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Chemo in the hospital?

Kenny H.'s picture
Kenny H.
Posts: 503
Joined: Aug 2010

Well I finally get to my 12th round (folfox 5fu) and my Onc dr called me last friday to ask If I would mind doing this treatment in the hospital!

Explained ins. (blue cross) would now only pay 3k of the the $4500 drug expense. Either I would have to pay the difference or he could admit me to hosp for entire treatment and it would all be covered not costing me anything but the reg deductable!
What gets me is never any problems with prev 11 other treatments.

Since not currently working Im going into the hosp for 3 days. Unreal, will cost the ins co more now. Dont know if Obamacare has anything to do with it or not, just thought id pass this info on.

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pepebcn's picture
pepebcn
Posts: 6352
Joined: Aug 2010

than at home, no sense don't you think?
Hugs Kenny just be patient is the last!

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pepebcn's picture
pepebcn
Posts: 6352
Joined: Aug 2010

hospital insurance saves any money ,totally the opposite ,it will be much more expensive for them , so why to pay an extra to do it at home when logically it's cheaper and more comfortable to everybody ?.
Not sense! Also what a nightmare to Kenny 3 days in the hospital!.
Well the good thing is that is the last one! That's awesome! Go Kenny !!

pepebcn's picture
pepebcn
Posts: 6352
Joined: Aug 2010

last round! Hahahaha! Nice nurses and so!

kluong
Posts: 23
Joined: Nov 2010

We have the same experience. We have United Health PPO and was told that our insurance would not cover his radiation unless it was in patient as oppose to out patient. Our Radiologist thought it was strange and said that our insurance would probably cover it if he does some fancy talk/coding on his end. I am thinking he means that the insurance company are questioning certain treatments and need clarification from doctors.

Furthermore, my hubby has chemo every week. He has 3 day infusion on the 1st and 3rd week and half day infusion on 2nd and 4th week. He prefers to be in the hospital because he is more comfortable and they have more drugs to counter act his nausea and pain.

Kim

geotina's picture
geotina
Posts: 2122
Joined: Oct 2009

When George first started chemo, the oncologist had to get approval for him to receive treatments at the doctor's oncology clinic rather than the hospital. Some insurance companies do not cover treatment at the doctor's office, only at the hospital. Don't know why. We had no problem and were approved for the doc's office.

Never heard of having to be in-patient for 3 days to receive chemo. More than likely you will get your treatment at the hospital and then be sent home. When George was on Folfox, his treatment was over 2 days not just 1 returning day 3 to get the pump off.

Best wishes - Tina

Kenny H.'s picture
Kenny H.
Posts: 503
Joined: Aug 2010

Will find out more tomorrow when I go there. Gets me was did all 11 treatments at clinic and home now this....Oh well, have time on my hands. Hope the food is good.

tootsie1's picture
tootsie1
Posts: 5056
Joined: Feb 2008

I don't understand what the heck this is all about, but just wanted to wish you well with the treatment.

*hugs*
Gail

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pepebcn's picture
pepebcn
Posts: 6352
Joined: Aug 2010

neither shortage of leucovorin! I asked today abut the shortage to my doc. and not problem in here, seems is a local problem in the US!

lisa42's picture
lisa42
Posts: 3661
Joined: Jul 2008

It sure sounds crazy to me & why an insurance company would insist on something that is going to cost them more makes no sense! My insurance has been giving trouble lately. My oncology office informed me last week that Health Net (who approved my off label Gemzar for the past year through this March & is supposed to renew it again)- well, they haven't paid any of the Gemzar to the oncology office since Sept 2010! The lady in the financial office at the onc office asked me last time if I'd consider paying cash and then try to get reimbursed. I told her I can't do that & if they really haven't received payment since Sept, they need to fight harder. We have the letter approving the treatment- they can't approve it and then not pay it- they're obligated to.
I'm worried they may come and not approve the Gemzar anymore now. No fun!

Kenny, I hope your hospital stay for the chemo goes well- I guess you can just go with it and relax while you're there. Let us know afterwards how it went!

Lisa

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Lori-S's picture
Lori-S
Posts: 1286
Joined: Sep 2010

Sorry about you having to stay in the hospital for 3 days to get it .... BUT ... Congratulations on #12!

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