← Return to Starting Proton Treatments for Prostate Cancer: Any experiences?
DiscussionStarting Proton Treatments for Prostate Cancer: Any experiences?
Prostate Cancer | Last Active: 5 days ago | Replies (211)Comment receiving replies
Replies to "@4rs I am going through the same insurance approval process and have been denied twice so..."
@dderiso I just lost my 4th and final appeal - determined by an outside board. Going to inquire about cash pay options; there are some discounts/programs potentially available for those without coverage. ChatGPT says $30-50k without discounts is average price for 26 sessions. I’m going to ask about it next week.
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@dderiso my insurance has denied 3x so far. We’re at the fourth and final appeal level, with an outside review board. Should get an answer this week. If denied again, I will need to decide whether I pivot to photon therapy or try again under my wife’s insurance January 2nd for proton. Her employer just had their annual open benefit enrollment. I’ll be covered starting next year, but no guarantee her plan will cover the proton therapy and I lose TIME waiting. Tough call. I just messaged my oncologist about the optimal timing of starting radiation after beginning Abiraterone to ensure I’m still within the appropriate window if I wait.