Does Federal Blue Cross Cover Cologuard?

BCBS Association latest to cover colon cancer test Cologuard.

Chicago-based Blue Cross Blue Shield Association contracted with Exact Sciences Corp.

in Madison, Wis., to cover Cologuard — a cancer screening — as an in-network service for its policyholders.

BCBSA is comprised of 36 BCBS companies.

Does Blue Cross cover colonoscopy?

Blue Cross and Blue Plus health plans cover preventive colonoscopies for men and women ages 50 and older or for people whose doctors identify them as at-risk. There is no cost if you use an in-network provider.

Does Federal Blue Cross cover massage therapy?

Blue Cross covers massage for both rehabilitation and chronic issues. They cover a set number of massage and physical therapy appointments. Blue Cross for UAS employees covers 26 appointments per plan year of MMT. Federal Blue Cross covers massage for pain management and medical necessity.

How do you bill for cologuard?

Cologuard is only billed under CPT code 81528. This code was established by the American Medical Association CPT Editorial Panel (and recognized by Medicare) with an effective date of 1/1/2016.

How much does cologuard cost out of pocket?

As of March 2017, the list price of Cologuard is $649. Insurance may cover some or all of that amount depending on the patient’s insurance plan and benefits. We highly recommend that you call your insurer to ask whether your plan covers Cologuard and what if any out-of-pocket cost you may have prior to taking the test.