Robotic Surgery and Insurance

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crewa2
Regular Member


Date Joined Jun 2009
Total Posts : 43
   Posted 8/4/2009 3:56 AM (GMT -6)   
I was wondering if anyone has had a similar experience?

I met with a robotic surgeon yesterday. They told me that my insurance did not include a code for robotic surgery. I would have to make up the difference out of pocket. This is about $3200 and would need to be payed a week before the surgery, in cash.
Age 43
5/6/2009 1st ever PSA 4.3
Referred to Urologist
DRE: Nodule felt on left side
6/19/2009 Biopsy done, 10 samples
6/25/2009 All 5 left side positive Gleason 3+3=6 40-60%
5 on right side benign
In research mode....


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 8/4/2009 5:46 AM (GMT -6)   
You'll need to call the insurance company and confirm that they don't pay...

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 8/4/2009 7:34 AM (GMT -6)   
The first urologist I went to told me my insurance did not pay for local anesthetic for the biopsy. I would have to pay $250 out of pocket for some comfort. Guess what, my insurance company did pay it. They just had a nice racket going. They are breaking the law. Don't wanna cast aspersions.....but sounds fishy to me. Do what Steve says.
Paul
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.FrankTalk.org - frank discussions of Erectile Dysfunction - check it out.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/4/2009 7:38 AM (GMT -6)   
Call your insurance company...robotic surgery is gaining more acceptance with insurance companies. My husband had robotic surgery and we had no problems with our insurance when it came to get the pre-approval for the surgery. The only out of pocket we had to pay was $250 to the hospital - everything else was covered with no problem.

Good luck and keep us posted.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/4/2009 8:33 AM (GMT -6)   
For most insurance companies, robotic surgery makes sense because of the saving in hospital days. Definitely call the company. If your insurance is through an employer, then call the HR department and ask them to run interference for you (they don't get put on hold for hours.) My HR people have gone to bat for me several times -- all with good results.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


crewa2
Regular Member


Date Joined Jun 2009
Total Posts : 43
   Posted 8/4/2009 9:53 AM (GMT -6)   
The real story:

I called my insurance company and asked them about the robotic surgery. They said yes, the robotic surgery is covered. So I call the doctor's office and inform them that it is covered. Now she tells me the insurance companies don't pay enough to cover the doctor's fee, this is why they get the extra $3,200.
Age 43
5/6/2009 1st ever PSA 4.3
Referred to Urologist
DRE: Nodule felt on left side
6/19/2009 Biopsy done, 10 samples
6/25/2009 All 5 left side positive Gleason 3+3=6 40-60%
5 on right side benign
In research mode....


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 8/4/2009 10:04 AM (GMT -6)   

Dear crew:

You should report this back to your insurance company immediately.  My understanding from my insurance company (CIGNA) is that, when a physician/hospital agrees to accept their insurance they also agree to accept the schedule of payments as approved by the insurance company.  I have never had a physician tell me that I owed more because their fee schedule was above the approved insurance compnay schedule.  Perhaps others here have had different experiences and find this practice acceptable.  I just don't think this is right.

Tudpock


Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 7/1/09.  6 month PSA now at 1.4 and my docs are "delighted"!

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/4/2009 10:05 AM (GMT -6)   
crew, that makes your dr's office sound like they are greedy and trying to hose you. do you have any other options?
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


huey
Regular Member


Date Joined Jul 2009
Total Posts : 27
   Posted 8/4/2009 10:10 AM (GMT -6)   
Crew,

I also know of one doctor at Henry Ford Hospital, Dr. Mani Menon of Detroit, that wants cash up front based on your ability to pay. The surgery part is not covered by insurance according to his staff.
Age: 64
Dx: 6/2/09, Age 63
G: 3+3
PSA: 2.04
Samples: 12, 1PC, 20%
DRE:positive
Stage: t2a
Still trying to decide on treatment.
New PSA 7/28/09: 1.3. I don't understand it???


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 8/4/2009 10:56 AM (GMT -6)   
I'm going to guess the Doc office has a new/inexperienced claims person. That or the Doc is charging more then reasonable and customary charges.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/4/2009 10:58 AM (GMT -6)   
Wow, sounds like a scam to me. As I understand it, when a doctor or hospital agrees to accept payment from an insurance company it is at a negotiated rate period. You will sometimes find a doctor who chooses not to participate with a particular insurance company. In that case you generally pay the doctor yourself and then file an out-of-network claim and the insurance company pays you based on their rate for the treatment not on the bill.
But who knows, perhaps your insurance company does permit this sort of thing.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 8/4/2009 1:32 PM (GMT -6)   
My surgeon does not accept the fee schedule but they were totally upfront about it starting with the initial phone call. If the insurace company lists your surgeon as part of their plan they need to accept the lowered fee.
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


