Accepted or Denied?
A PET scan identified a metabolically active lump in my lung. My PCP wants me to get a biopsy soon and I’ve been told that the Tucson area doesn’t have the physicians at the moment, for many reasons. I’m new to the possible world of cancer. My records were sent to the Mayo in Scottsdale but we’ve been told that I must wait to learn if I’ve been “accepted” or “denied”. If denied I just get a letter telling me so.
What does this mean? That is, what does it mean to be “accepted” or “denied”? Is it for insurance or something else? Is it because the Mayo doesn’t have enough physicians like here in Tucson? Can anyone help my wife and I understand what “accepted” or “denied” means?
Interested in more discussions like this? Go to the Lung Cancer Support Group.
So sorry you had a confusing reply. I know Mayo gets lots of requests and can't give appointments to all. In my case when I had an abnormal chest x-ray and was waiting to see a local Pulmonologist, I called Mayo Rochester and was told to set up a Mayo account (with my insurance info) and forward the actual CT and PET scans (not just the reports) when I had them. I did and I was called the next day with an immediate appointment.
When I first had an abnormal chest x-ray, I researched and started calling multiple places for an appointment. I wait for no one.
You don't mention what kind of insurance you have. If you have a Medicare Advantage plan that would be a problem.
Hi @steelgang7, welcome to Mayo Connect. I'm assuming that your Tuscon provider submitted a physician referral to Mayo Clinic Scottsdale/Phoenix, rather than self-referring. Did your provider give you any timeline or expectation on what to expect? I'm sure acceptance/denial can depend on many factors. Many cancer centers have more requests than appointment slots, but that doesn't mean you won't be seen. All you can really do is wait. If it's been at least a few days, I would be tempted to call and ask if they have everything that they need, and that may open the door for getting more information on what to expect in the process.
The Visiting Mayo Clinic group has other discussions related to acceptance/denial:
https://connect.mayoclinic.org/group/traveling-to-mayo-clinic/
This is a stressful time for you and your wife. The waiting can be one of the most difficult parts of being diagnosed. Not being able to make a plan and move forward can be hard. How are you both doing?
Hi @steelgang7 - would UofA Medical Center be another option for you?
https://www.bannerhealth.com/locations/tucson/banner-university-medical-center-tucson/cancer
It's always good to get a second opinion, minimally. But seeing someone sooner than later is important. Best of luck to you in getting a diagnosis and finding a care team that works well for you.
I was able to see a pulmonologist from Banner Health in Tucson last February. I just called them and got an appointment. My insurance is a Medicare Advantage Plan.
Good Morning. I live in Prescott Valley, and formerly in Yuma. When I was establishing a new PCP here in Prescott my new Dr. had me complete a lung screening and it came up with a suspicious lung nodule. He set me up to complete a PET scan here, but I told him to send that to Mayo. Then Mayo contacted me and requested that I get some other documents sent to them as well. I did that right away and then they called me to set up an appointment with a Pulmonologist there at Mayo. From there on all the rest was completed at Mayo. My husband wanted to go to Mayo for something else, for himself, and they denied him. We both had the same insurance. My opinion is that if they feel it can be handled by a local specialist in your own area that is why someone may be denied. But, when it came to another health concern of my husband, he had his Dr. send info to Mayo and he was accepted. So, it wasn’t due to our insurance. Hope this helps.
I think you are correct about how Mayo decides on appointments. I got immediate appointment for my lungs. I have now also had appointments in three other departments because other health issues must be viewed against my total clinical profile. For example, I was due for a colonoscopy, but I have breathing issues. My local primary not qualified to decide if I safe for me to have general anesthesia, and I needed to be in a hospital prepared to do the right thing if there is a problem.
Best to have a PCP or pulmonologist send request for appointment for you at Mayo.
I am a Moffitt patient and my acceptance as a patient was hastened by a major donor to their Foundation who spoke up for me.....