A conversation: Medicare and Colonoscopy Alternatives

Posted on Posted in Interviews, Medicare, Patient Health

A few months ago Argie, my Medicare client, called asking whether her Medicare Advantage plan with $0 copay for preventative screening included a recent alternative to a colonoscopy. I hadn’t heard of this procedure and don’t like to guess so we both did some research. We learned, yes, since Medicare recognized this new screening as a covered service her Medicare Advantage plan is required to as well.  (Medicare Advantage Plans must cover all of the services that Original Medicare covers.)

Argie: “That’s when it dawned on me that there’s a lot of misinformation … So I took the matter into my own hands and did some independent research.”

Argie: “What I did find out in my research was, if you’re of the ages between 50 and 85 and you are a candidate …  if you’ve not had a test in the last three years, and if you are Medicare covered you are covered 100%, $0 copay, once every three years.”

The telephone interview:

As colonoscopy screening is one of the top five topics I regularly discuss with Medicare clients, Argie graciously agreed to share her insight by way of this telephone interview.


As a reminder, please discuss this topic directly with your physician and reference the guidance provided by
1) American Cancer Society: https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/screening-tests-used.html
2) Consumer Reports: https://www.consumerreports.org/colonoscopy/at-home-colon-cancer-tests/

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