Cologuard offers comprehensive support designed with your patients in mind Our specialized support services provide colorectal cancer (CRC) screening assistance for patients around the clock to help with every step of the screening journey Patients receive welcome outreach and various reminders that could include*:
Full Answer
What is the Cologuard financial assistance program?
Financial assistance is provided to patients unable to afford the tests. The program focuses on removing financial barriers to CRC screening. What is Cologuard? Cologuard is an easy noninvasive colon cancer screening test that can be used at home.
What is a ColoGuard test used for?
Rx Only Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer.
Who should not use Cologuard?
Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer.
How do I get Cologuard ®?
You can ask for Cologuard ® online, from the comfort of your home. Rx Only Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool.
What is the cost of the Cologuard through the ColonoscopyAssist program?
Where can I get the Cologuard done?
Who is Cologuard Right For?
What does a positive colonoguard mean?
What is a cologuard?
Is Cologuard a noninvasive test?
Do I need a referral or PCP to order the Cologuard?
See 4 more
What is the out-of-pocket cost for cologuard?
How much does Cologuard cost? The cost of Cologuard is around $500. Part of that cost may be covered by some insurances depending on your plan, co-pay, and deductible. Diagnostic testing is subject to deductibles and coinsurance.
Is cologuard covered under the Affordable Care Act?
The Affordable Care Act requires insurers to cover colon cancer screening at no cost to the patient. We believe that a follow-up colonoscopy after a positive screening result is part of the screening process, and it should also be covered at no cost to the patient.
What age does Medicare stop paying for cologuard?
Yes, Medicare will cover the cost of a Cologuard test every three years for those who qualify. Cologuard is the only stool-DNA test approved by the Food and Drug Administration for detecting colorectal cancer. Medicare Part B will cover a Cologuard test every three years if you: Are between the ages of 50 and 85.
At what age will insurance pay for a cologuard?
Stool DNA test (Cologuard): Covered at no cost* for those age 50 to 85 as long as they are not at increased risk of colorectal cancer and don't have symptoms of colorectal cancer (no co-insurance or Part B deductible).
Do insurance companies pay for cologuard?
Cologuard is covered by Medicare, Medicare Advantage, and Medicaid as well as many private insurance plans with no out-of-pocket costs. It is important to understand your insurance coverage if you begin with an at-home test and have a positive result.
Does insurance pay for colonoscopy after positive cologuard test?
New federal guidance released in January will soon require health insurance plans to fully cover the cost of a follow-up colonoscopy to evaluate a positive result from an MTs-DNA stool-based test (Cologuard) as well as a fecal immunochemical test (FIT).
How many polyps are normal in a colonoscopy?
Assuming that an endoscopist performs five colonoscopies on a daily basis, to reach an ADR of 25 %, more than five to six polyps must be detected for every five colonoscopies.
Should a 70 year old have a colonoscopy?
The guidelines: recommend screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75. recommend against routine screening for colorectal cancer in adults age 76 to 85 years.
At what age do you no longer need a colonoscopy?
There's no upper age limit for colon cancer screening. But most medical organizations in the United States agree that the benefits of screening decline after age 75 for most people and there's little evidence to support continuing screening after age 85.
Is cologuard cheaper than a colonoscopy?
Cologuard is not a replacement for colonoscopy —the preferred method of screening—but may be appropriate for people who might otherwise avoid colon cancer screening. Cologuard is also less costly than a colonoscopy and may be fully covered by insurance.
How often is cologuard covered by Medicare?
every 3 yearsA stool DNA test (Cologuard) will be covered by Medicare every 3 years for people 50 to 85 years of age who do not have symptoms of colorectal cancer and who do not have an increased risk of colorectal cancer.
What is the oldest age for cologuard?
As more younger adults are diagnosed with colorectal cancer, the FDA approved Cologuard, a stool-based, at-home colorectal cancer screening, for adults aged 45 to 49 years.
Does United Healthcare cover Cologuard test?
Effective July 1, United Healthcare will cover fecal DNA testing for patients 50 to 75 years old once every three years. The insurer became the latest to cover Cologuard.
