Screening flexible sigmoidoscopies

Screening flexible sigmoidoscopies

Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 50 or older. If you aren’t at high risk, Medicare covers this test 120 months after a previous screening colonoscopy.

Your costs in Original Medicare

You pay nothing if your doctor or other qualified health care provider accepts 

Assignment

.

If a screening flexible sigmoidoscopy results in the biopsy or removal of a lesion or growth during the same visit, the procedure is considered diagnostic and you may have to pay 

Coinsurance

 and/or a 

Copayment

, but the Part B 

Deductible [glossary]

 doesn’t apply.

Note

To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:

  • Other insurance you may have
  • How much your doctor charges
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

Note

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.

 

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