20% co pay for colonscopy on Medicare?

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teachpdx
Posts: 608
Joined: Wed Jan 16, 2013 12:29 am
Location: Portland, OR

20% co pay for colonscopy on Medicare?

Postby teachpdx » Mon Nov 06, 2017 6:56 pm

I was hit with a $400 co pay for my colonoscopy on Medicare's UnitedCare. I thought it was covered every two years for high risk and was told that it's a high risk procedure for cancer survivors (same colonoscopy) and considered outpatient surgery and therefore I was subject to a 20% copay.

Just would like to check in with anyone else under similar circumstances just to make sure that this is the way things are. If so it's not a very good incentive for survivors to get tested.

Thanks,

Kristi
4/24/12 RC T3N1M0 age 53
5/23-7/2 - 26 chemorad - Xeloda
7/16 Lynch- MSH2
8/28 LAR w/ temp ileo, CR, 0/11,M0, hysterectomy
10/13 6 cycles Xeloda - completed only 1 1/2 due to HFS
3/12/13 - reversal
8/13 NED
6/15 - HFS gone!

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dianetavegia
Posts: 2672
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia
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Re: 20% co pay for colonscopy on Medicare?

Postby dianetavegia » Tue Nov 07, 2017 2:35 pm

We have BCBS as primary but I'm Stage IV and got notified that for my MRI/ CT (allergic to dye) in April, Medicare said I'd met my lifetime max!!!!
Stage IIIB cc surgery 1/7/09. 5/17 nodes. 12 tx FOLFOX
Stage IVa 2/15/12. CEA 6.4 PET = 1.5cm liver met. HR 4/11/12 No chemo

Nine years 6 months since my original dx and Six years post liver resection.
NED April 2018!
“O Lord my God, I cried out to You, And You healed me.”
Psalms 30:2

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betsydoglover
Posts: 912
Joined: Mon Aug 14, 2006 2:31 pm
Facebook Username: Betsy Lindh Williams
Location: Maryland - outside DC

Re: 20% co pay for colonscopy on Medicare?

Postby betsydoglover » Tue Nov 07, 2017 4:57 pm

Do you have a Medicare Supplement policy? If not, there is a 20% copay for Medicare Part B (doc visits, chemo etc). If you do have a supplement then depending upon whether or not your supplement has a deductible and how much, the 20% may be covered. In my case, Medicare + Supplement picks up all charges.

Take care,
Betsy
diag. Stage IV, 5/05, liver met
lap sigmoid colectomy, 6/05
6 cycles Xeloda/oxaliplatin/Avastin (NED after 2)
11/08 9x13mm right lower lobe lung nodule; removed via VATS 4/09
NED
6 cycles Xeloda + Avastin
Avastin only 10/09-5/11
Still NED 06/18

teachpdx
Posts: 608
Joined: Wed Jan 16, 2013 12:29 am
Location: Portland, OR

Re: 20% co pay for colonscopy on Medicare?

Postby teachpdx » Tue Nov 07, 2017 6:56 pm

Thanks Betsy. I got things figured out. Turns out it should have been included with biannual care. Called provider & they took care of it.

Just figuring how to work with medicare and turns out going to provider should be first step and Unitedcare last.
4/24/12 RC T3N1M0 age 53
5/23-7/2 - 26 chemorad - Xeloda
7/16 Lynch- MSH2
8/28 LAR w/ temp ileo, CR, 0/11,M0, hysterectomy
10/13 6 cycles Xeloda - completed only 1 1/2 due to HFS
3/12/13 - reversal
8/13 NED
6/15 - HFS gone!


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