Aug 19, 2009 - 11:59 am
My sister's insurance - Aetna - denied her rad/onc prescription for IMRT since her cancer is listed as Stage 1B Grade 2. Nice! The radiologist doesn't feel that her cancer is acting like a stage 1B and has sent slide to MD Anderson Cancer Center in Houston to review her path. Has anyone else had to fight the insurance company on this and won? Also, what do they (the ins. company) have in place that allows them to over rule a doctor's orders? Are they practicing medicine without a license in the state of Texas? Don't get it at all! She can't have more surgery or very strong Chemo because of her heart and radiation is basically her only choice! Frustrating that you have to fight the cancer and the insurance!