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PET Scans

trspaw's picture
Posts: 73
Joined: Jun 2011

I am 6 months out from my last chemotherapy treatment and my insurance is refusing to pay for a PET scan unless I have a CT Scan that shows something to warrant a PET, is anyone else having this problem with insurance? If this is not recommened as a regular test / follow up by the ACS why is that? Should we not be using all the tools possible to prevent cancer and alert us as early as possible to its' reoccurrence? Any input would be appreciated.

I have done everything my doctors have asked or suggested I do not want to suffer a recurrence that is not detected as early as possible because an insurance company doesn't want to pay for a test.

Thank you and God Bless

medi_2's picture
Posts: 509
Joined: Aug 2009

Did your Doctor order a PET? I've never been turned down; that is strange.
Good Luck!

ann m
Posts: 30
Joined: Jul 2011

I have heard of insurance refusing patients PET Scans. You need to call them and demand and have your doctors do the same. They shouldn't be able to get away with this.

Hondo's picture
Posts: 6643
Joined: Apr 2009

When I get problems like this I normally have my doctor contact my insurance provider and send them a letter as to why I need this test and not the others. Sometimes it works sometimes not but it is worth a try.

Wishing you the best

Posts: 121
Joined: May 2011

Maybe the reason is that your current CT scan shows no difference from the last one. If there were a noticable difference, then a PET would show whether it is new cancer or not. Who really knows what lurks in the minds of insurance people anyway? Pet scans are very very expensive. The DR. letter is a good idea though. Ask about the CT scans then and now.

Glenna M's picture
Glenna M
Posts: 1576
Joined: May 2009

I've heard that a lot of insurance companies will only pay for one PET per year. They may also feel that your CT scan showed nothing to warrant another PET. I am 2 years post treatment and did not have another PET until 3 months ago when my CT showed 3 areas of concern. A lot of doctors don't even order PET scans unless there is reason for concern.

Hope you get this resolved to your satisfaction.


trspaw's picture
Posts: 73
Joined: Jun 2011

Thanks everyone for your replies, they have been helpful.

Have a great day

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