Posted on 02/09/2022 1:17:04 PM PST by George from New England
On medicare, 66 years young.
Cologuard and colonoscopy.
Seem insurance is pushing the 'pre-test' cologuard.
If one tests positive then one is supposed to get the invasive colonoscopy procedure.
I read that some insurance can rate or code a colonoscopy as a preventive procedure others as a diagnostic procedure. The costs can differ.
A positive on the cologuard creates the diagnostic code, where no cologuard prior is rated a preventative code.
Any freeper with feedback and first hand experience with these matters ?
The issue with Cologuard is that its NOT always reliable, so if it comes back positive for blood you will need a colonosocpy regardless and you might have extra worry over nothing or it can come back as negative and give you a false sense of security. Did your insurance company tell you if the cologuard comes back positive your colonoscopy will be covered? To me colonoscopy is best but it all depends on your insurance
I’m on my fifth colonoscopy, my last just 2 months ago with only 1 benign polyp found. The prep is far worse than the procedure and I have found a doctor I am actually good friends with and trust completely. I could use the cologuard test but why bother, if it’s positive you’ll have to have a colonoscopy anyway. My 2 cents.
All I can tell you is that Medicare paid for my colonoscopy.
Not sure if this will be helpful, but per my specific insurance situation and age (58), it was wiser to just jump in to the colonoscopy. Glad I did, as it turned out that the doctor wanted a second one, months later, to double check some things. Bottom line for me was greater peace of mind and mitigation of minor polyps. (Sorry for the “TMI”!)
I used the Cologard box to send a stool sample to theexpose.uk because they axed for donations.
I had two colonoscopies when I was on the insurance from work. Both showed benign polyps. I am now on Medicare and will be visiting a doctor soon to find out my colonoscopy options. They’ll probably try the Cologuard BS on me, too. I have Medicare with a plan G supplement. Do you have a supplement or a Medicare Advantage plan?
EXACTLY!! On the plus side, it's good to get a thorough cleaning out, once a year.
In Florida ... got one of the Advantages plans.
I and the wife do Aetna PPO each January for the dental benefit we can exhaust in 30 days, then we go to a cash back plan with an non-Aetna HMO for the rest of the year. HMO dental benefits suck.
I would not wish colon cancer on anyone. Yeah, a colonoscopy is somewhat unpleasant, especially the prep. But, the alternative far worse.
What do you do when the wife constantly pushes prunes on ya ?!
Agree with jumping to the colonoscopy. The cologard is $600 if you have used them within last three years because they call it “preventative.” Used it once, it was easy.
Thar being said, watch the colonoscopy prep. Sent me to the ER.
I took mine to the local dog park to get a sample. It came back cancer free, but it seems I have a mild case of distemper.
$600 ouch. That must be the ‘list’ price. No way insurance outfits pay $600.
correct = NO to the cologuard, yes to a SCREENING colonoscopy...
Is a Cologuard just a partial ???
The coloscopy finds polyps with cancer cells most of the way in ...
The partial would miss a lot ...
colonoscopy
Colo guard is the wipe it yourself and send it in within 48 hours route.
Ha ha! You rejoice that your colonoscopy pre-prep has already taken care of itself!
I have had 4 colonoscopies in the last 25 years.
1st, felt ok, tired the next day.
2nd, felt ok, tired for a couple of days.
3rd, hurt for a couple of days.
4th, hurt for a week.
Colo-guard was not available, and insurances only recently started covering it.
If given the option, I would go Colo-guard.
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