Oncotype DX Gene Testing

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Jean in WA
Regular Member


Date Joined Mar 2005
Total Posts : 43
   Posted 3/23/2005 12:23 PM (GMT -7)   
Hello Everyone,
This is my first posting to this site, and the reason is to share my success in getting my insurance company to pay for the new Oncotype DX test. The test helps to determine who is at a greater risk of cancer recurrance in the next ten years, but, it also helps those women, like me, who are borderline for needing chemo, to make the decision to have the therapy or not. Most insurance companies still consider the test "investigative" and will deny the payment for it, and it costs $3,450. Well, after two weeks of my constant pressure on the insurance company, hours and hours of investigation on the internet, and documentation of my cancer being the perfect fit for this test, Premera Blue Cross has agreed to pay for it. It is the first case to be approved, and I am so pleased. It has delayed my possible treatment by a couple of weeks, which we all know is mental anguish, but I believe it has been worth it, not only for me, but for the hundreds of women who find themselves in my position of whether chemo is beneficial or not. Maybe now they can have this test and possibly not have to go through chemo. I won't know about myself for 10 to fourteen days (the time the test takes to run), and I may still need to make the decision to go ahead with chemo, but at least now I will know that I have done everything medically possible to make the right decision. So, for those of you out there whose doctors have recommended this test, but your insurance has refused payment, there is hope. Refer them to Premera Blue Cross of Washington and Alaska. We must all take charge of our own bodies....we are our best advocates!
Take care, Jean

postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 3/23/2005 4:13 PM (GMT -7)   
Hi Jean, thanks for the info. I am glad you got the approval! I hope everything works out well for you. Where in WA are you if I may ask? Just curious as I am in Tri-Cities, eastern WA. Seems like anyone I see is from Western WA. (Much prettier over there! )
Take care and thank you again for the good information! L&H, Gail
 It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.   Elisabeth Kubler Ross


MiaB
Regular Member


Date Joined Feb 2005
Total Posts : 205
   Posted 3/23/2005 4:52 PM (GMT -7)   
Jean,
I am SO happy for you!!!  Congratulations on getting the test approved and for your persistance!  That is exactly what it takes to get these insurance companies to recognize the innovative, cutting edge technology that is becoming available to us.  You are a pioneer for many other people who will have the test in the future, give yourself a pat on the back! yeah
 
I also had the Oncotype DX done last month and we worried our insurance would balk, but they didn't (United Healthcare).  (My test results came back in 10 days from the day of approval.  I'm not sure where their lab is so maybe that has something to do with it.)  And I scored a 3 on a scale of 0 -100 with the low numbers meaning less chance of recurrence, not necessary to have chemo.  My oncologist said that was the lowest number they've seen yet.  So I'm having radiation for 6 weeks (M-F) and then the standard 5 years of tamoxifen.  I just started treatments this Monday and so far so good.
 
Please keep us informed of what you learn.  And be proud of yourself, you are strong and have already shown you can fight the fight!!!  Way to go!!!!
 
Hugs,
Mia
 
Snowflakes are one of nature's most fragile things, but just look what they can do when they stick together.


-Vesta M. Kelly


gma
Veteran Member


Date Joined Jul 2003
Total Posts : 2921
   Posted 3/23/2005 5:45 PM (GMT -7)   
Great job, Jean. You are so right we need to do all we can to get the best care possible. Sometimes it just takes persistance and knowledge to convince the insurance companies. Please keep us posted as to the outcome of your test and your treatment. You are the fourth in WA believe it or not. Beautiful state. I lived there for awhile in the sixties when my husband was in the Navy. Welcome to healingwell. Hugs Mary K. (MK)


Jean in WA
Regular Member


Date Joined Mar 2005
Total Posts : 43
   Posted 3/24/2005 7:29 AM (GMT -7)   
Thank you all for your comments...and yes....my husband and I agree that this is important for the future of women who will be getting an early diagnosis of breast cancer, with digital mammography catching the cancer at such early stages. No one wants to go through chemo if it is not going to improve their chances of survival. I did want to tell Gail in the Tri-Cities that I too live there! Very small world... If you would like to e-mail we have set up a special account to accept your e-mail. It is dufrje@yahoo.com. I assume that is alright to put here(?). If not, sorry! I will let you all know the outcome of the test and hopefully it will be in less than two weeks. Take care everyone!
Jean

postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 3/24/2005 11:22 AM (GMT -7)   
Jean, WOW, I cannot believe you live here also! This is a first. The closest lady lives in Spokane, and then everyone else in the Seattle area. I sent you an e-mail. L&H, Gail

 It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.   Elisabeth Kubler Ross

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