Preventive services

Article
Read time: 6 minutes

Why won’t the health plan pay for my colonoscopy?

The Affordable Care Act requires health plans to cover 100% of preventive services without any cost to the consumer. Most plans pay for preventive services recommended by the United States Preventive Services Task Force (USPSTF).

Sometimes, a patient’s medical history will cause a provider to code a colonoscopy as diagnostic because their case falls outside the USPSTF recommendation. If this happens to you, please ask your provider to submit a corrected claim to the insurance plan.

Please contact us with any questions.

Claims and Denials