55 and healthy in NJ
Regular Member


Date Joined Apr 2009
Total Posts : 58
   Posted 8/4/2009 11:36 PM (GMT -6)   
PSA history: 2.9 (Oct 04), 3.7 (Dec 05), 2.79 (Nov 07), 4.54 (Jan 09), 4.9 (Feb 09)
05/18/2009 - Robot-assisted (daVinci) laparoscopic radical prostatectomy by Michael Esposito, M.D. and Vincent Lanteri, M.D. http://www.roboticurology.com/ both nerve bundles spared
Surgical Pathology: Prostate gland 51.8 grams; Gleason score 3+3=6; Pathologic stage T2c, N0, Mx; Left/Right Pelvic lymph nodes clear (no tumor present); No presence of extra-capsular invasion;  No margin involvement
05/26/2009 - Catheter and incision staples removed
05/30/2009 - Started Viagra 25mg 3x/week
07/06/2009 - 1st post-surgery PSA <0.1


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 8/5/2009 8:48 PM (GMT -6)   
Crwea2, you need to find out if your doctor is a "contacted in-network doctor" on your plan. Your insurance should be able to answer that question. Additionally, most plans have an on-line provider directory that you can access to check it out yourself. If not call customer service and ask them. If your doctor is a contracted in-network doctor he can not balance bill you the difference in his billed charges and the plans allowable amount.
Age 51
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED. Levitra works well for me
Post Op PSA 0.00


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/5/2009 9:18 PM (GMT -6)   
BTW, at the time of my surgery, I had BlueCross Blue Shield of South Carolina, and they would have had no problem paying for the robotic if that had been my choice, would have been done by the same urology practice and the same local hospital.
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/5/2009 10:51 PM (GMT -6)   
I can understand not making enough for the doctor. When I look at what is billed and what is paid, it is pretty low.

But the hospital is the one who bill for the DaVinci. If your dictor is trying to hit you for $3200 for a 5 hiur surgery, I think that is a little outrageous, to the point I would be heading off to one of the other large clinic hospitals or university hospitals in your area that your insurance will cover, and look for the best surgeon there is.

In my case, after diagnosed by my local URO who is in a large practice of 10 or so, I went immediately to Cleveland Clinic where the guy had done many more surgeries than the entire practice had. There was never any question on open or Davinci. I never paid a dime extra.

Sometimes this medical greed has to be stopped I think !
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 8/5/2009 11:13 PM (GMT -6)   
I thought you might be interested in my Canadian experience. Our health care is administered by our provincial (state) governments. I wanted to go to another province to have the daVinci. My home province paid all medical costs for the surgeon and hospital, except $25 I paid for one night in what turned out to be a private room. I didn't need to be referred by my doctor. I was able to hunt out this guy on my own. In addition I saw two urological surgeons in my own city to get their thoughts and advice and had my slides read twice by two different pathology groups, again all paid for. I was not considered to be a 'rush' case --- my urologist said if I wanted to golf for the summer and be done in the fall he'd have a hard time making a case that I'd be any worse off --- and yet I had OR time booked about four weeks after seeing the surgeon.

I don't claim this is better, worse, or just as good as private insurance plans in the U.S. I simply post as I thought others might be interested as to how it worked in Canada ---- at least, how it worked for me.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 8/6/2009 11:42 AM (GMT -6)   
Jumping to conclusions - suggesting that the physician/surgeon is a crook or doing something wrong - isn't the first thing to do.  My own urologist/surgeon told me not to speak with the insurance company - Blue Cross/Blue Shield of Illinois - because he had someone on his staff who was very experienced doing that and she'd handle the process for me . . . and it worked like a charm, and of the almost $70,000 billed I paid nothing.  Medical practices that do a lot of this work know the in's and out's of handling insurance companies.  As for asking for moneuy over and above what an insurance company reimburses . . . I'm asked to reimburse doctors for other procedures because of this all of the time.  It's not accurate to say all physicians are required - or agree to - accept what an insurance company reimburses them for.  Each situtation, each medical practice and insurance company relatioinship, can be different.  There's a lot of distrust of doctors expressed on this fourm and people not familiar with the discussions here should discount most of those rantings, IMO.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/6/2009 11:48 AM (GMT -6)   
Mavica - I agree with your sentiments, there does seem to be a "witch hunt' attitude among some that doctors are evil and wrong and don't know what they are doing. I feel the opposite for the most part, and thankful to live in a land where there are so many good doctors and medical options if needed.

Sheldon - your Canadian choices sound good to me, better than many us Yanks have, even with health insurance. There are a lot of stereotypes of how terrible it is in Canada, glad you spoke up about it. I have had other Canadian PC brothers tell the same stories as yours.

David in SC
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 8/6/2009 12:00 PM (GMT -6)   
David, I've had experience with both the Canadian and the U.S. system and each have their strong points, and weaknesses.

