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@heavyphil

My Insurance company (BC/BS) would only pay for a PET scan after primary treatment - not before. I argued that the scan was paramount in my decision to either do surgery or radiation. They could care less!
Not sure these days if the PSMA is approved only after primary treatment, but either way, I think patients should be made aware of its diagnostic value and then they can decide if they want to pay for it or not.

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Replies to "My Insurance company (BC/BS) would only pay for a PET scan after primary treatment - not..."

@heavyphil
My R/O after I got ordered Decipher and bone scan saying Medicare pays for them. My secondary insurance covered the co-pays of Medicare.

My second R/O consultation wanted a PET Scan done also. Again Medicare paid and my secondare insurance covered co-pays.

I agree with you the test you mentioned and I mentioned above should be done BEFORE and treatment plans are developed. How the heck can you know what to treat and how if you don't have these type test done prior to any treatment plan being decided