COLONOSCOPY

hrmania

Sorry for topic !!

Seems our self funded plan pays for this test/exam under the medical portion (copays, deductibles, percentages) if something is detected and removed as a result. If all is ok and nothing is done, they pay it under the wellness benefit up to its limit - as if it were an office visit etc. Naturally our employees don't understand why their neighbor benefited differently than they did.

Before just amending the plan (if that's what's decided) - I'd like to know how other plans handle this?

Can anyone offer comments?

thanks

ray a

We are self insured and this is covered like any other kind of prescribed medical test. Regardless of outcome, it is covered 100% minus $10 copay.

NeedCoffee

Ditto - we are partially self funded, and this is covered as a medical test covered at 100% after the patient's copay.

Dutch2

We are partially self-funded and this procedure falls completely under our medical portion. No co-pay, the total cost of the exam goes through the regular medical deductions for our ee's.

LindaS

We are a self-funded plan as well and ours does NOT cover a Colonoscopy UNLESS there is a medical reason for said procedure. If the procedure is done simply as a standard screening, no coverage. If there is a medical situation that calls for this procedure, it would be covered as any other medical claim relating to deductible/co-pay.