How much does insurance cover for a colonostomy?
Good morning, thank you for reaching out to us today to obtain clarification on your out of pocket cost for a colonoscopy.
According to your specific benefit plan, when performed for preventive purposes (no medical concerns are issue warranting the service to be performed) and in network, is payable 100% by your benefit plan.
If there is a medical concern, then benefits are payable at an 80% coinsurance level following your $3500 deductible being met.
There is a $7900 plan maximum out of pocket. This also applies to services performed in network.
The following posts may also provide additional guidance.
How do I find out my benefit information?
What providers are in my network?
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