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Old 08-21-2007, 12:00 PM
kerry kerry is offline
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Join Date: Jan 2002
Posts: 18,350
Medical insurance and colonoscopies

At my yearly physical, my primary care doctor recommended a colonoscopy since i'm 54. After scheduling it, I looked into my (Anthem BC/BS HMO) benefits. While it clearly states that I am entitled to a once a year colorectal examination as part of preventive services with a $25 co-pay, they say a colonoscopy is not a preventive screening but outpatient surgery with a $400 co-pay.
Has anyone else run into this? Seems to me that the insurance company is simply trying to avoid the costs by reclassifying a preventive screening into another category.
A quick google seems to indicate this may be going on elsewhere since it looks as if Texas (?) may have passed a law to get insurance companies to cover colonoscopies.
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