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.
More than 85%* of all 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). Some exceptions may apply, so we recommend patients call their insurer to confirm.
Billing
We highly encourage patients who receive a bill with out-of-pocket responsibilities after using Cologuard to call 1-844-870-8870 and speak with a member of our Patient Support Team to discuss appeal support.
*Rate of coverage varies by state and region. Coverage rate only applies to Cologuard screening population.
