A Reader Asks: If I Don't Have Insurance, How Can I Pay For A Colonoscopy? - ºÚÁϳԹÏÍø News /insurance/100713-michelle-andrews-question-on-colonoscopy/ ºÚÁϳԹÏÍø News produces in-depth journalism on health issues and is a core operating program of KFF. Thu, 16 Apr 2026 04:57:50 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.5 /wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=32 A Reader Asks: If I Don't Have Insurance, How Can I Pay For A Colonoscopy? - ºÚÁϳԹÏÍø News /insurance/100713-michelle-andrews-question-on-colonoscopy/ 32 32 161476233 A Reader Asks: If I Don’t Have Insurance, How Can I Pay For A Colonoscopy? /insurance/100713-michelle-andrews-question-on-colonoscopy/ /insurance/100713-michelle-andrews-question-on-colonoscopy/#respond Mon, 07 Oct 2013 05:50:00 +0000 http://khn.wp.alley.ws/news/100713-michelle-andrews-question-on-colonoscopy/ Q. I thought that colonoscopies are supposed to be performed at no cost under the Affordable Care Act. I need a colonoscopy, and I have no health insurance. My sister died at 42 of colorectal cancer, and I have the same symptoms that she had. A gastroenterologist recommended that I get a colonoscopy. The cost of the procedure will be $1,600, and I need to pay half of the money before having the procedure. What can I do?

A. You’re in a tough spot. Under the health care law, most health plans must cover  by the U.S. Preventive Services Task Force without any out-of-pocket cost to patients. The services covered include colonoscopies to screen for colorectal cancer.

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A Reader Asks: If I Don't Have Insurance, How Can I Pay For A Colonoscopy?

But if you don’t have health insurance, you can’t take advantage of the free preventive care provisions. Even if you did have coverage, because you have symptoms, your colonoscopy would be considered a diagnostic procedure rather than a standard screening, and that wouldn’t generally qualify as a preventive service under the law.

The federal Centers for Disease Control and Prevention runs a program that offers , although rules for eligibility can vary by state. There may also be local programs in your area. Call the American Cancer Society National Cancer Information Center (1-800-ACS-2345) for information, or check with your state health department, says Alissa Crispino, a spokesperson for the ACS Cancer Action Network.

This story was updated at 5:30 p.m. to add that state can set rules for eligibility for the CDC program.

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