
Cologuard®
and insurance
Most insured patients pay $0*
Cologuard is covered by Medicare and most major insurers.
Find a specific insurer
Expand each of the categories below to look for your specific insurance plan. This is not an exhaustive list as plans are being added regularly.
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Medicare & Medicare Advantage|See detailsCologuard is covered by Medicare and Medicare Advantage with no co-pay or deductible for eligible patients ages 50-85.PayorState
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Traditional MedicareNational
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Medicare AdvantageNational
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Medicaid|See current list of statesFor Exact Sciences to be able to submit claims on your behalf to your state or Managed Medicaid plan for payment, we also must be enrolled (“signed up”) as a Medicaid provider in your state. The current list of states where Exact Sciences Laboratories is enrolled as a Medicaid provider is listed here.State
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Arizona
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California (Medi-Cal)
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Colorado
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Connecticut
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Delaware
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Georgia
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Idaho
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Illinois
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Indiana
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Kentucky
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Maine
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Michigan
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Minnesota
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Mississippi
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Missouri
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Montana
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New Jersey
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New Mexico
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New York*
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North Carolina
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Ohio
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Oklahoma
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Pennsylvania
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Rhode Island
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South Dakota
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Tennessee
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Texas
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Vermont
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Virginia
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Wisconsin
*Cologuard is a preventative service for NY Medicaid and members have no financial responsibility.
Sometimes, we can contract directly with Managed Medicaid plans in states where we are not enrolled as a provider. The current list of these Managed Medicaid plans and their locations are listed here.PayorState-
Fallon Community Health PlanMA
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Health New EnglandMA
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Tufts Health PlanMA
What if I don’t see my state or plan listed here?
Please check back regularly as we continue to add new states and plans. Before you cancel your Cologuard test, stop and call our Customer Care Center at 1-844-870-8870 to request information about Exact Sciences’ financial assistance program. You may qualify for a discount of up to 100%. -
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Commercial Insurance: In-Network|Find your region
Select your region on the map to see if your insurance plan has contracted with Exact Sciences to be part of their preferred lab network.*
What does “In-network” mean?
“In-network” means that Cologuard has contracted with the insurer to be part of their preferred lab network, and the insurer will cover the cost of the test if you meet certain clinical criteria.
Some insurers have coverage and network limitations and exclusions. We recommend you call your insurer directly to confirm what they will pay, what they expect you will pay, and if any paperwork is required before you use the test.
Exact Sciences does not verify insurance coverage or eligibility.
*Even if your insurer is not in-network for Cologuard, it should be covered for eligible patients ages 50-75 with no co-pay or deductible, based on the Affordable Care Act.
*Please note that some insurers may be considered in-network with Exact Sciences Laboratories, but do not allow use of their company name or logo on our website. If you are unsure of your insurer’s status, please contact them directly for more information.
West
In Network Plans - Private Insurers
Midwest
In Network Plans - Private Insurers
South
Mid-Atlantic
Northeast
PayorState-
1199SEIUNY
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AetnaNational
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AgewellNY
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AllWays Health Partners, Inc. (fka Neighborhood Health Plan)MA
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Amerihealth New JerseyNJ
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Anthem Blue Cross and Blue Shield in ColoradoCO
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Anthem Blue Cross and Blue Shield – KentuckyKY
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Anthem Blue Cross and Blue Shield in Virginia (PPO only; HMO Healthkeepers/Healthkeepers Plus must obtain in-network exception)VA
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Anthem Blue Cross and Blue Shield – ConnecticutCT
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Anthem Blue Cross and Blue Shield – IndianaIN
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Anthem Blue Cross and Blue Shield – MaineME
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Anthem Blue Cross and Blue Shield – MissouriMO
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Anthem Blue Cross and Blue Shield – New HampshireNH
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Anthem Blue Cross and Blue Shield – OhioOH
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Anthem Blue Cross and Blue Shield – WisconsinWI
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Anthem Blue Cross and Blue Shield in NevadaNV
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Anthem Blue Cross of CaliforniaCA
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Arise Health Plan/WPS Health InsuranceWI
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AultcareOH
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Avera Health Plans, Inc.SD
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Beacon HealthME
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Blue Cross and Blue Shield of IllinoisIL
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Blue Cross and Blue Shield of KansasKS
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Blue Cross and Blue Shield of Kansas CityKS, MO
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BlueCross BlueShield of Michigan and Blue Care Network of Michigan (JVHL BCN Participating Provider)MI
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BlueCross BlueShield of NebraskaNE
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Blue Cross & Blue Shield of MinnesotaMN
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Blue Cross Blue Shield of North DakotaND
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Blue Cross Blue Shield of TexasTX
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Blue Cross and Blue Shield of MontanaMT
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Blue Cross and Blue Shield of New MexicoNM
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Blue Cross Blue Shield of ArizonaAZ
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Blue Cross Blue Shield of WyomingWY
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Blue Cross & Blue Shield of FloridaFL
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Blue Cross and Blue Shield of Georgia, Inc. (PPO only; HMO/Open Access POS must obtain in-network exception)GA
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Blue Cross of IdahoID
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Blue Cross & Blue Shield of LouisianaLA
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Blue Cross & Blue Shield of MassachusettsMA
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BlueShield of Northeastern New YorkNY
