Flexible sigmoidoscopy (screening)
Medicare Coverage Information
Overview
Medicare covers flexible sigmoidoscopy screenings as a preventive service to help detect potential colorectal cancer or other intestinal conditions. Eligible beneficiaries can receive this screening with no out-of-pocket costs when performed by a Medicare-approved healthcare provider.
- Screening helps detect potential colorectal cancer and other intestinal conditions
- Covered for eligible Medicare beneficiaries at low or no cost
- Typically covered every 4-5 years for individuals at average risk
- Must be performed by a Medicare-approved healthcare provider
- Screening is considered a preventive service
- Medicare Part B beneficiaries
- Individuals aged 50-75 at average risk for colorectal cancer
- Patients with a referral from a healthcare provider
- Those meeting specific medical criteria for screening
- No cost-sharing (no copayment or coinsurance) when performed by a Medicare-approved provider
- Screening is covered 100% if you meet Medicare's eligibility requirements
- Costs may vary if additional diagnostic procedures are required during the screening
- Must be medically necessary and recommended by a healthcare professional
- Frequency limited to once every 4-5 years for individuals at average risk
- Additional screenings may require medical justification
- Coverage may differ slightly between Original Medicare and Medicare Advantage plans
- Consult with your primary care physician about scheduling a flexible sigmoidoscopy
- Verify coverage details with your specific Medicare plan
- Call 1-800-MEDICARE for personalized coverage information
- Discuss your personal and family medical history with your healthcare provider
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicareflexible sigmoidoscopycolorectal cancer screeningpreventive careMedicare screening
Related Coverage Topics
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