I'm in the same boat with Kaiser ..... though I haven't asked them for the PSE test yet I think it would be my best " next step " before getting a biopsy . last year I had my first ever PSA test which came back at 10.9 followed by another 6 weeks later that came back at 11.0 the next one in August came back at 8.6 . I finally had an appointment with a Kaiser urologist who wanted me to get the biopsy ( Kaiser really pushes for the biopsy ) but with the research I did I thought it best to get the 3T MRI first then the biopsy - Kaiser said no to the MRI but I stuck to my plan and eventually Kaiser approved the MRI - they profit much more with a biopsy , MRI's are not cost effective . The MRI came back as pirad 3-4 ( according to the guy that did the imaging ) but he said he was going with a " 4 " to be safe .... I have a contained ( no visible spread ) lesion of 5mm in my prostate , when I had my follow up consultation with the urologist she thought for the time being we would do active surveillance and monitor my PSA I'm due for my next PSA test now - my plan is to get a biopsy if the PSA has increased - if it has then I will get the biopsy though I would prefer to get a PSE . I'm very skeptical that Kaiser will agree to a PSE test . Has anyone out there that is a Kaiser member been approved for the PSE test ? If so please let me know - thanks in advance .