Denied cat scan
I had scans every 6 months for two years, so I had the one that diagnosed it then one I think a month after my neph and then I had them every six months, so I had 6 total up to that point. then we went to every year. I had that first yearly scan last year. I was supposed to have my yearly scan next week but Aetna refused it said I could have ultrasound and X-ray. My doc said that we would do yearly scans till I reached 5 years out then we would alternate with the ultrasounds every year. This is my fourth year scan so I quess next year I will have the cat scan. Should I complain and try to force the cat scan or just go with it.
Comments
-
scans
I am due to have a robotic partial neph soon hopefully. When my doctor told me about the after care plan he said 3 years of scans and 5 years of blood tests. I have read several articles and have heard both versions. Not sure which is right or which is wrong. Fight for what you think is right for you!
0 -
Definitely question and fight
We have to become advocates for ourselves, sometimes with our doctors and sometimes with the insurance companies. And as IcemanToo said, Aetna is in hot water right now for decisions such as this. Probably a good time to appeal this one, especially if your doctor will support you with it. Good luck!
0 -
next year I will get cat scan
next year I will get cat scan, from now on I will alternate every year. Doc says because im a chromie and had no sarcomatoid or necrosis that I'm low risk. My tumor was 11.7 cm. I was stage two. I trust my doc so if he says I alternate every year I will.
0 -
Fight it.
I have a $100 that says your doc would not accept xray and US if it was him or his family. Be your own advocate. I doubt they can show you a dated protocol saying CT scan is not indicated.
Make the phone call. Insist on speaking to supervisors. Ins. co. have a practice of denial without proper review. Aetna has been caught and exposed.
The biggest mistake you will ever have a chance to make is not being a squeeky wheel. Any weakness in your aggressiveness will be taken advantage off. They care nothing about you. You are a chart number. Nothing more. Don't accept it.
0 -
i was going to start
i was going to start alternating after my 5 year scan any way . I didn't like it but that's what doc said was required . Doc said he's fine with it so he won't press it. I think I should have scans at least this year and next year then start alternating I quess.
0 -
A national guide
My doctor is following the National Comprehensive cancer Network Guidelines for kidney cancer. Follow up an category 2b. Baseline CAT or MRI , then CAT ,MRI, or ultrasound 3to 6 months for at least 3 yrs then annually up to 5. Check it out . It explains for me what I will be following. You have nothing to lose by asking for the procedure. You become an annoyance to someone who doesn't know you so what. You've earned the right to be listened to at the minimum.
0 -
Fight It
And 5 years is a **** cutoff date. There's no data to support stopping at 5 years with RCC. They are taking data from other cancers which have data to support stopping at 5 years and applying it to RCC.
If you need to, find another doctor and get another opinion.
Perhaps you feel some pain in your side? If I had to, I'd go with that approach. Lol. I'm serious here. I would insist on annual CT scans chest/abdomen and pelvis even after 5 years. I'd pay out of pocket even to get them, but I'd definitely push them in any way I can. You want to catch anthing early. If you wait for symptoms to show up, it will very likely not be something operable by the time symptoms show up.
Todd
0
Discussion Boards
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.9K Cancer specific
- 2.8K Anal Cancer
- 446 Bladder Cancer
- 309 Bone Cancers
- 1.6K Brain Cancer
- 28.5K Breast Cancer
- 398 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.2K Gynecological Cancers (other than ovarian and uterine)
- 13K Head and Neck Cancer
- 6.4K Kidney Cancer
- 671 Leukemia
- 794 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 237 Multiple Myeloma
- 7.1K Ovarian Cancer
- 63 Pancreatic Cancer
- 487 Peritoneal Cancer
- 5.5K Prostate Cancer
- 1.2K Rare and Other Cancers
- 540 Sarcoma
- 734 Skin Cancer
- 653 Stomach Cancer
- 191 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.9K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards