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Profile picture for pampou @pampou

When I underwent Proton radiation in 2011 my insurance company, Anthem, refused to pay for it. Although I was given a discount by Hampton University Proton Therapy Institute it still cost me $72,000. In Virginia we have an ombudsman program to help citizens with insurance problems. All they did was tell Anthem they could not deny me for saying this was investigational and experimental (Medicare would cover the proton therapy but I was only 60 yrs old) but then they told Anthem how to deny me and get away with it. I tried to contact numerous lawyers to sue Anthem for payment, but all the lawyers represented doctors, hospitals and medical providers, not the victims. One ambulance chaser said he would take the case but wanted $50,000 up front, 1/3 of any payments by Anthem and said if I lost I would have to pay for Anthem's defense attorneys which would have been in the hundreds of thousands. So much for justice. Instead I invaded my retirement savings. If I had it to do all over again, I would just have taken my chances without radiation.

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Replies to "When I underwent Proton radiation in 2011 my insurance company, Anthem, refused to pay for it...."

@pampou so you would take chances with even the Proton radiation? He only has 2 of 39 lymph nodes positive for cancer. Maybe some margins, I cannot recall in this moment but I know when I was with them for the surgery the doctor said it took so long because they had to keep going for a clear margin. He's already struggling post surgery that I fear adding radiation will put him over the edge and he'll not have the best quality of life.