• Insurance denial

    Asked by Jacrnich on Monday, September 19, 2016

    Insurance denial

    I have stage 3 lung cancer and have been denied a PET scan....

    12 Answers from the Community

    12 answers
    • kalindria's Avatar

      dhtdiver - you may be correct for your area and your insurance but that is not the case everywhere. Kaiser in California routinely gave me PET scans after I was clear to monitor my progress. Here in Washington, they use CT scans which I like less but also picked up my recurrent cancer so I really can't complain.

      I would just be cautious about stating your experiences in Arizona as fact everywhere.

      over 4 years ago
    • CAS1's Avatar

      every State and Insurance provider is different as is each Oncologist. Mine does not support Pet scans as follow up because too many false positives.

      You have been given great advise..here.

      over 4 years ago
    • kalindria's Avatar

      I really liked the PET scans because the radiation (or whatever it is) is absorbed by the active cells (including non-cancerous cells os you have to know how to 'read' them) and you can actually SEE the problem areas. The images are actually kind of pretty. My oncologist would always go over each scan with me.

      I did not go to medical school and don't want to cast aspersions, but if a lay person can see and understand what's on the screen, perhaps MDs are just being lazy when they give the excuse of too many false positives.

      And in my experience, a CT scan is nearly as costly as a PET scan so maybe they're just trying to explain away the scan methodology that isn't endorsed by their medical facility?

      over 4 years ago

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