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Proton Beam denied by insurance
Proton Beam Therapy | Last Active: Jan 1, 2024 | Replies (10)Comment receiving replies
Proton bean treatment is more expensive than photon radiation and only about 40 places in the US are licensed to do it.
Does you dad have Medicare? If he has original Medicare (Part A and Part B), he would not have a problem anywhere they take Medicare. But if he got a Medicare Advantage Plan (Part C) instead, then he is very limited, and needs preapproval for treatments. And Mayo does not take Medicare Advantage plans.
Replies to "Proton bean treatment is more expensive than photon radiation and only about 40 places in the..."
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vic83, Yes all true. Just put out a letter from Mayo Jacksonville does yearly prior to open Medicare enrollment on Medicare. Medicare Advantage is not Traditional/Original Medicare but a move to a private company who's most plans are HMO which Mayo does not take.
Mayo Clinic is considered a Specialty Hospital/Clinic and Medicare allows them to charge more.