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Alternatives to a Colonoscopy? Can’t Afford One...

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Ulcerative Colitis
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Posted 2/22/2021 9:33 AM (GMT -7)
Are there any alternatives to a colonoscopy that can diagnose the level of inflammation in UC?
We have come to the conclusion we don’t think Remicade is working for me ( 😭😭 ) as I only get relief for a week or so and have started to develop fissures. However my doctor wants to see the level of inflammation before switching. A colonoscopy will cost around $2000 as I haven’t met my deductible yet. I don’t have the funds for it at this time, and the center where I would have to get it done, expects payment in full.

Is there any more affordable alternatives to a colonoscopy that can assess the damage I have going on?
I already get routine bloodwork done every 4 week Remicade infusion, which shows high inflammation markers.
Posted 2/22/2021 10:12 AM (GMT -7)
You could do a fecal calprotectin test, which will be high if the inflammation is worst in the rectum and sigmoid colon. Might not help your case if the inflammation is more distributed along the colon. But really, a colonoscopy is the golden standard for diagnosing a flare. Would a flexible sigmoidoscopy be any cheaper, as that's quicker and can be done without a sedation (although not necessarily comfortable if you're flaring...)?
Posted 2/22/2021 10:28 AM (GMT -7)
The flex sigmoidoscopy is around the same price. I haven’t met my deductible which is $2000 then coinsurance kicks in at 80/20. The colonoscopy would be closer to $2500 and the flex sig would be around $2000 according to their estimates.. ☹️

I know I probably need it done, I just don’t know what options I have to afford it. Especially when they want it paid in full.

(That and I HATE getting them done. It’s pretty frustrating to have to pay thousands to feel like you’re being tortured for a day, even if it’s beneficial later on)
Posted 2/22/2021 11:21 AM (GMT -7)
Here is another option to consider. Medical facilities including drs have an option called Care Credit. It's a loan that is interest free I believe as long as the payments are made timely. This has been a popular for a few years, my dentist & vet offer this too.

It sucks starting over with the deductible mess.
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