Originally Posted by kerry edwards

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.