Getting Insurance to Pay for Screening Procedures

Last Modified: November 1, 2001

Share article

Dear OncoLink "Ask the Experts,"
My family is being followed by two universities for Hereditary Non-polyposis Colon Cancer (Lynch Syndrome II). My insurance will not pay for the screening colonoscopies that are recommended yearly. They say without symptoms, it is merely a screening procedure. I say it is early detection surveillance. I have appealed at several levels—sent supporting letters, one from Dr. Lynch himself. The insurance Commission says that because my company is self insuring, they have no control over them. I do not know how to proceed—this is an $800 procedure. Suggestions would be helpful, thanks.

We suggest that you inform your physician that you have exhausted every reasonable effort to receive coverage for the colonoscopy. He or she may be able to determine if funds can be made available through the university(s) to support ongoing research projects. They may also be able to petition the university to determine if the billing entities involved would consider either discounting their fees or providing the service "gratis". In addition, if you are participating in an ongoing research project, there may be funding available through the agency sponsoring the research to pay for the test.cancer.

I Wish You Knew

How an oncology social worker can improve your cancer experience

View More

Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.

OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More