Published on March 27, 2025

Colorectal Cancer: Why Early Screening Can Save Lives

Doctor explaining to patient with colon diagram

Colorectal cancer is the third most common cancer diagnosed in both men and women in the United States—but it’s also one of the most preventable. In fact, when caught early, the five-year survival rate for colorectal cancer is about 90%. Colorectal cancer is challenging because it often begins quietly, developing from small, benign polyps in the colon or rectum that can turn cancerous over time.

While age, family history, certain genetic syndromes, a sedentary lifestyle, and diet all play a role in your risk, an unsettling trend is emerging: colorectal cancer rates are climbing among younger adults. Early detection through routine screening is essential for improving treatment outcomes and preventing the progression of precancerous polyps. The American Cancer Society recommends that individuals at average risk begin regular screening at age 45—a guideline that Medical Associates Health Plans follows by offering coverage for earlier testing.

Screening can stop colorectal cancer before it starts. Here’s what to know:

  • Beginning at age 45, individuals with an average risk of colorectal cancer should undergo regular screening using one of the following options, depending on personal preference and availability:
    • Annual FIT (Fecal Immunochemical Test)
    • Annual gFOBT (Guaiac-based Fecal Occult Blood Test)
    • Stool DNA test every three years
    • CT colonography or flexible sigmoidoscopy every five years
    • Colonoscopy every 10 years
  • A positive result on a non-colonoscopy test should always be followed by a timely colonoscopy.
  • Adults in good health should continue screening through age 75.
  • Screening decisions between ages 76 and 85 should be made with your healthcare provider.
  • Screening is generally not recommended after age 85.

Some people may need to start screening earlier or more frequently. If you’re at higher risk, talk to your provider about the best screening plan for you. Risk factors include:

  • Inflammatory bowel disease such as Crohn's disease or ulcerative colitis.
  • A personal or family history of colorectal cancer or colorectal polyps.
  • A genetic syndrome such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (Lynch syndrome).
  • If you’re at higher risk, your provider can help you determine when to start.

With Medical Associates insurance, you have access to a variety of doctors, specialists, and other medical providers. If you have questions about screening options or when to begin, contact your primary care provider (PCP). If you are looking to find a PCP that is covered by your insurance, click here to search your network.

Sources:
https://www.cdc.gov
https://www.cancer.gov