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What is the ColonoscopyAssist Program About?

  • The ColonoscopyAssist program provides colonoscopy screenings and colon cancer support for the underinsured community.
  • Colonoscopy screenings are provided at an all-inclusive discounted rate of $1075 nationwide.
  • Screenings are provided completely free of charge in certain regions where funding is available.
  • Specialized support and help is provided for patients diagnosed with colon cancer.

Nationwide Colonoscopy Program

(For Patients with High Deductible Insurance)
 

Get your colonoscopy in 4 easy steps!
STEP 1
Request your
appointment
STEP 2
Return your
forms
STEP 3
Get your
appointment
confirmation
STEP 4
Go for your
Colonoscopy

FAQ - Frequently Asked Questions
 

What is the ColonoscopyAssist program for patients with health insurance coverage?

The ColonoscopyAssist program offers colonoscopy procedures nationwide for a subsidized rate of $1075.
If you have a high-deductible insurance plan, or certain other insurance plans that do not cover colonoscopies, it may be beneficial for you to use the program.
Please read this page in its entirety for additional details.

If you are uninsured, please visit the Program Details for Uninsured Patients page.

I have a high-deductible insurance plan. Does it make sense to use the program?

Yes. If you have a high-deductible insurance plan, the program allows you to limit your out-of-pocket colonoscopy costs to a maximum of $1075. Our $1075 rate is far lower than the rate negotiated by most insurance plans.
You will need to pay for the procedure out of pocket and then file a claim with your insurance plan using our receipt to count against your deductible. Please keep in mind that the claim will count towards your out-of-network benefits and not your in-network benefits.

For example: if you have a $5000 deductible, you can get your colonoscopy through the program by paying $1075 out of pocket. If during the year, your healthcare costs exceed $5000, you can submit your ColonoscopyAssist receipts to your insurance provider to get reimbursed for your colonoscopy.


I have a high-deductible insurance plan. When does it not make sense to use the program?

While our program could result in significant savings, there are a few situations when it does not make sense for you to use our program.

1) You intend to use up your deductible with other medical treatment before the end of the year.
If you plan on getting a significant amount of medical treatment during the remainder of the year, it is better that you use an in-network provider to get your colonoscopy. While you may have to pay significantly more out of pocket for your colonoscopy, it will allow you to use up your in-network deductible. This will result in you seeing savings towards the end of the year when you avail other medical treatment.

2) Your plan deductible is less than $1500.
In this case even though your colonoscopy or EGD will cost more out of pocket by using your insurance, your plan will cover most future medical expenses for the year since you have met your deductible.

 

My insurance covers a screening colonoscopy at 100%, but does not cover my colonoscopy if polyps are found. Does it make sense to use the program?

Some plans do not count your colonoscopy as screening if polyps are found. If you have such an insurance plan, using the ColonoscopyAssist program could help limit your out of pocket expense.

You would use the program and pay out of pocket for your procedure and submit your receipt to your plan for reimbursement. If polyps were found and your plan does not reimburse anything, your out-of-pocket cost is limited to $1075. If no polyps are found and your colonoscopy is considered as a screening, you would be able to recoup whatever amount your insurance will reimburse as out-of-network benefits.


Can I use my Health Savings Account (HSA) to pay for my colonoscopy?

Yes. You will receive an email receipt from ColonoscopyAssist that should be used when filing Form 8889 with your taxes. We highly recommend using your HSA account to pay for your colonoscopy. Most patients just use the debit card or check provided by their HSA account to pay.

 

Where can I have the colonoscopy procedure done?

ColonoscopyAssist offers the procedure at healthcare facilities across the United States. If you are ready to submit an appointment request, you will be able to choose the facility closest to you using our facility map tool. If you are not quite ready, just give us a call and a representative will be able to tell you the closest facilities based on your zip code.
Please pick your closest city here »

 

What does the $1075 flat rate include?

