Colonoscopy: Diagnostic vs Preventative

Date: 10/25/22

Preventative and Diagnostic colonoscopies are an important part of maintaining members’ overall health. Keeping members informed about how a screening could result in potential out-of-pocket costs is a key factor in maintaining a positive member experience. Here are a few ways your practice can prepare members for their upcoming colonoscopy.

• Prior to scheduling, verify patient benefit coverage and cost responsibility for both a preventative and diagnostic screening utilizing the online provider portal or member services

• When scheduling members for the procedure provide member benefit coverage and cost for both preventative and diagnostic screenings

• Discuss when a preventative colonoscopy becomes diagnostic and any concerns members may have related to potential out-of-pocket cost

• Talk about the significant benefits of a colonoscopy including when it comes diagnostic and cost share is involved

• Offer the option of a payment plan or financial assistance where available and applicable