Oct 04, 2010 - 2:36 am
Throughout the course of treatment starting April 2010, BCBS Nebraska has denied paying for PET scans that our oncologist and surgeon have told us is "protacol" for treatment of EC. Staging PET scan was allowed and one other, then later they denied as being "investigational" and not needed. Head of onclogy dept even talked with them and they still refused on 2nd appeal. Finally agreed to allow CT scan instead of PET after chemo alone before the chemoradiation started.
Our surgeon at Mayo requested a PET scan before surgery, again "protacol" and again it was denied. We were told they finally approved a CT scan, but now the bill comes and BCBS Nebraska has denied paying for a pre-surgery CT scan that was done.
Anyone else having problems with insurance covering their scans?
We were happy to be participating in a clinical trial for EC, and were told that only 4% of adults with cancer participate is trials when offered. We were "released", I call it "kicked out" of the trial because BCBS Nebraska refused to pay for a required PET scan. Trials are very specific. You get your treatment in very specific amounts, time frames, and everything is regulated. We continued on the same plan as the trial, but our results and the findings of our treatment will not be included for the benefit of others to see. Too bad, but we just didn't know of anything we could do about it.
My husband had his surgery Aug 16th. How can we possibly do our follow up if BCBS won't allow the scans at regular intervals like everyone else seems to get? Linda