TRICARE covers colonoscopy exams as follows:
- For individuals with hereditary non-polyposis colon rectal cancer syndrome, exams are available every two years beginning at age 25 (or five years younger than the earliest age of diagnosis of colorectal cancer, whichever is earlier), and then annually after age 40.
- For individuals who have first-degree relative diagnosed with sporadic colon rectal cancer or adenomas before the age of 60 or multiple first-degree relatives with colon rectal cancer or adenomas, exams are available every three to five years beginning 10 years earlier than the youngest affected relative.
- Once every 10 years beginning at age 45 for individuals at average risk for colon cancer.
- Computed Tomographic Colonography (CTC) is covered once every 5 years beginning at age 45 for individuals at average risk for colon cancer.
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
Last Updated 8/3/2023