FAQs

Get answers to frequently asked questions.

Get Answers

Log in to our community to ask questions, rate articles, comment and more.


Facebook YouTube LinkedIn

Home » Questions And Answers » is a colonoscopy covered?

is a colonoscopy covered?

timload

Hello,  I'm a retired AT&T employee.... ID # -, Group # 

I'm in need of a colonoscopy.  I called BCBS of Ill and was told my 5 year test is covered yet the colonoscopy place says I need to pay $800 plus $600 as my colonoscopy is 'diagnosis' vs 'routine' because I had polyps removed 5 years ago.  My wife had the same scenario and paid >$100 in 2022.   I need to know why Gastrologist office is not labeling my procedure as 'routine' vs 'diagnosistic'.  Seems like a routine colonoscopy from my view.  

If I am out of pocket $1,400 for diagnostic.......Can I go to a new place for a 'routine' colonoscopy to lessen my out of pocket?

thanks!  Tim 

  • 0

    Hi Tim, We ask that you please edit your post to remove your Id number in order to keep your information secure.

    You will need to speak with your provider to see why they are labeling your procedure as diagnostic, as they are the ones who determine that. It would also be up to any other provider you see to determine how they would bill their claim if you switched to them for your procedure. ~ KW

Related

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

© Copyright 2024 Health Care Service Corporation. All Rights Reserved.

Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois.

Adobe pdf icon File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com.

leaving site icon You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. Some sites may require you to agree to their terms of use and privacy policy.

Powered by Telligent