I'm always interested that so many Americans express horror at the thought of "socialized" medicine, and yet have great pride, and justifiably so, in the natrion's "socialized" education systerm. Americans hold that every child has the right to an education and the state provides it. Canada feels this way about health care. Interestingly, neither nation feels children have a right to be fed and we both have hungry children.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 8/6/2009 2:47 PM (GMT -6)   
This reply is to crew, who posted about Dr. Mani Menon. I personally just got back home (Orlando) from a two day interview trip with Dr. Menon and his staff. I have decided the way to address my PC is with da Vinci surgery. Dr. Menon is recognized in this field as one of the top 5 in the world. Some of the other top surgeons listed on other blogs I found have either trained under, been mentored by or corroborate with Dr. Menon. My thought was why go to the student when I could meet with the teacher.

As to the postings about cash up front, verifying income and so forth. All Dr.s have the right to opt out of Insurance programs and not participate with them. Dr. Menon some years ago opted out of Blue Cross/Blue Shield and Medicare. When meeting with patients covered by those insurances he does everything he can to work with them. He has a sliding scale of his rates to assist those with lesser insurance coverages and has done hundreds of surgeries at no cost, based on situations and needs.

My insurance is very good coverage. Not only is Dr. Menon, the Vattikuti Institute and Henry Ford Medical Complex in network for me, but, my insurance even covers my travel and living accommodations. To show their gratitude to patients that travel from outside their comfort zone of home town Dr.s to be treated by Dr. Menon, they cover the first $500 of living expenses for the patient. Staying on campus at the Clara Ford apartments ( a scant 75 yards from the hospital), a 1 bedroom, completely furnished and equipped apartment is $69 per day (taxes included). So my 10 day stay of $690 will only cost me $190 out of pocket until I am reimbursed by my insurance company.

I felt it important to provide this information because a lot of us PC folks are out there trying to find answers and make decisions and having a few non complete posts only confuses them. There may be some that would greatly benefit from being treated by Dr. Menon who would not take the first step because of these inaccurate and incomplete posts.

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 8/6/2009 3:09 PM (GMT -6)   
My apologies to Crew.

In my recent post I stated that the reply was to him for I thought that he was the person that initiated the reply concerning Dr. Menon. In fact when I read the thread again, I discovered that Huey mentioned Dr. Menon in his post. I apologize for the mis-commmunication.

I am the new guy here so I hope and I am allowed to mess up 1 time at least.

Sonny
60 years old
PSA November 2007 3.0
PSA May 2009 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

Surgery set for September 2009 with Dr. Mani Menon at the Henry Ford Medical Center in Detroit.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/6/2009 3:40 PM (GMT -6)   
Good point, Sheldon, on both the education issue and the hunger. Hungry children have no boundaries, that's for sure.

For older Americans, us in our 50's and above, we grew up with Communisim is bad, Socialism is bad, etc. etc. So anything that can be labeled as socialism or socialized is deemed bad, regardless of merit.

In a nation as wealthy as ours, the USA, its a shame that to get good medical care, you either have to be rich on your own, have fantastic but expensive health insurance, or be so poor the govt pays for anyway. If you aren't in one of those categories, you aren't going to get the time of day out of most doctors and medical facilities. I have generally always been treated well over the years, but then I have always had good health coverage when my maladies struck.

Regardless, both Americans and Canadians have outstanding options available, compared to the majority of the world's other countries. For that, personally, I am thankful I was born here.

David in SC
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


huey
Regular Member


Date Joined Jul 2009
Total Posts : 27
   Posted 8/6/2009 5:14 PM (GMT -6)   

Sonny3,

I'm glad to hear you have met with Dr. Menon.

I too have met with Dr. Menon at Henry Ford Medical Center and believe he is one of the best, if not the best, robotic surgeon in the country. I have heard many good stories about him and if I decide to have surgery, he will be my choice of surgeons. However, because of the results on my first biopsy, Dr. Menon thinks I should wait a few months and retake the biopsy again but with more samples. I trust his judgement. In my previous comment, when I mentioned that Dr. Menon does not take insurance, I was in no way trying to belittle him. I was stating a fact that Dr. Menon does not take insurance for the surgery.

Good luck on your surgery in September and please keep us posted..


Age: 64
Dx: 6/2/09, Age 63
G: 3+3
PSA: 2.04
Samples: 12, 1PC, 20%
DRE:positive
Stage: t2a
Still trying to decide on treatment.
New PSA 7/28/09: 1.3. I don't understand it???


spisam
Regular Member


Date Joined Jan 2009
Total Posts : 47
   Posted 8/7/2009 8:29 PM (GMT -6)   
Last February I had robotic surgery at Florida Hospital in Celebration near Orlando, Fl with Dr. Vipul Patel. Dr Patel could be the No.1 robotic surgeon for prostate surgery in the world. I was pre qualified with Blue Cross/Blue Shield. The total came to about $32,000 for everything. Being the begining of the year, I had to pay the full $1000 deductable out of pocket.  
 
Sam
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