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Difficulty seeing/communicating with oncologist

Cancer | Last Active: Oct 21 3:57am | Replies (14)

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Profile picture for Arvind Natarajan @malebreastcancer47

I work on the insurance and normally before any new procedure or treatment is started, you need a pre-auth. No provider is going to rush into a treatment without first consulting with the patient, sharing options, then getting a pre-auth and starting treatment. Otherwise if treatment is started and pre-auth is denied for whatever reason, your provider will stop the treatment or suggest a different treatment.

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Replies to "I work on the insurance and normally before any new procedure or treatment is started, you..."

I have very good insurance I was able to go out of state and get excellent care, why will my doctor at home not give me the same care Is he under pressure form his hospital only hospital in town, to give infusions.
I don't understand it! he will not follow the protocol from my out of state doctor, she says he is in charge she can ask him ,but not make him do the right thing, This is the same doctor that when He first saw me wanted me to go to hospice I am still alive 10 months later.
Is it because he considers me too old I am 85 years, I am not allowed to change doctors I have been trying since August I was told you cannot switch doctors even though I told ombudsmen he does not care for me as a patient, He even said to me at an appointment when ever I see him he said to me you don't want to see me any more.

@malebreastcancer47
Will the Doctor let you know that you are receiving a different treatment because the pre-auth was denied.
I have had that experience with drugs I was told what the doctor prescribed was too expensive.
I was upset when I was denied the latest treatment for cancer ,especially when you are depending on the doctor to give you the best treatment
Why will one oncologist give the latest treatment and another will not ,is that Doctor under pressure from the insurance company.
I say that because when I went out of state for treatment I received the most up to date treatment. makes me wonder why my doctor would not give me that treatment , why did I have to travel out of state.
Do state of the art hospitals have most clout over insurance companies