Grandfather died of colon cancer at 43.
Went into my PCP at 40 asking for a colonoscopy, he said insurance wouldn’t cover it until I was 50.
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You shouldn't have to do this, but have you tried calling the colonoscopy practice and asking for a cash price? It might not be as expensive as you think.
Ask him to do a hemoccult (done in the office - doc sticks his finger up your a** and dabs it on a test material) or request a cologuard test (shit in a box at home and mail it to the lab! - loads of laughs driving cautiously to FEDEX!)
The hemoccult (FIT or FOBT) tests are <$100 and the cologuard ~$700. Your insurance will likely cover (esp. the hemoccult test) all the more if you tell doctor of your family background. Hemoccult tests were part of my routine annual physical for decades and there are no familial tendencies.
There are some caveats: e.g., avoid bloody foods in the days preceding these test (Chinese pigs' blood cubes, yummm!)