Does Blue Cross Blue Shield of Illinois cover Cologuard?
Stool DNA (FIT-DNA or Cologuard®) every three years. Flexible sigmoidoscopy every five years. Computed tomography (CT) colonography every five years.
Is Cologuard covered at age 45?
–September 23, 2019 (NASDAQ: EXAS) – Exact Sciences Corp. announced today that the U.S. Food and Drug Administration (FDA) approved its noninvasive colorectal cancer screening test, Cologuard, for eligible average-risk individuals ages 45 and older, expanding on its previous indication for ages 50 and older.
Does Medicare pay for colonoscopy after age 75?
Colonoscopies. Medicare covers screening colonoscopies once every 24 months if you're at high risk for colorectal cancer. If you aren't at high risk, Medicare covers the test once every 120 months, or 48 months after a previous flexible sigmoidoscopy. There's no minimum age requirement.
How much does a colonoscopy cost without insurance?
Because screening for cancer should be affordable. 2100 Valley View Ln, Suite #490, Farmers Branch TX 75234 | Tel: (855) 542-6566 | Fax: (847) 847-2888
How Much Does Cologuard Cost? | HowMuchIsIt.org
Mark (17059, Pennsylvania) paid $1884 and said:Was it worth it? Yes
Cologuard Test: Pros and Cons, Safety, and Accuracy - Verywell Health
Cologuard is an at-home test that screens for colon cancer. It isn’t 100% accurate, though, meaning you still may need a colonoscopy. Learn why.
How much colonoscopy cost without insurance? | Program for self pay ...
Because Screening For Cancer Should Be Affordable. Nationwide Scheduling | Phone : 1-855-542-6566 | Fax : 847-984-1164
FIT Colon Cancer Screening Stool Test Cheap Low Cost Affordable
Because screening for cancer should be affordable. 2100 Valley View Ln, Suite #490, Farmers Branch TX 75234 | Tel: (855) 542-6566 | Fax: (847) 847-2888
What age can you use Cologuard?
helpful info. Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer.
Can you ask for Cologuard online?
You can ask for Cologuard ® online, from the comfort of your home. Rx Only
Is Cologuard a positive test?
The Cologuard test result should be interpreted with caution. A positive test result does not confirm the presence of cancer.
How to contact insurance for colonoscopy?
If you receive a bill for a follow-up colonoscopy, please call our Customer Care Center 24/7 at 1-844-870-8870 or visit our appeals page to create a customized letter to send to your insurance company.
Does Exact Sciences pay for colon cancer screening?
Many national and regional insurers have begun paying for colon cancer screening at 45. Exact Sciences continues to work with payers to expand coverage and access for patients 45-49.
Does Medicare cover colonoscopy?
People with Medicare Advantage may receive a bill for a follow-up colonoscopy that includes co-insurance (in varying amounts, depending on the plan) and a deductible.
Does Cologuard cost out of pocket?
Currently, 80% of Cologuard patients 45-49 have had no out-of-pocket cost for screening.*. Special Topic: Insurance for Follow-up Colonoscopy. It is important that you fully complete your colon cancer screening. If you have a positive Cologuard test result, you should discuss it with your healthcare provider and have a follow-up colonoscopy.
Can you use Cologuard with Medicaid?
Eligible patients who are actively enrolled in any State Medicaid program can access Cologuard. No payment will be expected from the patient unless the plan requires a co-pay.*
Is Cologuard covered by Medicare?
Cologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85. Payor. State. Traditional Medicare. National. Medicare Advantage. National. Medicaid | See details. Eligible patients who are actively enrolled in any State Medicaid program can access Cologuard.
What age can you use Cologuard?from cologuard.com
helpful info. Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer.
How does Cologuard work?from healthline.com
Cologuard tests for colon cancer by identifying abnormal DNA and traces of blood in the stool that precancerous polyps and colon cancer can cause. Your doctor will need to prescribe the test for you before you’re able to order a Cologuard kit. You can fill out a form on the company’s website that generates a customized order form ...
