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Prostate Cancer | Last Active: Oct 1, 2023 | Replies (20)

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@josgen

Thank you jc76. Very helpful even though it doesn't make sense!

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Replies to "Thank you jc76. Very helpful even though it doesn't make sense!"

I think but maybe not you had asked mikewo about Medicare payments for proton. I sent you what I paid for proton payments at UFPTI. Was it not you that asked for what Medicare pays for proton treatments? It is my understanding Proton costs are much more than Photon.

I mentioned MSN it means Medicare Summary Notice and will list what a provider charges, what Medicare authorizes, what Medicare paid, and what you are responsible for. Basically 80% Medicare and 20% you.

I cannot list all the explanation codes but they cite the decision for what Medicare paid. So even if Medicare authorizes something it may not be what was paid due to other criteria they use to pay.

I am not sure where (if it were you asking) you are considering going but costs should be close. If I sent you something you were not asking for, sorry!