The Kaiser Family Foundation, working with the American Cancer Society and the National Colorectal Cancer Round Table, today released results of its investigation into the problem of patients being billed unexpectedly for costs of colonoscopies initiated at routine screening tests. Fight Colorectal Cancer was one of the organizations that contributed to the report.
One way the new federal Affordable Care Act (ACA) aims to reduce medical spending is to improve cost-effective screening that prevents or detects diseases before they become complicated and expensive to treat.
But consumer complaints reveal that, for screening colonoscopies in particular, consumers are getting unexpected bills when insurers decide their colonoscopies were no longer “screening” procedures. Instead of providing full coverage required by the ACA federal law with no cost-sharing, patients may be charged either copayments or deductibles. Read the rest of this entry »