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Insurance issues/UPSC

Double Whammy's picture
Double Whammy
Posts: 2301
Joined: Jun 2010

Not me.

Very good friend is a 5-year UPSC, Stage 2 survivor. She had both chemo and radiation. Now, at 5 years her insurance company says no more gyn oncologist, you can go back to regular gyn for exams and see the local general oncologist here on out. She has mixed feelings about this and will discuss it with her gyn next week. Both her gyn oncologist and medical oncologist (who only treats gyn cancers) just sort of shrugged their shoulders and offered that they knew the local oncologist and she is very good.

Any thoughts? Does this sound ok for UPSC patients? I expect (and look forward to) it for me.

Suzanne

carolenk's picture
carolenk
Posts: 909
Joined: Feb 2011

Well, I was told that I am not a candidate for another surgery so I don't need to see a gyn-onc anymore. What other differences are there between a med-onc & a gyn-onc?

daisy366's picture
daisy366
Posts: 1493
Joined: Mar 2009

Gyn-onc is a specialist in gynecological cancers. UPSC is so rare that there are med-onc that have never heard of it!! My doc's practice with 3 gyn-onc only sees about 12 people with upsc annually that's 4 per doctor in a large geographical area - hundreds of miles. I would not want any other type of doc treating me.

My gyn-onc does surgery and treatment including decided what chemo and how much. The only thing he does not do is radiation. I think we all need a gyn-oncologist.

And Suzanne, does your friend have a medicare advantage insurance policy? I was told that medicare will let people go to whoever they want without restriction. That is crazy that the insurance company is making those kind of decisions. Time for appeal if it was me.

All the best, Mary Ann

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