Cologuard is covered by Medicare and most major insurers
Cologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85.
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).
Currently, ~74% of Cologuard patients 45-49 have had no out-of-pocket cost for screening.
- Many national and regional payers have begun paying for CRC screening at 45. Exact Sciences continues to work with payers to expand coverage and access for patients ages 45-49.
Exceptions for coverage may apply; only your insurer can confirm how Cologuard would be covered for you. Our team of specialists can help you contact your insurer and ask the right questions – please call us at 1-844-870-8870.
Exact Sciences estimate based on historical patient billing as of October 1, 2019. 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.