2013-04-02 12:51:14 UTC

Feds Halt Cost Sharing for Polyp Removal in Colonoscopy

April 4, 2013

Private insurers will no longer be allowed to charge patients copayments or co-insurance when they have polyps removed during a colonoscopy.

Under the Affordable Care Act, most insurers are prohibited from imposing cost-sharing on patients for several recommended preventive screening procedures, including colonoscopy. 

However, some health plans had been charging copayments or co-insurance when polyps were removed during the procedure. In February, the Department of Labor clarified that polyp removal is "an integral part of colonoscopy" and plans cannot charge patients for that part of the procedure. The move was praised by the AGA, which along with other physician groups, had been pushing the government to make that policy clear.

Read more on this issue in GI & Hepatology News.

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