Under an Affordable Care Act plan, this is considered a recommended preventive service and must be covered without any cost-sharing to you. You can appeal this claim starting with the internal appeals procedure your insurer must provide you. Federal guidance currently requires insurers to cover the removal of any growths or polyps removed during a colonoscopy performed as a screening procedure. (CMS, Affordable Care Act Implementation FAQ – Set 12, Feb. 20, 2013).
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