Cancer Survivors Network

Hi Aeaea,

I do not know about finding a good inexpensive second opinion, or about the best places to go for a second opinion, but I recently obtained another opinion from a gynocological oncologist. I have not received a bill as yet, but will let you know when I find out the cost. My oncologist is also not a gynocological oncologist. My thought was that a gynocological oncologist sees only gynocological cancer all day, every day, and would thus have the most relevant knowledge and current information. I am really glad that I was able to get the additional information for peace of mind. Also my treatment plan will now likely be changed somewhat.

Many good wishes!!

SI

Aeaea, I would suggest that you check out a Univerity Medical setting in your State....they usually have a gyn oncologist. I did go to a University for a second opinion and although Medicare paid for the second opinion, I don't think the consultation was over 300.00.

Good luck!

Karen

Where I live there are only two gynecological oncologists, and they share a practice. I decided that I needed a second opinion after I received the UPSC diagnosis and my gyn/onc's treatment recommendations. The next nearest gyn/onc was actually in another state. He had been recommended by a gyn/onc who is a close friend of mine but lives in another country. I called my health insurance company and told them I wanted to have a second opinion by a gyn/onc and the closest was in another state. I found that the person I wanted to see was not on my insurance company's list, but another doctor in the same practice WAS on the list. I called that practice and was told that the doctor I wanted to see indeed WAS on the list and had a contract with my company. That really surprised me. My husband said not to worry, that we would pay out of pocket if necessary. The total charges for having my slides sent and reviewed and for the consultation and examination by the doctor were $1,750.75. Because of the doctor's contract with the insurance company, $963.44 was written off. My insurance company paid $787.31 and I paid nothing. Of course by that time I had already paid my annual insurance deductible in full.

Be sure to call your insurance company and find out as much as you can about getting a second opinion. I was surprised that my company would pay for me to see a doctor in another state. Also call the doctor you would like to see for the second opinion and find out how much they charge for everything you need and if they know of a way to receive payment from your insurance company.

It's always something, isn't it!

Good luck and a big hug!

Sally

I just had that conversation with my gynological oncologist yesterday. I was Stge 3A, Grade 3,diagnosed 11/08. My treatment regimen was similar to many here-hysterectomy/oopharectomy (no pelvic lymph node spread) followed by the "sandwich protocol" which was 3 treatments carboplatin/taxol, then 6 weeks external radiation, 3 brachytherapy to viginal cuff, then 3 more Carboplatin/taxol. My CA 125 is a diagnostic marker as it went from 450 post surgery down to 9. First 3 month check up was okay- CA 125 went up to 21. But next 3 month was 179 and CT/PET showed activity in lymph nodes near liver. Biopsy confirmed it was recurrence anf I am scheduled to meet on targeted radiation tomography tomorrow.With a recurrence only 6 months out from treatment, I am shaken and want to consult with another major cancer center even though I really like and trust my doctor. He was great and he said he had no ego on the topic and it is my life. He felt 2 best institutions were UAB or M.D. Anderson. I chose M.D. Anderson becasue they have worldwide reputation, large gyn oncology dept including genetics, and seem to be very active in getting clinical trials (one upcoming involving Herceptin being used for UPSC as it has proven effective for breast cancer. he did say his experience is that most insurance does pay for second opinion/consulltation but was not sure about travel to the facility. Hope that helps.m

I just had that conversation with my gynological oncologist yesterday. I was Stge 3A, Grade 3,diagnosed 11/08. My treatment regimen was similar to many here-hysterectomy/oopharectomy (no pelvic lymph node spread) followed by the "sandwich protocol" which was 3 treatments carboplatin/taxol, then 6 weeks external radiation, 3 brachytherapy to viginal cuff, then 3 more Carboplatin/taxol. My CA 125 is a diagnostic marker as it went from 450 post surgery down to 9. First 3 month check up was okay- CA 125 went up to 21. But next 3 month was 179 and CT/PET showed activity in lymph nodes near liver. Biopsy confirmed it was recurrence anf I am scheduled to meet on targeted radiation tomography tomorrow.With a recurrence only 6 months out from treatment, I am shaken and want to consult with another major cancer center even though I really like and trust my doctor. He was great and he said he had no ego on the topic and it is my life. He felt 2 best institutions were UAB or M.D. Anderson. I chose M.D. Anderson becasue they have worldwide reputation, large gyn oncology dept including genetics, and seem to be very active in getting clinical trials (one upcoming involving Herceptin being used for UPSC as it has proven effective f