by Chris Huckins Google+ Email 


20 February 2013

Obamacare Changes How You Pay for Colonoscopies

Posted in Latest News

Obamacare Changes How You Pay for Colonoscopies

    It may be a small, very specific regulation adjustment, yet it'll change how we discuss Obamacare and interject with “ifs, ands, or buts” (no pun intended).  Today, the Department of Labor’s FAQ page was updated to stick it to insurers who bill unknowing patients under anesthesia.

    The nature of the question raised was that if a patient attends a colonoscopy screening, it’s considered preventive care and therefore the patient won’t be billed under the law of Obamacare (aka PPACA, Patient Protection and Affordable Care Act). Commonsense tells us that if no pre-cancerous or cancerous growths are found during the colonoscopy, the insurer pays the entire bill. However, if the doctor undergoing the colonoscopy discovers a polyp and removes it (since this is recommended as part of colonoscopies), will the insurer impost cost-sharing for the procedure, i.e., will the patient now have to pay?

    The answer given by the Department of Labor, based off the expertise of every Gastrointestinal-related College, Society, and Association, e.g,  American College of Gastroenterology, American Gastroenterological Association, American Society of Gastrointestinal Endoscopy, and the Society for Gastroenterology Nurses and Associates was no.

    This was a huge win not only for colonoscopy enthusiasts, but Americans who procrastinate visiting the doctor and may otherwise enjoy peace of mind. When asked by a Kaiser Public Opinion poll, 58% of Americans said they delayed or skipped healthcare services in the last year because they feared costs would be too high. Landmark decisions to the colonoscopy question may lead to others asking, “If a mole turns out to be cancerous and requires removal, will I be billed?” Or “If my molar is infected and needs immediate extraction, will I have to pay?” and more squeaky wheels mean more regulation changes for good, not profit. It’s scary not knowing what’s going on in your body but even scarier not knowing how much it’ll cost to fix.

    Sign up for insurance today to enjoy peace of mind once you make that overdue visit to the doctor.  Call us at 818.251.5000 or visit our site for a free instant quote.