologuard-multi-target-stool-dna-based-colorectal-screening
    Cologuard for CRC is for males or females with average risk of CRC who are between the ages of 50 and 85. It is covered by Medicaid once every three years. Cologuard is not …



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