Uninsured and Underinsured

  Population considerations:

  • Low screening rates. Individuals with no or inadequate health insurance have the lowest colorectal cancer screening rates (Trivers, 2008).

  Strategies to address these considerations:

  • Mandate coverage. Several states currently have laws that require insurance coverage for colorectal cancer screening (Trivers, 2008). Requiring more states to provide insurance coverage for colorectal cancer screening may improve the screening disparity among uninsured and underinsured individuals.
  • Provide affordable tests. People will not undergo screening if the test is not affordable, so it is critical to provide tests and treatment options free of charge or at low cost. Arranging for free or more affordable access to screening preparation medication could decrease barriers to screening (Green, 2008). People must also know how to access affordable diagnostic tests or treatment if they receive a positive result (Natale-Pereira, 2008).

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