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

Cover image
Does Medicare Cover RSV Vaccines?
Sep 13, 2023
Medicare Enrollment Periods stock image
Explaining the Different Enrollment Periods for Medicare
Feb 3, 2023
Sinusitis. stock illustration
Is Balloon Sinuplasty Covered by Medicare?
Dec 1, 2022
amazon box
What If I Don't Like My Plan?
Jun 8, 2020
Dames Point Bridge in Jacksonville, Florida stock image
13 Best Ways for Seniors to Stay Active in Jacksonville
Mar 3, 2023
Senior couple going over their finances in front of a computer stock image
How Much Does Medicare Part B Cost in 2023?
Dec 27, 2022
Saving money against a stopwatch stock image
What is the 8-Minute Rule on Medicare?
Dec 21, 2022
Four hands holding cut out image of kidneys stock image
Does Medicare Cover ESRD Treatments?
Dec 8, 2022
Cover image
Can I Change My Primary Care Provider with an Advantage Plan?
Aug 25, 2023
Cover image
Why You Should Keep Your Medigap Plan
Sep 21, 2023
Senior man receiving care from an optometrist stock photo
Does Medicare Cover Cataract Surgery?
Dec 22, 2022
a chart explaining different enrollment periods on medicare
How Do I Sign up for Medicare? A Simple How-To Guide For You
Apr 8, 2022
Orthopaedist at work treating a bunion, stock photo
Does Medicare Pay for Bunion Surgery?
Nov 29, 2022
Cover image
Is Fair Square Medicare Legitimate?
Jul 27, 2023
Medigap and Medicare Advantage arrows stock image
Can I switch From Medicare Advantage to Medigap?
Sep 14, 2022
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Fosamax?
Nov 30, 2022
Medicare at 62 stock image
Does Retiring at Age 62 Make Me Eligible for Medicare?
Jun 16, 2022
Nashville city skyline stock image
14 Best Ways for Seniors to Stay Active in Nashville
Mar 10, 2023

More of our articles

14 Best Ways to Stay Active in Charlotte

2023 Medicare Annual Election Period (AEP)

2024 "Donut Hole" Updates

2024 Cost of Living Adjustment

Are Medicare Advantage Plans Bad?

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Can I Choose Marketplace Coverage Instead of Medicare?

Can Medicare Help with the Cost of Tyrvaya?

Comparing All Medigap Plans | Chart Updated for 2023

Do I Need Medicare If My Spouse Has Insurance?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover COVID Tests?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Home Heart Monitors?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Incontinence Supplies?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Krystexxa?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Mental Health?

Does Medicare Cover Nexavar?

Does Medicare Cover Nuedexta?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Ozempic?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover Qutenza?

Does Medicare Cover Service Animals?

Does Medicare Cover Urodynamic Testing?

Does Medicare Cover Vitamins?

Does Medicare Pay for Varicose Vein Treatment?

Does Your Plan Include A Free Gym Membership?

Estimating Prescription Drug Costs

Explaining IRMAA on Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

How Are Medicare Star Ratings Determined?

How Do Medicare Agents Get Paid?

How Do Medigap Premiums Vary?

How Much Does Medicare Part A Cost in 2023?

How Much Does Rexulti Cost with Medicare?

How Much Does Trelegy Cost with Medicare?

How to Choose a Medigap Plan

Is Displacement Affecting Your Medicare Coverage?

Is HIFU Covered by Medicare?

Medicare 101

Medicare Consulting Services

Medicare Explained

Medigap vs. Medicare Advantage

Saving Money with Alternative Pharmacies & Discount Programs

Seeing the Value in Fair Square

The Fair Square Bulletin: February 2024

The Fair Square Bulletin: January 2024

The Fair Square Bulletin: June 2023

The Fair Square Bulletin: September 2023

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

What Does Medicare Cover for Stroke Patients?

What is a Medicare Beneficiary Ombudsman?

What Is the Medicare Birthday Rule in Nevada?

What People Don't Realize About Medicare

What's the Deal with Flex Cards?

Why Is Medicare So Confusing?

Will Medicare Cover it?

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 2024

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. © 2024 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