How many PSMA/PET scans Medicare will cover, in a year?

Advanced Beneficiary Notifications (ABNs) apply a la carte as it were. Adding ABNs at the same time with financial and demographic forms would not be valid. An ABN at that point could not anticipate a potential (theoretical) future denial. Institutional providers would better know at the time of a service whether its likely
or unlikely to be permitted. Concurrent utilization prior approval processes could minimize surprise incurred costs for patients and providers?

Please help me with ABN
I don’t know what that means

TY

That seems like overkill. Not to mention consuming that not so healthy radiated glucose concoction every 3 months.

That’s when the facility requires you to sign a document that sez if Medicare or your insurance company doesn’t pay your responsible. (More)-In healthcare, an ABN, or Advance Beneficiary Notice, is a written notice that a healthcare provider gives to a patient before providing a service that Medicare may not cover. It essentially informs the patient, in advance, that they may be held financially responsible for the cost of that service if Medicare denies the claim.

Hi chippie, I hope your well. I just want it covered at least every 6-months.

As you may have noticed @lag Has the same three month testing.

I can’t say for the case that @lag has but The person I was talking about, had an advanced case in the past, and they were worried about it accelerating in growth.

I guess if you were in that situation taking the Concoction would be easier than Having it spread without notice.

Nothing to add to the other comments. The provider is required to have you sign that form in order for you to be responsible for the charges.

Must have been dealing with some serious velocity. Hope it worked out well for him. Heck, all of us!

Yes, god bless us all.

My husband was diagnosed stage 4 metastatic prostate cancer in December 2023, had no symptoms at all except a pain in his chest occasionally, concerned local Gp sent to cardiologist who ordered CT scan then found enlarged lymph nodes - long story short pain was a blood clot in lung. Biospy revealed above, Dr's were so surprised as they believed lung cancer before the biopsy declared what it was - he had just turned 63, he had the maximum doses of liquid chemo last year (6) and numerous pet scans to follow up. His PSA at the time was 2000, unfortunately the cancer is in his back, thighs and rib bones. Radiation clinic has advised that they cannot cure but if it gets close to the nerve they maybe able to slow it down. If you saw him, you would not know he has cancer but he is slowing down a fair bit. He is now on hormone injections every 3 months and 4 tablets a day of Nubeca. He has not had to have a CT or Pet scan since October last year, as the specialists call every 3 months after he has had a blood test done to confirm his PSA level which is currently at 0.03 - amazing difference. We were told it was not necessary to have PET scans now as there is no need. When the PSA starts to increase then they will order them to see what has changed. For a very slow growing cancer the specialists and us personally were very shocked at how far this has progressed with no other symptons - he has no time limit as he is responding well to treatment, Anyone else in this situation?