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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
@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.
Replies to "@jim18 This sounds like no insurance at all. There are some low cost plans that are..."
@jeffmarc Anthem BCBS with $1000 deductible, $6000 max, 10K+ employees. Get a lot of Not Medically Necessary. Expect it would be the same with UHC since they have a much higher claim denial rate. Have learned to stay away from Medicare Advantage when the time comes.
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@jeffmarc I work for one of the the largest aerospace and defense companies in the world. So it’s massive. I have the best insurance plan the company offers with secondary insurance, critical care coverage, and maxed out HSA.
It’s just the way employee commercial plans are these days, in my opinion. Always deny at first because a certain percentage of us just won’t challenge it. Pretty sure it’s standard procedure to deny claims for some billing codes and make us try and try again. We give up or get pushy. It takes a lot of work, patience, and time.