• SendMePhotos@lemmy.world
    link
    fedilink
    arrow-up
    11
    arrow-down
    1
    ·
    8 hours ago

    My insurance wouldn’t pay for my colonoscopy (colon cancer runs in the family) due to me being under 49. How the fuck am I supposed to mitigate it if I’m not allowed to fund it? Yall MFs know that I can’t pay you monthly premiums if you don’t keep me alive, right?

    • partial_accumen@lemmy.world
      link
      fedilink
      arrow-up
      5
      ·
      edit-2
      4 hours ago

      My insurance wouldn’t pay for my colonoscopy (colon cancer runs in the family) due to me being under 49.

      How long ago did you ask? The old guidance was at 50 years old, but with the guidance changing to 45 years old insurance should cover it if you’re at least 45. I went through a similar you did under the old guidance. I can confirm that my insurance paid and I’m under 50. Note, the one you want is a “screening colonoscopy”. These are covered under the ACA, I believe. If it is a “diagnostic colonoscopy” those cost more money. Its the exact same procedure for both.

      • bss03@infosec.pub
        link
        fedilink
        English
        arrow-up
        1
        ·
        3 hours ago

        On my 45th, instead of a colonoscopy, my Dr. had me do the “Cologuard” stuff. Insurance covered that. I turn 46 this year.

      • meco03211@lemmy.world
        link
        fedilink
        arrow-up
        3
        ·
        7 hours ago

        Low iron did it for me. Likely due to frequent double red blood cell donation (only as frequent as regulations allow). Scope went quick and easy and nothing concerning to note.

        • CerineArkweaver@lemmy.dbzer0.com
          link
          fedilink
          arrow-up
          2
          ·
          4 hours ago

          Dude I’m in the same boat. I just turned 40. I was having regular check-ins due to a run in with cancer (Testicular, Stage 1, caught it, beat it, done) and it just so happened that my check-ins were a few days after I would give blood. They straight up ordered me to stop giving blood for a while 🤣

          Still wound up with a colonoscopy because they wanted to check me out to make sure (clean as a whistle, and I had an upper endoscopy in the same visit)

    • frongt@lemmy.zip
      link
      fedilink
      arrow-up
      4
      ·
      8 hours ago

      That sounds like that would justify medical necessity. I would ask your doctor how they can get it approved, or your hospital’s patient advocacy office.

      Worst case, ask what happens if you want to do it with no insurance. Sometimes they can take the out-of-pocket cost way down.