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Another complication is that I don't think I will be able to travel back to Cleveland (or to any other COE) for further treatment, if needed. Cleveland is 5.5 hours away and I don't own a Concorde so I can't skip on over for treatments during my lunch break. My insurance has an additional benefit that covered my airfare, lodging, and medical expenses for the RARP but my 9-day stay in Cleveland exhausted the per-incident benefit amount so traveling for 30-40 treatment days seems out of the question. Besides, even if they covered my expenses, it's unlikely my employer would let me work from "home" for that long and I don't have enough sick days to cover that duration.

I guess I could consult with a local RO while waiting for my PSA test next month.

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Replies to "Another complication is that I don't think I will be able to travel back to Cleveland..."

It is possible to have the radiation treatment for your cancer done locally using the instructions from your far away provider. This is frequently done.

Ask the COE where they would accept the radiation being done, near where you live.