Cologuard® and insurance

Most insured patients pay $0*

Cologuard is covered by Medicare and most major insurers.

94%

Nationwide, more than 94% of Cologuard patients have no out-of-pocket cost for screening.*

Based on the Affordable Care Act, Cologuard should be covered by most private insurers with no co-pay or deductible for eligible patients (ages 50-75; at average risk for colon cancer; without symptoms).

Cologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85.

80%

Currently, 80% of Cologuard patients 45-49 have had no out-of-pocket cost for screening.*

Many national and regional insurers have begun paying for colon cancer screening at 45. Exact Sciences continues to work with payers to expand coverage and access for patients 45-49.

Find a specific insurer

Expand each of the categories below to look for your specific insurance plan. This is not an exhaustive list as plans are being added regularly.

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Medicare & Medicare Advantage|See details

Medicaid|See current list of states

Commercial Insurance: In-Network|Find your region

Last updated August 2020.

If you have any questions, Customer Care is available 24/7 at 1-844-870-8870

*Exact Sciences estimate based on historical patient billing from October 1, 2019 - January 31, 2020. Rate of coverage varies by state and region. Exceptions for coverage may apply; only your insurer can confirm how Cologuard would be covered for you.