Nano Knife

Posted by cole5055 @cole5055, 4 days ago

Hello All,

After fighting with the VA for three years ( 100% Disabled Desert Storm 20yrs 🇺🇸 ) I finally made it to Mayo Phoenix 😊 What a difference dealing with true professionals!

After completing my Trans-Perineal Targeted MRI Fusion biopsy 3+4 all contained in the prostrate 🙏 my Doctor recommended Nano Knife, it had just became available in 2024 and is still considered experimental. It seems to have the least side effects and I do not need ADT what a relief. My nurse informed me that they have treated over 300 patients with very good results!

My question? If you have had the Nano knife treatment please chime in and share your experience 🙏 it would be most appreciated 😊

Most Respectfully
Ray & Lucy 🇺🇸

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Urology Times reports that IRE procedures such as Nanoknife, as of January 2026, have been assigned a Category I CPT code for ablation of prostate and liver lesions. https://www.urologytimes.com/view/category-i-cpt-code-granted-to-irreversible-electroporation-for-prostate-lesions

Georgia Urology apparently confirms that this means payers such as Medicare will now cover the procedure. "NanoKnife will not be fully covered until January 2026" https://www.gaurology.com/comparing-hifu-to-nanoknife/

Georgia Urology noted that they have had some success getting insurance to pay in the past, "but this is not the norm".

REPLY
Profile picture for jeff Marchi @jeffmarc

@cole5055
The problem is, if you’ve already picked an advantage plan then getting A supplemental may not be possible if you’ve had it over a year.

Here are the details?

Trial Period Rights: If you are within your first 12 months of joining a Medicare Advantage plan, or if you left a Medigap plan to join MA for the first time, you have special "trial period" rights, making it easy to switch back.
Guaranteed Issue: If your MA plan terminates coverage or you move outside its service area, you get a 63-day "guaranteed issue" window to purchase specific Medigap policies (A, B, C, F, K, or L) without medical questions.
Underwriting Risk: Outside of guaranteed issue periods, companies can refuse to sell you a Medigap policy due to pre-existing conditions. This is common if you are switching simply because you don't like your current MA plan.
Best Time to Switch: The best time to change is during a "guaranteed issue" period, often within 63 days of losing or changing coverage

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@jeffmarc I am with you 🙂 I read everything I could before I turned 65…….. Supplement plans are the only way to go. Advantage plans seem better? But in the long run if you’re dealing with cancer it changes the whole dynamic…….. Agents are trained to sell you Advantage plans! They make way more money unfortunately not in the consumers best interest…….

I was very fortunate to be eligible for ( same coverage as a supplemental plan ) Tri-care for life as a 20 Air Force Veteran. They tried to sell me an Advantage plan & and actually sold me a plan “E” supplement plan. Only to find out later I did not need it because of my Military service in the Air Force. Luckily I found out in time and cancelled my plan “E” in time! Wish you well and hope you can correct this 🙏

Ray & Lucy

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Hi Brian,

I spoke with my Doctor, they use a 5mm margin around the tumor. Followed by monthly PSA tests & MRI every 6 months for the first year to include a biopsy if needed. Then active surveillance he says he has preformed over 300 Nano Knife procedures with 80-90 success rates after the first year. 3+4 almost qualifies for active surveillance …….. I might be kicking the can down the road, but this seems to be a very logical first step. I would very much like to keep my OEM equipment ( my prostrate ) and I can always use the many other more powerful procedures………later If needed 😊 I feel good knowing I am in good hands at Mayo Clinic 😊

Ray & Lucy

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