Why is Cologuard so popular?from healthline.com
Cologuard is gaining popularity because it’s far less invasive, and more convenient, than the traditional colonoscopy test. There are certainly some benefits to the Cologuard test for cancer screening, but there are drawbacks, too, including concerns about its accuracy.
How old do you have to be to get a colon guard?from healthline.com
The USPSTF recommends that adults in the United States between the ages of 50 and 75 years old get screened regularly for colon cancer.
How many false positives are there in Cologuard?from healthline.com
According to a 2014 clinical study, about 13% of results from Cologuard were false positives and 8% were false negatives. If you have a positive result, your doctor will recommend following up with a colonoscopy test.
What does a positive colonoguard test mean?from healthline.com
Positive results from Cologuard indicate that further testing is needed. People with a negative test result may have the option to avoid a colonoscopy based on the advice of their doctor.
When was the last time Cologuard was reviewed?from healthline.com
Last medically reviewed on August 3, 2020.
What to do if you have a positive colonoscopy?
If you have a positive screening result, you should discuss it with your healthcare provider and have a follow-up colonoscopy. The costs of this colonoscopy can vary based on your insurer, your specific benefits, and other factors. Only your insurer can tell you what they will pay and what they expect you to pay.
Does Kentucky cover colonoscopy?
Kentucky 5 and Oregon 6 have state laws that require some plans in those states to cover follow-up colonoscopies at no out-of- pocket cost to the patient.
Is Cologuard covered by Medicare?
Cologuard ® is covered by Medicare and most major insurers. Nationwide, more than 94% of Cologuard patients have no out-of-pocket cost for screening. *. Exact Sciences estimate based on historical patient billing from October 1, 2019 – January 31, 2020. Rate of coverage varies by state and region. Exceptions for coverage may apply; only your ...
Does Medicare pay for colonoscopy?
People with Medicare Part B 1 may receive a bill for a follow-up colonoscopy that includes co-insurance (typically 20%) and the deductible . People with Medicare Advantage may receive a bill for a follow-up colonoscopy that includes co-insurance (in varying amounts, depending on the plan) and a deductible.
How does Cologuard work?from healthline.com
Cologuard tests for colon cancer by identifying abnormal DNA and traces of blood in the stool that precancerous polyps and colon cancer can cause. Your doctor will need to prescribe the test for you before you’re able to order a Cologuard kit. You can fill out a form on the company’s website that generates a customized order form ...
Why is Cologuard so popular?from healthline.com
Cologuard is gaining popularity because it’s far less invasive, and more convenient, than the traditional colonoscopy test. There are certainly some benefits to the Cologuard test for cancer screening, but there are drawbacks, too, including concerns about its accuracy.
What is a colon guard test?from healthline.com
What is the Cologuard test? Cologuard is the only stool-DNA screening test for detecting colon cancer that is approved by the Food and Drug Administration (FDA). Cologuard looks for changes in your DNA that could indicate the presence of colon cancer or precancerous polyps that might be present in your colon.
What does it mean when a Cologuard test is negative?from healthline.com
Negative test results indicate that there was no abnormal DNA or “hemoglobin biomarkers” found in your stool sample.
How many false positives are there in Cologuard?from healthline.com
According to a 2014 clinical study, about 13% of results from Cologuard were false positives and 8% were false negatives. If you have a positive result, your doctor will recommend following up with a colonoscopy test.
How long does colon cancer last?from healthline.com
Colon cancer that’s detected at its earliest stage has a 90 percent survival rate 5 years after diagnosis.
What to do if colonoscopy positive?from healthline.com
If you have a positive result, your doctor will recommend following up with a colonoscopy.
What is the cost of the Cologuard through the ColonoscopyAssist program?from colonoscopyassist.com
The cost of the Cologuard DNA Test is $599. This includes cost of shipping the kit to your home and the return shipping of back costs.
Where can I get the Cologuard done?from colonoscopyassist.com
Cologuard is a laboratory test where the specimens are collected in the comfort of your home. A kit with instructions is mailed to you upon submission of an order. ColonoscopyAssist currently accepts orders from all 50 states.
