21 Apr, 2021 → by ClaimboUser82933
Will not cover a follow-up SCREENING Colonoscopy
1
I had a cologuard test and received a positive, as exact sciences recommends, I got a colonoscopy to verify the results nothing was found at all. I filled an appeal, and want a third party review, but I am told I am not eligible because they did cover it with cost sharing. My case rep was a jerk, and I want another, but they will not let another review. We all need to fight this, if they cover the cologuard test they need to follow the cologuard guide lines and cover a follow-up screening especially if it is a FALSE positive. BCBS MASS is benefiting significantly financially with this policy, and it is illegal. they are saying it is diagnostic based on a false result. User's recommendation: keep fighting fighting fighting.