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Pet Scan Denied by Ins
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Feb 21, 2010 - 9:42 am
How hard should I fight my insurance company to get a pet scan? I have Tri-Care (military retiree) I had one in early '08 but it has been denied two years in a row now. My oncologist has decided that since he can't get the level of care out of my insurance provider then he's not going to be able to follow me anymore. I had cancer in '94 and it just came back in April of '08. The insurance company says my kind of cancer doesn't warrent a pet scan. |
Joined: Feb 2010
Did the CT show shadows in other parts, outside the anal tumor? if not, I can understand why the PET might be denied. If there were shadows, I'd fight for the PET hard.
Joined: Feb 2010
A shadow did show up on a regular CT scan and the Doc recommended a guided CT biopsy. But when the PET was denied again he quit on me before I got the guided CT. Now I need to find another Oncologist. He was a GYN Oncologist. My primary care phys was looking for another but there are none in the area so we're looking for one that isn't a GYN type. I don't know what type that will wind up being. Proctology/Oncology?
The GYN Oncologist did do an appeal for me a year after my surgery but it was denied anyway.