Insurance and Billing

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

For Exact Sciences to be able to submit claims on your behalf to your state or Managed Medicaid plan for payment we also must be enrolled (‘signed up’) as a Medicaid provider in your state. The current list of states where Exact Sciences Laboratories is enrolled as Medicaid provider is listed here.

*Cologuard is a preventative service for NY Medicaid and members have no financial responsibility.

Sometimes, we can contract directly with Managed Medicaid plans in states where we are not enrolled as a provider. The current list of these Managed Medicaid plans and their locations are listed here.

What if I don’t see my state or plan listed here?

Please check back regularly as we continue to add new states and plans. Before you cancel your Cologuard test, stop and call our Customer Care Center at 1-844-870-8870 to request information about Exact Sciences’ financial assistance program. You may qualify for a discount of up to 100%.