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How long did you wait for PSMA scan?

Prostate Cancer | Last Active: Mar 24 2:44pm | Replies (31)
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@kenporter

Insurance can be a real problem when it comes to a PSMA. It took almost 5 months for me to get the approval for a PSMA. Endless phone calls, letters of request for approval just sickening. I have a BCBS Medicare Advantage plan. When I received my copy of the charge for the PSMA I figured they didn’t want to pay for a 79 year old. PSMA was $14,300 and my co-pay was $375.00. Bad enough we have to battle cancer and then the insurance and out of pocket cost brings so much stress. ORGOVYX is also a hoot with a price of $2,932.00 for 30 pills. Co-pays running $850-$920 a month. God Bless everyone of you and much success on your journey. Ken

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Replies to "Insurance can be a real problem when it comes to a PSMA. It took almost 5..."
surftohealth88 | @surftohealth88 | Mar 17 4:51pm

I am so sorry Ken that you had to go through all of this hustle, it is almost inhumane what is happening with insurances and patients. Not to mention exorbitant prices of medications and everything. So much wealth floating around and such bad social net and help for seniors in general. If I was one of those billionaires, I would have invested my wealth and influence in bettering of lives of my fellow citizens and not in meaningless flights to distant planets and similar *rap. How about saving THIS one ?
I am glad that you managed to get what you needed and I am wishing you to reach at least 100th birthday in good health : ))) ! Sending blessing your way < 3

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topf | @topf | Mar 19 6:14am

I ended up paying for the PSMA myself, USD 5,300. But I was under shock after my biopsy results. If I need it again, I would go abroad to take it. In Europe or LatAm it is more like 1,500.

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dailyeffort | @dailyeffort | Mar 20 1:56pm

In 2021, my PSMA PET scan done in a clinical trial for 68Ga-PSMA-11 PET/CT at no cost to me or insurance. A number of the major medical centers have the same and similar trials ongoing. Given the prices of even copays today, it might be worth looking to see if you can get the same scan and contrast that your doctor would order by participating in a trial and pay nothing, if you meet the participant qualifications in terms of cancer stage, comorbidities, etc. Just a thought.

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