Issue Brief on Cost Sharing for Preventive Services in the Private Sector Setting (2012)
The Affordable Care Act requires that private plans provide all US Preventive Services Task Force (USPSTF) recommended preventative services with no cost sharing, including screening for colorectal cancer. This protection applies to new plans for plan years beginning on or after September 23rd, 2010.
Unfortunately, this consumer protection is not being experienced equally by all consumers. A consumer may or may not face cost sharing for a screening colonoscopy, depending on the provider they use, the insurer that administers their plan, or the state in which they live.
This Issue Brief gives an overview of how this consumer protection is being applied and what some of the issues are.