Fair Square Medicare Wordmark

How Does Medicare Cover Colonoscopies?

Modern endoscope in hands of experienced medical worker stock photo
By Daniel Petkevich
Dec 27, 2022

Medicare offers coverage for screening colonoscopies once every 2 years

Medicare might not pay for many preventative procedures, but a colonoscopy is an exception. This screening for colon issues is critical to maintaining an awareness of your body. Medicare offers coverage for colonoscopies, but the frequency and cost may change depending on your situation.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Overview of Medicare Coverage for Colonoscopies

Medicare offers coverage for screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer. If you aren’t at high risk, Medicare will cover the test once every 120 months or 48 months after a prior flexible sigmoidoscopy.

Who is Eligible for a Screening Colonoscopy Under Medicare?

Everyone is eligible for a colonoscopy screening. There are no age requirements. The key is making sure your healthcare provider accepts assignment.

What are the Costs Associated with a Colonoscopy Covered by Medicare?

If your doctor or other qualified healthcare provider accepts assignment, you won’t have to pay anything for the test. However, if your doctor finds and removes a polyp or other tissue during the colonoscopy, you will be required to pay 20% of the Medicare-approved amount for your doctor's services. In a hospital outpatient setting, you will also be responsible for 20% coinsurance.

How to Find Out if Your Doctor Accepts Assignment from Medicare

If you are unsure if your doctor accepts assignment from Medicare, you can contact your doctor’s office to find out. They should be able to provide that information for you.

Tips on Preparing for Your Colonoscopy Appointment

It’s important to prepare properly for your colonoscopy appointment. Here are some tips to help you get ready:
  • Schedule the procedure for a time when it won’t interfere with other activities
  • Read up on the preparation instructions from your doctor or healthcare provider
  • Discuss any medications you take, including vitamins or supplements, with your doctor
  • Follow the dietary instructions provided by your doctor or healthcare provider
  • Ask any questions you have to your healthcare provider prior to the procedure
By understanding the Medicare coverage for colonoscopies and how to prepare for it, you can make sure that you’re adequately prepared. If you still have questions or concerns about Medicare coverage for colonoscopies, you can contact your doctor or healthcare provider. They will be able to provide more information and help guide you through the process.

Conclusion

Medicare offers coverage for screening colonoscopies for those at high risk of colorectal cancer. If you are eligible, Medicare covers the cost of the test itself, with some exceptions depending on what is found during the procedure. Be sure to work closely with your doctor and hospital to understand all the costs associated with the procedure and to make sure that you are fully prepared for your colonoscopy appointment.
For more information about Medicare coverage for colonoscopies, contact your doctor or healthcare provider. They should be able to provide you with detailed information about what is covered and answer any other questions you may have. And for all your Medicare-related questions, call an expert at Fair Square Medicare today.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

A person with a shopping cart already containing medicaid and medicare sees Medigap options on a table. In a thought bubble, they ask "Should I get Medigap too?"
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Jan 7, 2023
senior man experiencing discomfort stock image
Does Medicare Cover Linx Surgery?
Dec 6, 2022
Mental health stock photo
Does Medicare Cover Mental Health?
Oct 12, 2022
Model of the lungs with the diseased part stock photo
Does Medicare Cover Ofev?
Dec 2, 2022
Gloved hands with a scalpel begin a knee replacement surgery
Does Medicare Cover Iovera Treatment?
Jan 11, 2023
stair lift stock photo
Does Medicare Cover Stair Lifts?
Nov 18, 2022
Cover image
The Fair Square Bulletin: July 2023
Jul 17, 2023
various cartoon scenarios showing long term care stock photo
Which Medigap Policies Provide Coverage for Long-Term Care?
Sep 16, 2022
Washington DC stock image
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Mar 11, 2023
Medigap on a post-it note surrounded by a stethoscope stock image
Do Medicare Supplement Plans Cover Dental and Vision?
Dec 8, 2022
Senior man receiving care from an optometrist stock photo
Does Medicare Cover Cataract Surgery?
Dec 22, 2022
doctor examining a patient's varicose veins stock photo
Does Medicare Pay for Varicose Vein Treatment?
Nov 18, 2022
Diagnosis overactive bladder stock image
Does Medicare Cover PTNS?
Dec 9, 2022
scleral lenses
Does Medicare Cover Scleral Lenses?
Dec 5, 2022
Medigap stock image
What Is Medical Underwriting for Medigap?
Apr 14, 2023
An illustrated image of a cartoon man using giant scissors to cut the "T" in the word "Tax"
How to Deduct Medicare Expenses from Your Taxes
Dec 28, 2022
Medsupp Thumbnail
Plan G vs. Plan N
Jan 28, 2022
Cover image
Fair Square Bulletin: We're Revolutionizing Medicare
Apr 27, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Philadelphia

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways to Stay Active in Charlotte

20 Questions to Ask Your Medicare Agent

2023 Medicare Annual Election Period (AEP)

Are Medicare Advantage Plans Bad?

Can Doctors Choose Not to Accept Medicare?

Can I Use Medicare Part D at Any Pharmacy?

Costco Pharmacy Partners with Fair Square

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Abortion Services?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Boniva?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover COVID Tests?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover INR Machines?

Does Medicare Cover Jakafi?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Krystexxa?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Nuedexta?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Piqray?

Does Medicare Cover Qutenza?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Service Animals?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover TENS Units?

Does Medicare Cover Xiafaxan?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Medicare Plan Cover B12 Shots?

Estimating Prescription Drug Costs

Explaining IRMAA on Medicare

Finding the Best Dental Plans for Seniors

Health Savings Accounts (HSAs) and Medicare

How Can I Get a Replacement Medicare Card?

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How is Medicare Changing in 2023?

How Much Does a Pacemaker Cost with Medicare?

How to Choose a Medigap Plan

How to Enroll in Social Security

How Your Employer Insurance and Medicare Work Together

Is Fair Square Medicare Legitimate?

Is Gainswave Covered by Medicare?

Medicare 101

Medicare Advantage Plans for Disabled People Under 65

Medicare Explained

Medicare Guaranteed Issue Rights by State

Medicare Savings Programs in Kansas

Seeing the Value in Fair Square

The Fair Square Bulletin: The End of the COVID Emergency Declaration

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What Are Medicare Part B Excess Charges?

What Does Medicare Cover for Stroke Patients?

What Happens to Unused Medicare Set-Aside Funds?

What If I Don't Like My Plan?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What to Do When Your Doctor Doesn't Take Medicare

Why Is Medicare So Confusing?

Will Medicare Cover Dental Implants?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M