Health Insurers Must Cover Polyp Removal for Preventative Colonoscopies including polyp removal

Good news: Health Insurers Must Cover Polyp Removal for Preventative Colonoscopies No more out-of-pocket surprises for patients undergoing this lifesaving procedure.

This PPACA provision originally was interpreted by certain health benefits payors to apply only if the colorectal cancer screening colonoscopy found no polyps requiring removal. In cases where a polyp was found and removed, the procedure then became a polypectomy and some payors applied the full range of copays and deductibles. Colorectal cancer screening advocates, including PCC, have worked tirelessly since PPACA’s induction urging federal regulatory personnel for a more reasonable and patient-friendly interpretation of this provision and this recent announcement reflects their efforts.

This train of thought was certain to end badly for the insurance companies and that’s turned out to be the case.

 

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