From:  Colorectal cancer worldwide: epidemiological trends, economic burden, and the promise of AI-driven solutions

 Insurance coverage for colorectal cancer screening tests.

Insurance typeScreening tests coveredOut-of-pocket costsGuidelines and eligibility
MedicareColonoscopy, Sigmoidoscopy, Fecal Occult Blood Test, Stool DNA TestNo out-of-pocket costs for most servicesCoverage for eligible beneficiaries as per CMS guidelines
MedicaidColonoscopy, Sigmoidoscopy, Fecal Occult Blood Test, Stool DNA TestVaries by stateCoverage and eligibility criteria differ by state; states follow CMS and USPSTF recommendations
Private insuranceColonoscopy, Sigmoidoscopy, Fecal Occult Blood Test, Stool DNA TestNo out-of-pocket costs for most servicesCoverage mandated by ACA for plans starting on or after September 23, 2010; adheres to USPSTF recommendations

CMS: Centers for Medicare and Medicaid Services; USPSTF: U.S. Preventive Services Task Force; ACA: Affordable Care Act.