Table 2.

Colorectal Cancer (CRC) Screening Recommendations and Covered Preventive Services for Asymptomatic Adults Aged 50 to 75 in Hawai‘i

	CRC Screening Recommendations		Covered Preventive Services in Hawai‘i
CRC Screening Option	US Preventive Services Task Force (USPSTF)	ACS-MSTF-ACRa,b	Medicarec	Hawaii Revised Statute (§ 431:10A-122)	Affordable Care Act
Colonoscopy	Every 10 years	Every 10 years	Covered every 10 years or 4 years after a sigmoidoscopy. No age restrictions.	Covered according to USPSTF recommendations	Covered according to USPSTF recommendations
Flexible Sigmoidoscopy	Every 5 years, combined with high sensitivity FOBT every 3 years	Every 5 years	Covered every 4 years or 10 years after a colonoscopy for routine screening with. Restricted to individuals 50 years or older.
High Sensitivity Fecal Occult Blood Test	Every year	Every year	Covered every year. Restricted to individuals 50 years or older.
Fecal Immunochemical Test	Every year	Every year	Covered every year. Restricted to individuals 50 years or older.
Double Contrast Barium Enema	Not addressed	Every 5 years	Covered ever 4 years with co-pay. Restricted to once every 4 years for individuals 50 years or older.	Not covered	Not covered
Computed Tomographic Colonography	Not recommended	Every 5 years	Not covered	Not covered	Not covered
Stool DNA Test	Not recommended	Recommended, frequency not determined	Not covered	Not covered	Not covered

^aGuidelines developed by the American Cancer Society, Multi-Society Task Force on CRC, and the American College of Radiology

^bApplies to all adults 50 years and older

^cSource: Colorectal cancer screenings. Medicare.gov