Huh , our urologist tried to avoid Decipher and told us the opposite than what your oncologist said , that since my husband has cribriform and needs treatment Decipher is not needed - his active surveillance was over so no need for Decipher. We insisted of getting Decipher and told him that we will pay for it if it is not covered. It WAS covered in the end. Yesterday we had consult with oncology surgeon and he looked into Decipher, so I guess it was good to have it. I think that it could never be "too much information" when any disease is in question, not to mention cancer.

Sorry, I dont agree with your doc- I am a 3+4 and my oncologist highly recommended it after reading up on it and talk other experts in the field, they ALL recommended going for it. As far as cost Decipher a policy, they will cover $395 of the total cost, and they also have a plan where they dish out more money. They were very good at putting my case with the insurance company, who eventually picked up the entire cost.

Hope it helps and good luck!!

Two years ago my urologist/surgeon suggested the Decipher test after my 3rd biopsy. I hadn't heard about it at the time. It was covered by (Original) Medicare.

I wasn't high risk. 1st biopsy was one core 3+3, less then 5%. The 2nd biopsy found no cancer.

It's possible that some Medicare Advantage programs might deny you. If that's your case, you can always contest it. In general 80% of contested MA denials are eventually approved.