InSure® ONE™

InSure ONE is the only FIT that is performed using toilet water collected from a single bowel movement.

  • The InSure ONE test is easier to use. To get a reliable sample, patients only need to gently brush the surface of the stool in water for about 5 seconds with the convenient, long-handled blue brush.
  • No other in-home test has this convenient, water-based collection method – if you have used a paintbrush, you can use the InSure ONE test.
  • There are no diet or medication restrictions associated with using InSure ONE.
  • With the InSure ONE test, samples are collected in the privacy of your home, then submitted to your doctor’s office or laboratory for analysis.

The InSure ONE test is available from your doctor. The Patient Collection Kit contains everything you need to collect and submit test samples for analysis.

How to collect a sample

Answers to common questions

Test requisition and insurance
The Physician Requisition portion of my Reply Form is not filled out. What do I do? If you have a copy of the Physician Requisition (also called a prescription or lab order) you may attach that to the InSure ONE test Reply Form. If you don’t have a copy, you will need to contact your physician to obtain their Client ID# (or Quest Account #), and the diagnosis code. Physician’s signature is not required unless you are a Medicaid patient within NJ, NY, PA, or MA. Will my insurance company pay for the InSure ONE test? The InSure ONE test is covered by most insurance companies.  If you would like to call your insurance company to verify their coverage, you would give them our test code “CPT 82274” and the “InSure Fecal Immunochemical Test” name. My Medicare Number doesn’t fit onto the reply form. What do I do? If your primary coverage is traditional Medicare (not Medicare Advantage), complete ONLY section 1. If you have received a new Medicare Beneficiary Identification Number (MBI), this will be 11 characters (alpha numeric) rather than the older 9 digit format, fill in the 11 character MBI below the area indicated for your Medicare number in section 1. If you still have the 9 digit format, fill in the spaces as indicated on section 1. If you have a Medicare Advantage plan (a Medicare plan administered by a commercial insurer, such as Blue Cross, United or other health plan) fill out section 3 ONLY.
Preparing to collect your sample
Do water softeners interfere with the test? Can I use the test if I use well water? No, water softeners do not interfere with the performance of InSure ONE. You can also use the InSure Test if your toilet uses well water. A rust ring is visible in the toilet bowl. Can I use the test? No. If the rust cannot be removed, the test must be performed in an alternate toilet. Do toilet bowl deodorizers / fresheners / cleaners interfere with the test? Yes, remove any deodorizers / fresheners / cleaners from the toilet bowl and flush the toilet twice prior to performing the test. Special Diets and Medications: Will I need to change my diet or medication routine in order to use the InSure ONE test?There are no dietary changes or drug restrictions associated with using the InSure ONE test. You do not need to change your diet or medications in any way before using the test. Should I use the InSure ONE test if I have hemorrhoids that are bleeding? No. Because the InSure ONE test detects blood in and around the stool, active bleeding from hemorrhoids could produce a false positive result. Can I do the InSure ONE test if I am menstruating? No. You should not perform the test three days before, during, or three days after your menstrual period. Because the InSure ONE test detects blood in and around the stool, active bleeding from menstruation could provide a false positive result. Can I do the InSure ONE test if someone in my house is menstruating? You can perform the test if someone else in the house is menstruating, provided that you flush the toilet twice before beginning your sample collection process. Will I have to handle my stool when using the InSure ONE screening test? InSure ONE is the easiest fecal immunochemical test available on the market today that only requires you to take a sample of toilet water. Using the long handled brush included in your collection kit, take a sample of water from the toilet bowel by brushing the surface of the stool in the toilet bowl for about 5 seconds, and then dab water only onto the test card sample pad. You repeat this again for the second sample pad. Sample collection is completed in minutes and does not require the user to collect, handle or smear fecal matter. Can a sample be taken from a stool not in water, or from used toilet paper? No. InSure ONE has been designed for collecting a sample of water surrounding the stool.
Questions about kit components
What are the blue bags for? The blue plastic bags have been supplied for the disposal of the toilet paper used when the patient is taking a bowel movement, in addition to the long-handled brush supplied in the kit after it has been used to collect and transfer the sample. How is the flap on the test card closed once the sample has been applied? A removable label located on the instructions or reply form provided with the collection kit is used to seal the flap on the test card. Remember to record your name, date of birth, and date the sample was collected on the label. I lost my envelope, where do I mail my test? Give us a call at 1-800-531-3681.  We can help determine the where you should mail your completed test.
Questions about results
I haven’t received my results, what do I do? Your results are sent to your physician, please check with your physician. Does a positive result mean I have cancer? A positive test only indicates that blood was detected in the sample collected and this may indicate lower gastrointestinal bleeding associated with disorders such as diverticulitis, ulcerative colitis, polyps, colorectal cancers or large adenomas that bleed. If you have a positive result, we strongly urge you to discuss the findings with your physician to establish the source of the bleeding and determine treatment, if appropriate.  In general, a further test of the colon and rectum (such as a colonoscopy) may be required.

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