I live in the DFW area and currently have the AARP United Healthcare Medicare Advantage plan.
I recently received 45 Radiotherapy treatments for my PC. My share for these treatments was $3,010. This included the initial onocologist consultation and 2 examinations as well as the simulation and setup.
The initial estimate from the oncologist was $6k ish. During the whole insurance billing process the oncologist billing department kept trying to get their orginal $6k from them but denied most of the charges. Basically the oncologist only got the $60 per treatment, which was the co-pay for each radiation treatment.
As far as the drugs goes the ADT (lupron) was a different story. The urologist said my copays was $300. But when they billed the insurance company they said my share was 20% of the allowable amount which came out to about $800. But the interesting thing was the urologist sent me $150 check and also credited me the rest as a good gesture.
Haven't gotten my second dose of the ADT yet so I don't know what the actual charge will be going forward.
So with all that said I am very pleased with the insurance I currently have.
Have same insurance. Optum RX under medicare charges $100 a month for Abiratetone ($800 at CVS) and Lupron is only regular office visit fee at Dr. office.