Who is Cologuard Right For?from colonoscopyassist.com
If you are 50 and older and at average risk for colon cancer, Cologuard may be right for you. Cologuard is not for everyone. It is not a replacement for diagnostic or surveillance colonoscopy in high risk individuals.
How to remove polyps from colon?from mayoclinic.org
Talk with your doctor about your options. Look for more polyps. If you have had polyps before, your doctor may recommend a follow-up colonoscopy to look for and remove any additional polyps. This is done to reduce your risk of colon cancer.
What is the purpose of colonoscopy?from mayoclinic.org
During a colonoscopy, the doctor inserts a colonoscope into your rectum to check for abnormalities in your entire colon. A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to detect changes or abnormalities in the large intestine (colon) and rectum. During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum.
How long does it take to get a colonoscopy?from mayoclinic.org
A colonoscopy typically takes about 30 to 60 minutes.
What is the scope for colon?from mayoclinic.org
The scope — which is long enough to reach the entire length of your colon — contains a light and a tube (channel) that allows the doctor to pump air or carbon dioxide into your colon. The air or carbon dioxide inflates the colon, which provides a better view of the lining of the colon.
Who is eligible to receive a discounted Colonoscopy?from colonoscopyassist.com
To be eligible for the our discounted rate for a colonoscopy you must :
What does our colonoscopy flat rate include?from colonoscopyassist.com
Our flat rate is an all-inclusive rate. It includes all costs related to the procedure and there are no hidden charges. The price includes:
Where can I have the colonoscopy procedure done?from colonoscopyassist.com
ColonoscopyAssist offers the procedure at select participating healthcare facilities across the nation. At this time, colonoscopies are available for the fixed all-inclusive rates in most metropolitan cities in the country. You can look up the closest participating provider using the links below.
How does a colonoscope work?from mayoclinic.org
The doctor will insert a colonoscope into your rectum. The scope — which is long enough to reach the entire length of your colon — contains a light and a tube (channel) that allows the doctor to pump air or carbon dioxide into your colon.
How to remove polyps from colon?from mayoclinic.org
Talk with your doctor about your options. Look for more polyps. If you have had polyps before, your doctor may recommend a follow-up colonoscopy to look for and remove any additional polyps. This is done to reduce your risk of colon cancer.
What is the purpose of colonoscopy?from mayoclinic.org
During a colonoscopy, the doctor inserts a colonoscope into your rectum to check for abnormalities in your entire colon. A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to detect changes or abnormalities in the large intestine (colon) and rectum. During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum.
How long does it take to get a colonoscopy?from mayoclinic.org
A colonoscopy typically takes about 30 to 60 minutes.
What is the cost of the Cologuard through the ColonoscopyAssist program?
The cost of the Cologuard DNA Test is $599. This includes cost of shipping the kit to your home and the return shipping of back costs.
Where can I get the Cologuard done?
Cologuard is a laboratory test where the specimens are collected in the comfort of your home. A kit with instructions is mailed to you upon submission of an order. ColonoscopyAssist currently accepts orders from all 50 states.
Who is Cologuard Right For?
If you are 50 and older and at average risk for colon cancer, Cologuard may be right for you. Cologuard is not for everyone. It is not a replacement for diagnostic or surveillance colonoscopy in high risk individuals.
What does a positive colonoguard mean?
Positive Result : A positive result means that there is a high chance of Colorectal Cancer or precancer being present. You will be asked to follow up with a diagnostic colonoscopy.
What is a cologuard?
Cologuard is a laboratory test where the specimens are collected in the comfort of your home. A kit with instructions is mailed to you upon submission of an order. ColonoscopyAssist currently accepts orders from all 50 states.
Is Cologuard a noninvasive test?
Cologuard is an easy noninvasive colon cancer screening test that can be used at home. The advanced DNA test was FDA approved in 2014 after the most extensive study ever conducted and was quickly approved by Medicare, and was put on American Cancer Societies list of approved colorectal cancer screening tests ( Link ).
Do I need a referral or PCP to order the Cologuard?
Yes. Cologuard can only be ordered with a physician referral. You will need to provide either a referral or your providers information.
