No Colonoscopies ... Alright!?!?!

[ins.dave]

MandM and I had a chat on this earlier.

[FONT=&quot]Preventive Services Covered under the Affordable Care Act - Preventive Services | Featured Provisions | About the Law | Understand the New Law | HealthCare.gov.[/FONT]

 

[taterpeeler]

MandM and I had a chat on this earlier.

[FONT=&quot]Preventive Services Covered under the Affordable Care Act - Preventive Services | Featured Provisions | About the Law | Understand the New Law | HealthCare.gov.[/FONT]

Ahh... Im no doctor but aint that how they find out about Colorectal Cancer ... dunno... im just a dumb insurance agent...

 

[arnguy]

Ahh... Im no doctor but aint that how they find out about Colorectal Cancer ... dunno... im just a dumb insurance agent...

You may not be a doctor, but you nailed it. Colonoscopy is considered the gold standard for detecting colorectal cancer. It is covered as stated on that page that ins.dave linked, i.e., "Colorectal screening for adults over 50." So my question is, what's ins.dave's point or am I missing something?

 

[JAngelson79]

The funny thing about this so called "free wellness" that our government has touted as such a big selling point is that it is based on the procedures and ages as outlined and recommended by the USPTF. Lotsa stuff is preventive at certain ages but prior to that diagnostic. A lot of people are in for a huge wake up call on just what this new "Gummint Wellness" actually means.

Justin in OH

 

[AllenChicago]

From the Healthcare.gov page:
Preventive Care and Services under the Affordable Care Act | HealthCare.gov

What This Means for You:
If your plan is subject to these new requirements, you would not have to pay a copayment, co-insurance, or any deductible to receive preventive health services, such as recommended screenings, vaccinations, and counseling.
For example, depending on your age, you may have free access to such preventive services as:

• Blood pressure, diabetes, and cholesterol tests;
• Many cancer screenings, including mammograms and colonoscopies;
• Counseling on such topics as quitting smoking, losing weight, eating healthfully, treating depression, and reducing alcohol use;
• Routine vaccinations against diseases such as measles, polio, or meningitis;
• Flu and pneumonia shots;
• Counseling, screening, and vaccines to ensure healthy pregnancies;
• Regular well-baby and well-child visits, from birth to age 21.

If you have questions about whether these new provisions apply to your plan, contact your insurer or plan administrator. If you still have questions, contact your State insurance department.

NOTICE THAT IS DOES NOT LIST "AGENT" AS A CONTACT.

-AC

 

[somarco]

You have to scroll to the bottom (no pun intended) and click in the link for additional information.

That takes you here.

Screening for colorectal cancer

The USPSTF recommends screening for colorectal cancer (CRC) using fecal occult blood testing, sigmoidoscopy, or colonoscopy, in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary.

Or you can read all about it here.
Is My Colonoscopy Covered By Health Insurance? | Georgia Insurance Shop.com

 

[ins.dave]

You may not be a doctor, but you nailed it. Colonoscopy is considered the gold standard for detecting colorectal cancer. It is covered as stated on that page that ins.dave linked, i.e., "Colorectal screening for adults over 50." So my question is, what's ins.dave's point or am I missing something?

Hello ... Arn?
Bubba, Colorectal screening is NOT A COLONOSCOPY.

Personally, I love this confusion. It will help bring some sanity to all this between now and 2012.
All the little who's in Whoville gonna find out the hard way after they line up for their "free" colon jobs that the Grinch did steal Xmas after all.
Da ru door eh, da ru door eh ...
LOL.

 

[Crabcake Johnny]

Sorry, but it's indeed covered under the A schedule - as previously posted:

Screening for colorectal cancer

The USPSTF recommends screening for colorectal cancer (CRC) using fecal occult blood testing, sigmoidoscopy, or colonoscopy, in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary.

http://prescriptions.blogs.nytimes.com/2010/05/21/do-insurers-have-to-pay-for-colonoscopy-now/

 

[ins.dave]

We'll see come claims time.
No apology necessary.

Item six of the A.C.A
Covered Preventive Services for Adults

• Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
• Alcohol Misuse screening and counseling
• Aspirin use for men and women of certain ages
• Blood Pressure screening for all adults
• Cholesterol screening for adults of certain ages or at higher risk
• Colorectal Cancer screening for adults over 50

*If it doesn't say Colonoscopy; I guarantee they won't pay for it.

 

[AllenChicago]

OK..since the government's word is not good enough for some, take a look at the new Benefit Summary sheets from your favorite insurer. For example, here is one from Blue Cross's Basic policy:

http://bcbsnm.com/pdf/benefits/sum_bluedirect_basic.pdf

Most of the major health insurance companies began covering routine colonoscopies at 100%, along with the other government mandated preventive care benefits on new policies effective 9/23/2010.

Even if we don't like "ObamaCare", these preventive care benefits and particularly the colonoscopies are huge selling points, particularly among the +50 year old crowd.

For the first time in years, leads are actually calling me after I fax out a quote with the Healthcare.gov preventive care summary page attached.

-AC