The $1075 flat rate is truly an all-inclusive rate. It includes all costs related to the procedure. There are no hidden charges or fine print and there is virtually no situation where you could see an additional charge. The price includes:

1) Physician fees
2) Facility fees including nurse costs
3) Sedation/Anesthesia costs
4) Removal of polyps
5) Pathology cost (Lab fees)

Note: Our fee includes the removal and pathology lab fees for an unlimited number of polyps and biopsies.
This is important as usually the colonoscopy fees does not include pathology costs which sometimes exceeds the cost of the procedure.

 

What does the $1075 flat rate not include?

1) Consultations. Consultations are usually not needed for patients going through the program.
However, if you would like a formal pre-procedure consultation or follow up consultation you will be responsible for charges associated with any consults requested. The program offers a discounted consult at approx $100.
Please do not confuse a follow-up consult with getting your results. A physician will briefly to talk to you prior to your procedure and after the procedure. This is included with our program.

2) Follow Up Care : Our procedure flat rate does not cover follow up treatment after the colonoscopy.

 

What if I have a lot of polyps or biopsies?

The whole point of the procedure is to find polyps. The discounted rate includes polyp removal and pathology for any number of polyps found without restriction. That means they could find 2,3 or even 12 polyps and you would not be responsible for any extra cost.
Usually, the cost of pathology is significant. Pathology from just 4 specimens could cost more than the price of the procedure.

 

I'd like to get a colonoscopy. What is the process?

The process is as follows:

1) The first step is to Request an Appointment by completing the appointment request form here. You may also call our appointment line at (847) 986 8999 during business hours.

2) Once the request is made, you will be given the option to select your closest facility via our facility selection map tool and complete your scheduling forms online. If you prefer, you may also ask for a representative to call you and assign a facility and physician on the phone.

3) You will receive an appointment confirmation within 3 business days after your paperwork is completed. The physicians office will give you prep instructions at the same time.

4) You go for your scheduled colonoscopy procedure.

 

What are the payment terms?

Payments can be made with a debit card, credit card, HSA card, check or money order and are due prior to the appointment date.
If you are unable to afford the entire payment at once, you can choose to apply for an interest free payment plan available via a grant.

 

Can I cancel or reschedule my appointment?

We understand that life is unpredictable. There is no obligation to go through with an appointment once scheduled. You can cancel your appointment up to 2 business days prior to your appointment without any penalty. If you've made a payment you will receive a full refund.

 

Do you schedule Upper Endoscopy procedures?

Yes. An Upper Endoscopy can be scheduled at a subsidized rate at the same time as a colonoscopy. The cost of an Upper GI Endoscopy is $975-$1175 if scheduled alone or $820 if scheduled with a Colonoscopy.
Just select the procedure in your scheduling forms.

 

Will I get my procedure reports and results?

The physician will briefly inform you about his/her findings directly after the procedure.
You will then receive a copy of your formal report from the program once it is available. A copy of your report is also sent to your primary physician.

 

How much does a colonoscopy cost on average?

Prices for colonoscopies vary greatly depending on the city and facility you go to. You have to keep in mind that a colonoscopy results in the patient being billed by 3-4 different entities. A patient should expect bills from:

  • Consultation charge/office visit
  • Physician Charge
  • Facility fee
  • Anesthesia fee
  • Pathology fee

Without insurance, a patient should expect to pay $2500 - $3000 for a colonoscopy. A considerable savings can be achieved if you schedule through ColonoscopyAssist.

 

Why is the cost of a colonoscopy significantly lower through the program?

ColonoscopyAssist was founded on the principle that more people will get screened if the procedure is made affordable. The cost of the procedure is kept low through the program to encourage underinsured individuals to get screened. The rate is achieved through physicians and facilities that accept a discounted rate because they believe in the mission of the program. The wonderful physicians that participate in the program are the real ones to thank.

 

Will the procedure hurt?

Colonoscopies do not hurt. They do make you feel uncomfortable. To make the experience pleasant, we have included sedation / anesthesia costs into the price. You will be comfortable during your procedure.

 

How do I get started?

Getting started is simple. You can Request an Appointment here.

 


Call Us

If you have questions about our program, call our office Monday to Friday between 9:00 a.m. and 4:30 p.m.

Did you know?

Pathology can sometimes cost more than the colonoscopy itself.
But you don't have to worry about that with the ColonoscopyAssist program. Pathology is included in our rate.