Cologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85.
| Payor | State |
|---|---|
| Traditional Medicare | National |
| Medicare Advantage | National |
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.
Last updated June 2020
Cologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85.
| Payor | State |
|---|---|
| Traditional Medicare | National |
| Medicare Advantage | National |
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.
| State |
|---|
| Arizona |
| California (Medi-Cal) |
| Colorado |
| Connecticut |
| Georgia |
| Idaho |
| Illinois |
| Indiana |
| Kentucky |
| Michigan |
| Minnesota |
| Mississippi |
| Missouri |
| Montana |
| New Mexico |
| New York* |
| North Carolina |
| Ohio |
| Oklahoma |
| Pennsylvania |
| South Dakota |
| Vermont |
| Wisconsin |
*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.
| Payor | State |
|---|---|
| Fallon Community Health Plan | MA |
| Neighborhood Health Plan of Rhode Island | RI |
| Tufts Health Plan | MA, RI |
| UnitedHealthcare Community & State | RI |
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%.