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BlueCross BlueShield of Western New YorkNY
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Blue Cross & Blue Shield of Rhode IslandRI
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Blue Cross and Blue Shield of VermontVT
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Blue Shield of CaliforniaCA
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BlueCross BlueShield of AlabamaAL
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BlueCross BlueShield of North Carolina (Participates in the Avalon Healthcare Solution network of laboratories)NC
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BlueCross BlueShield of South Carolina (Participates in the Avalon Healthcare Solution network of laboratories)SC
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BlueCross BlueShield of TennesseeTN
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Bright Health PlanIL, OH, OK, NE
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Bright Health PlanNY
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Bright Health PlanAZ, CO
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Bright Health PlanNC, TN
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Bright Health PlanAL, FL, GA, SC
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Capital BlueCross (Participates in the Avalon Healthcare Solution network of laboratories)PA
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Capital District Physicians’ Health PlanNY
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Care N Care Health PlanTX
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CareFirst BlueCross BlueShieldDC, MD, VA
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CareSource IndianaIN
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Centene - Ambetter of TennesseeTN
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Centene - Ambetter of North Carolina Inc.NC
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Centene - Arizona Complete Health (Ambetter and Allwell)AZ
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Centene - Health Net of CA (Commercial Exchange and Medicare Advantage)CA
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Centene - IlliniCare (Ambetter and Allwell)IL
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Centene - MHS (Ambetter and Allwell)IN
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Centene - Sunflower Health Plan (Ambetter and Allwell)KS
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Centene - Buckeye Health Plan (Ambetter and Allwell)OH
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Centene - Superior Healthplan (Ambetter and Allwell)TX
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Centene - MHS Health Wisconsin (Allwell)WI
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Centene - Home State Health (Ambetter and Allwell)MO
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Centene - Arkansas Health & Wellness (Ambetter and Allwell)AR
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Centene - Coordinated Care (Ambetter and Allwell)WA
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Centene - Trillium Community Health Plan (Med Adv)OR
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Centene - Health Net Health Plan of Oregon (Med Adv)OR
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Centene - SilverSummit Health Plan (Ambetter)NV
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Centene - New Hampshire Health Families (Ambetter)NH
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Centene - PA Health & Wellness (Ambetter and Allwell)PA
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Centene - Sunshine Health (Ambetter and Allwell)FL
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Centene - Peach State Health Plan (Ambetter and Allwell)GA
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Centene - Louisiana Healthcare Connections (Allwell)LA
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Centene - Magnolia Health (Ambetter and Allwell)MS
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Centene - Absolute Total Care (Ambetter and Allwell)SC
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CignaNational
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Contra Costa Health PlanCA
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Common Ground Healthcare CooperativeWI
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ConnectiCare, Inc.MA, RI, NY, CT
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Coquille TribeOR
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Culinary Health FundNV
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Dean Health Plan/Prevea360 Health PlanWI
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EmblemHealthNY
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Empire BlueCross BlueShieldNY
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Excellus BlueCross BlueShieldNY
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Fallon Community Health PlanMA
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Fidelis CareNY
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FirstCarolinaCareNC
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Florida Health Care Plans, Inc.FL
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Gateway Health Plan – HealthChoices (Med Adv)PA
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Geisinger Health PlanPA
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Global HealthOK
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Group Health Cooperative Eau ClaireWI
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Group Health Cooperative of South Central WIWI
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Harvard Pilgrim Health PlanMA
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Health Alliance Medical Plans, Inc.IL
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Health Alliance Plan of MichiganMI
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Health First Health PlanFL
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Health Net Federal Services, LLC (TRICARE West Region)*AK, HI, WA, OR, CA, ID, NV, UT,CO, AZ, NM, MT, WY
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Health Net Federal Services, LLC (TRICARE West Region)*TX, KS, MO, IA, NE, NM, ND, SD
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Health New EnglandCT, MA
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Health Plan of NevadaNV
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HealthChoiceOK
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HealthfirstNY
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HealthPartnersMN, IA, WI
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Health Tradition Health PlanWI
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Healthsmart World Trade Center Health PlanNY
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Highmark Blue Cross and Blue ShieldPA, WV, DE
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HMSAHI
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Hometown HealthNV
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Horizon Blue Cross Blue Shield of New JerseyNJ
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HumanaNational
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IdealCare by Sendero Health PlansTX
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Independent Health AssociationNY
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Indiana University Health PlansIN
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Johns Hopkins Employer Health ProgramsMD
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Johns Hopkins US Family Health PlanMD
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Kaiser Foundation Health Plan of WashingtonID, WA
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Maine Community Health OptionsME
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McLarenMI
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Medica Health PlansMN, IA, KS, NE, ND, SD, WI
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Medical Associates Health PlanIA, IL, WI
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Medical Mutual of OhioOH
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MedStar Family ChoiceMD
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MercyCare Health PlanWI, IL
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MHS WisconsinWI
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Moda HealthOR
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Molina HealthcareCA, NM, WA, UT, ID
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Molina HealthcareNY
