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Prostatectomy follow up (Other than PSA testing)

Prostate Cancer | Last Active: Sep 28 10:12am | Replies (17)

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Profile picture for jeff Marchi @jeffmarc

Medicare does pay for a yearly physical. It’s one of the non-optional paid for treatments.

I’ve had them every year and they pay for them every year and I’m 77 now.

What you need is no less than semi annual PSA tests. The first one after surgery should be around the three month mark, at the most. Many people have their PSA rise immediately and that’s the only way to find out. They are also covered. You don’t want to go too long after having treatment to make sure nothing’s coming back. My PSA started rising 3 1/2 years after I had a prostatectomy. I had semi annual tests. When my PSA hit .2 they gave me a Lupron shot and two months later they did radiation for 7+ weeks.

It doesn’t matter which doctor does the PSA test. You really don’t need to see your urologist for much of anything, hough they may be the one to order the PSA tests done. Besides that, unless you are having some sort of urological or surgical problem, the urologist doesn’t need to do any testing on you besides PSA.

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Replies to "Medicare does pay for a yearly physical. It’s one of the non-optional paid for treatments. I’ve..."

Hi Jeff,
Check the coverage. Medicare pays for a 'AWV - Annual Wellness Visit' of sorts by not an Annual Physical. Just when we need it the most as we age. UC has informed me several times it is not technically covered. On the Medicare site it states specifically "Physicals are not covered". Their AWV does a bunch of talking and updates on preventative care, Advanced directive updates, family history, cognitive function. No bloodwork, vaccines, examining, etc. Makes no sense. Doctors have to have a 'reason' to completely examine you and a diagnosis to do so.
Thanks to all who responded. I guess we need to wait to have an issue rather than get ahead of it. Certain things like Colonoscopy, PSA, etc. are (of course) covered......fortunately. Tom