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Insurance Denying PART of Surgery

Prostate Cancer | Last Active: Jan 16 8:04am | Replies (13)

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@heavyphil

Hey buddy, My surgeon, Dr David Samadi, has a similar description of this on his website. It’s a basic part if his SMART surgery protocol.
I paid him privately ($62K) and he did not fill out insurance forms - even as a means for patients to get reimbursed. He was in NO networks so there was no point.
All I can say is that so far I am not incontinent 🤞 even after salvage radiation. If he’s telling you to do this “extra” just pay the man and hopefully you’ll never know the misery of incontinence.
You can always try to get reimbursement later if you even want to pursue it. I insisted on a PET scan before surgery and got the same BS: “there’s no proof that this procedure, etc.,etc…” so I shelled out another$7500 for my own peace of mind.
Glad I had the $$ but it still sticks in my craw….

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Replies to "Hey buddy, My surgeon, Dr David Samadi, has a similar description of this on his website...."

What's funny about your PET scan is that I asked my doctor, after my MRI showed bulging, if I should get a PET scan and he said "I doubt the insurance company will approve it but I agree it should be done", it was instantly approved. One has to imagine that a PET scan is more than some stitches to your bladder.