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← Return to Radiopharmaceutical treatment now instead of last resort.
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Radiopharmaceutical treatment now instead of last resort.
Prostate Cancer | Last Active: Mar 2 4:35pm | Replies (18)Comment receiving replies
@lanksta25 Welcome to the club fighting for coverage. I have filed 7 appeals with the insurance typically rejecting and outside review approving. Now trying to get IMRT paid (was authorized on appeal, but fine print says authorization is not a guarantee of payment). This is on an employer self-insured plan. The insurance administrator must get a big bonus for rejecting claims.
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@jim18
This sounds like no insurance at all. There are some low cost plans that are designed to just pay as little as possible and not really be sufficient for a cancer case. It’s not that the company pays, it’s that they pool the money employees pay and that’s all they have. If your case is expensive, they can’t afford to pay for it. Are you working for a large company?
You should ask your employer How this plan was designed. It may make sense to find a different job. All plans have to cover you, Even if you have a pre-existing condition.