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Proton Beam denied by insurance
Proton Beam Therapy | Last Active: Jan 1 10:27am | Replies (10)Comment receiving replies
we had the same problem with excellus bkue. went all the way to judge hearing and still denied. He switched insurance to medicare with a supplemental policy. Much more expensive but it was approved immediately. We are currently in fl having 28 day proton treatment!
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Where in Florida are you having the proton treatments?
I had mine done at University of Florida Proton Treatment Institute in Jacksonville Florida. 30 rounds of radiation which lasted 6 weeks.
I had no problem with traditional medicare and my second insurance federal BCBS. Just had my first PSA test and 3 month after treatment visit. PSA went from 3.75 to 1.2. DME good and side affects lessening.
With insurance need to watch PPO versus HMO which most Medicare Advantage are. Some insurance plans limit where you can go to receive treatments based on their in network restrictions.