As colorectal cancer cases rise, gastroenterologists are urging patients to undergo screenings, but insurance loopholes are creating barriers.
Two key colonoscopy “loopholes” causing concern:
Bowel Prep Costs: A recent study led by Dr. Eric Shah of the University of Michigan revealed that many patients face out-of-pocket expenses for colonoscopy prep. Only 17% of patients reported no cost, while others were directed toward non-FDA-approved over-the-counter options. Medicare patients are particularly affected, with just 36% of prescription preps fully covered, and only 25% of Medicare Part D claims seeing no out-of-pocket fees. Dr. Shah warns that even minor costs could delay screenings: “If $19 keeps someone from getting screened, that’s a serious issue.”