My husband is due for a colonoscopy. A few weeks ago my husband got an unsolicited text from Colonguard saying a shit box is coming in the mail for him - have yet to see it. Text says partnered with our health insurance at no cost. Ok.
Then I recieve one. Funny - I'm not due or at least coverage for colonoscopy won't start be available to me for a few years... so we'll see. I reported the number as I never asked for one. Never talked to a doc about it.
Their PR weasel on BBB keeps copy pasting "We only send them if a doctor perscribes." - to which virtually all say how can they perscribe if we never interacted to get one?
PR weasel - "Well we can't go into details HIPPA!" 
and it doesn't get billed to insurance if you don't send it in.
So....the company..er 
is mass spamming the country with shit boxes which cost them money and postage and manhours on the gamble people will take the bait.
And here's the hook - 
link. if you take the Colonguard bait, subsequent actual reccomended Colonoscopies might not be seen as "preventative" and thus NOT COVERED.
Edit
Some old school indie investigate journalism with recipts about the violation of unauthorized medical and personal information from 2023.
CareMount/Optum Patient Details Disturbing Saga of Cologuard Test Kits
