I'm glad for you in the sense that you and your husband now have the answer to the problem of the increasing PSA numbers, but feel bad that that happened to him.

I noticed in your post you really didn't ask any questions. I'm posting this comment not so much for you as other folks that might read it.

You mentioned that "Our insurance made us wait for THREE PSA tests before they finally agreed to cover a new PSMA pet scan" Was that 9 mos? No bueno in my mind, that's a long time to have things growing in an aggressive situation like this.

I was in a similar situation although my numbers weren't as elevated. My doc said I needed the scan but knew my insurance wouldn't pay for it. I negotiated with the hospital for a cash payment, it was about 60% of the "list price" for the scan. I got the scan, then fought with the insurance company, ultimately they paid for it.

I WILL NOT let insurance companies dictate my medical treatments. I'd sell the house or a car first. I realize the luck/blessing I have being able to do this, knowing not everyone can. I trust my doctor, not my insurance company. I have about a half dozen instances of things like this where I went out of pocket for things, mostly x-rays and scans, you'd be surprised what you can negotiate the cost down to, but, that number is still often higher than the negotiated price the insurance company pays, it's still in the facility's best insterest. The scan was clear which showed us it was likely just some cells in the pelvic region, was under the IMRT machine the next month for marking and measuring.

Just something for the group here to think about.

Best of luck to you @ucla2025 and your husband!