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Molina HealthcareFL
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Molina HealthcareMI, OH, TX, WI
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Mountain Health CO-OPID, MT
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MS State and School Employees' Health Insurance PlanMS
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Neighborhood Health Plan of Rhode IslandRI
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Network HealthWI
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New Mexico Health ConnectionsNM
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Ohio State University Health PlanOH
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Optima HealthVA
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Oscar Health InsuranceAZ, CA, CO
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Oscar Health InsuranceTN, VA, PA
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Oscar Health InsuranceKS, MO, MI, TX, OH
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Oscar Health InsuranceNY, NJ
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Oscar Health InsuranceFL, GA
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PacificSource Health PlansOR, ID, MT
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Partners Health PlanNY
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Physicians Health Plan of Northern IndianaIN
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Physicians Health PlanMI
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Physicians PlusWI
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Piedmont Community Health PlanVA
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Preferred Health ChoiceIA, IL, WI
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Preferred OneMN
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Priority HealthMI
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Prominence Health PlanNV
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Prominence Health PlanTX
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Providence Health PlanOR
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Public Employees Health Plan (PEHP)UT
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Quad City Community HealthcareIA
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Regence BlueCross BlueShield of OregonOR
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Regence BlueCross BlueShield of UtahUT
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Regence BlueShield of IdahoID
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Regence BlueShield of WashingtonWA
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Rocky Mountain Health PlanCO
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Sanford Health PlanSD
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Scripps Health Plan ServicesCA
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SelectHealthID, NV, UT
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Sentara Health PlanVA
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Sierra Health and LifeNV
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SummaCareOH
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Total HealthcareMI
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Tufts Health PlanMA, RI, NH
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United HealthcareNational
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United Medical Resources (UMR)National
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University of Utah Health PlansUT, ID
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Unity Health PlanWI
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Univera HealthcareNY
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UPMCPA
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US Family Health Plan of New YorkNY
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Virginia PremierVA
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WEA TrustWI
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Wellmark Blue Cross and Blue Shield of IowaIA
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Wellmark Blue Cross and Blue Shield of South DakotaSD
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In Network Plans - Medical Groups And IPAs
PayorState-
Access Medical Group (HMO)CA
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Affinity Medical Group (CA)CA
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Austin Regional Independent Associates (ARIA)TX
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Axminster Medical GroupCA
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Brown and Toland Physicians (HMO)CA
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California IPACA
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Central Valley Medical Providers (CA)CA
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Choice Medical GroupCA
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Community Care IPACA
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Dignity Health Medical Foundation - Mercy Medical GroupCA
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Dignity Health Medical Foundation - Woodland ClinicCA
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Dignity Health Medical Network – Central CaliforniaCA
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Dignity Health Medical Network - Inland EmpireCA
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Dignity Health Medical Network - Santa CruzCA
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Facey Medical Group (HMO)CA
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Hospital Sisters Health SystemIL
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Humboldt IPACA
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Illinois Physicians AllianceIL
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John Muir Health Physician NetworkCA
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Lakeside Medical Organization, a Medical Group, Inc.CA
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Medi Choice IPACA
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Meritage Medical Network (HMO)CA
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Methodist First ChoiceIL
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Monarch HealthcareCA
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NorthBay HealthcareCA
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OSF Healthcare SystemIL
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Palo Alto Medical FoundationCA
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Physicians Association of IllinoisIL
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Physicians Care NetworkIL
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Premier Care IPACA
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Progress HealthIL
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Regal Medical Group, Inc.CA
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SanSum Clinic (HMO)CA
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Santa Clara County IPACA
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Sante Medical Group (CA)CA
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Scripps Coastal Medical Center (CA)CA
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Scripps Coastal Medical Group (CA)CA
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Scripps Physician Medical Group (CA)CA
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Seoul Medical Group (HMO)CA
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Sinai Medical GroupIL
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St. John's Health CenterCA
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Sutter East Bay Medical FoundationCA
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Sutter Gould Medical FoundationCA
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Sutter Independent PhysiciansCA
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Sutter Medical FoundationCA
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Sutter Pacific Medical FoundationCA
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Swedish Covenant Physician PartnersIL
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Torrance Health IPACA
* TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved
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Last updated February 2021.
*Exact Sciences estimate based on historical patient billing from October 1, 2019 - January 31, 2020. Rate of coverage varies by state and region. Exceptions for coverage may apply; only your insurer can confirm how Cologuard would be covered for you.